How much rates vary
Facilitymedian $8,511 · 10th to 90th $1,072 to $29,512Professionalmedian $490 · 10th to 90th $34 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 $2,754.23 Typical High $6,918.31 | Facility | None | $870.96 | $2,754.23 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $812.83 Typical High $2,398.83 | Professional | None | $776.25 | $812.83 | $2,398.83 |
BCBS Texas Setting Facility Modifier None Typical Low $12,589.25 Median $28,183.83 Typical High $58,884.37 | Facility | None | $12,589.25 | $28,183.83 | $58,884.37 |
Christus Setting Facility Modifier None Typical Low $21,379.62 Median $21,379.62 Typical High $21,379.62 | Facility | None | $21,379.62 | $21,379.62 | $21,379.62 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $19,952.62 Typical High $28,183.83 | Facility | None | $602.56 | $19,952.62 | $28,183.83 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $912.01 Typical High $1,380.38 | Professional | None | $812.83 | $912.01 | $1,380.38 |
Health Smart Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Facility | None | $676.08 | $676.08 | $676.08 |
Lucent Health Setting Professional Modifier None Typical Low $7,413.10 Median $7,413.10 Typical High $7,413.10 | Professional | None | $7,413.10 | $7,413.10 | $7,413.10 |
Moda Health Setting Facility Modifier None Typical Low $707.95 Median $1,995.26 Typical High $5,495.41 | Facility | None | $707.95 | $1,995.26 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $776.25 Median $794.33 Typical High $1,071.52 | Professional | None | $776.25 | $794.33 | $1,071.52 |
Molina Setting Professional Modifier None Typical Low $27.54 Median $120.23 Typical High $724.44 | Professional | None | $27.54 | $120.23 | $724.44 |
Providence Setting Facility Modifier None Typical Low $660.69 Median $4,466.84 Typical High $25,703.96 | Facility | None | $660.69 | $4,466.84 | $25,703.96 |
Providence Setting Professional Modifier None Typical Low $812.83 Median $912.01 Typical High $1,380.38 | Professional | None | $812.83 | $912.01 | $1,380.38 |
United Setting Facility Modifier None Typical Low $3,981.07 Median $9,772.37 Typical High $19,498.45 | Facility | None | $3,981.07 | $9,772.37 | $19,498.45 |
United Setting Professional Modifier None Typical Low $616.60 Median $851.14 Typical High $1,318.26 | Professional | None | $616.60 | $851.14 | $1,318.26 |
Wellpoint Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | None | $724.44 | $724.44 | $724.44 |
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 $467.74 | Professional | 52 · Reduced service | $380.19 | $389.05 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $154.88 Typical High $186.21 | Professional | 53 · Discontinued | $154.88 | $154.88 | $186.21 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $575.44 Median $588.84 Typical High $691.83 | Professional | 54 · Surgery only | $575.44 | $588.84 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $117.49 Typical High $138.04 | Professional | 55 · Aftercare only | $114.82 | $117.49 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $77.62 Typical High $93.33 | Professional | 56 · Pre-op care only | $77.62 | $77.62 | $93.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $549.54 Typical High $645.65 | Professional | 78 · Unplanned return to OR | $537.03 | $549.54 | $645.65 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $380.19 Median $389.05 Typical High $467.74 | Professional | 52 · Reduced service | $380.19 | $389.05 | $467.74 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $154.88 Typical High $186.21 | Professional | 53 · Discontinued | $154.88 | $154.88 | $186.21 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $575.44 Median $588.84 Typical High $691.83 | Professional | 54 · Surgery only | $575.44 | $588.84 | $691.83 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $117.49 Typical High $138.04 | Professional | 55 · Aftercare only | $114.82 | $117.49 | $138.04 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $77.62 Typical High $93.33 | Professional | 56 · Pre-op care only | $77.62 | $77.62 | $93.33 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $549.54 Typical High $645.65 | Professional | 78 · Unplanned return to OR | $537.03 | $549.54 | $645.65 |
Where Texas sits
The same service costs 6.8 times more in Alaska than in Texas. 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· 51st of 51
$550
AK $3,715TX $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.