How much rates vary
Facilitymedian $2,630 · 10th to 90th $1,047 to $7,244Professionalmedian $501 · 10th to 90th $35 to $912
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $870.96 Median $3,715.35 Typical High $9,120.11 | Facility | None | $870.96 | $3,715.35 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $776.25 Typical High $1,023.29 | Professional | None | $758.58 | $776.25 | $1,023.29 |
BCBS Texas Setting Facility Modifier None Typical Low $1,047.13 Median $2,691.53 Typical High $8,317.64 | Facility | None | $1,047.13 | $2,691.53 | $8,317.64 |
BCBS Texas Setting Professional Modifier None Typical Low $707.95 Median $891.25 Typical High $1,230.27 | Professional | None | $707.95 | $891.25 | $1,230.27 |
Christus Setting Facility Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Facility | None | $2,089.30 | $2,089.30 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $2,137.96 Typical High $2,884.03 | Facility | None | $758.58 | $2,137.96 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $891.25 Typical High $1,348.96 | Professional | None | $794.33 | $891.25 | $1,348.96 |
Lucent Health Setting Professional Modifier None Typical Low $9,772.37 Median $9,772.37 Typical High $9,772.37 | Professional | None | $9,772.37 | $9,772.37 | $9,772.37 |
Moda Health Setting Facility Modifier None Typical Low $707.95 Median $1,995.26 Typical High $6,760.83 | Facility | None | $707.95 | $1,995.26 | $6,760.83 |
Moda Health Setting Professional Modifier None Typical Low $758.58 Median $776.25 Typical High $1,047.13 | Professional | None | $758.58 | $776.25 | $1,047.13 |
Molina Setting Professional Modifier None Typical Low $27.54 Median $117.49 Typical High $691.83 | Professional | None | $27.54 | $117.49 | $691.83 |
Providence Setting Facility Modifier None Typical Low $691.83 Median $2,137.96 Typical High $2,884.03 | Facility | None | $691.83 | $2,137.96 | $2,884.03 |
Providence Setting Professional Modifier None Typical Low $794.33 Median $891.25 Typical High $1,348.96 | Professional | None | $794.33 | $891.25 | $1,348.96 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $3,311.31 Typical High $6,760.83 | Facility | None | $1,258.93 | $3,311.31 | $6,760.83 |
United Setting Professional Modifier None Typical Low $616.60 Median $851.14 Typical High $1,288.25 | Professional | None | $616.60 | $851.14 | $1,288.25 |
Wellpoint Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | None | $707.95 | $707.95 | $707.95 |
12 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $380.19 Median $389.05 Typical High $457.09 | Professional | 52 · Reduced service | $380.19 | $389.05 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $154.88 Typical High $181.97 | Professional | 53 · Discontinued | $151.36 | $154.88 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $575.44 Typical High $676.08 | Professional | 54 · Surgery only | $562.34 | $575.44 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $114.82 Typical High $138.04 | Professional | 55 · Aftercare only | $112.20 | $114.82 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $77.62 Typical High $91.20 | Professional | 56 · Pre-op care only | $75.86 | $77.62 | $91.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $537.03 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $524.81 | $537.03 | $630.96 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $380.19 Median $389.05 Typical High $457.09 | Professional | 52 · Reduced service | $380.19 | $389.05 | $457.09 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $154.88 Typical High $181.97 | Professional | 53 · Discontinued | $151.36 | $154.88 | $181.97 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $575.44 Typical High $676.08 | Professional | 54 · Surgery only | $562.34 | $575.44 | $676.08 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $114.82 Typical High $138.04 | Professional | 55 · Aftercare only | $112.20 | $114.82 | $138.04 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $77.62 Typical High $91.20 | Professional | 56 · Pre-op care only | $75.86 | $77.62 | $91.20 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $537.03 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $524.81 | $537.03 | $630.96 |
Where Texas sits
The same service costs 5.8 times more in Alaska than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Texas· 50th of 51
$589
AK $3,162UT $550
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.