How much rates vary
Facilitymedian $3,802 · 10th to 90th $1,738 to $9,550Professionalmedian $646 · 10th to 90th $83 to $1,175
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 $1,096.48 Median $3,311.31 Typical High $8,709.64 | Facility | None | $1,096.48 | $3,311.31 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $1,000.00 Typical High $3,019.95 | Professional | None | $933.25 | $1,000.00 | $3,019.95 |
BCBS Texas Setting Facility Modifier None Typical Low $2,041.74 Median $4,265.80 Typical High $10,964.78 | Facility | None | $2,041.74 | $4,265.80 | $10,964.78 |
BCBS Texas Setting Professional Modifier None Typical Low $776.25 Median $977.24 Typical High $1,584.89 | Professional | None | $776.25 | $977.24 | $1,584.89 |
Christus Setting Facility Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $3,311.31 | Facility | None | $3,311.31 | $3,311.31 | $3,311.31 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $3,162.28 Typical High $4,466.84 | Facility | None | $707.95 | $3,162.28 | $4,466.84 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,174.90 Typical High $1,819.70 | Professional | None | $1,023.29 | $1,174.90 | $1,819.70 |
Health Smart Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
Lucent Health Setting Professional Modifier None Typical Low $7,762.47 Median $7,762.47 Typical High $7,762.47 | Professional | None | $7,762.47 | $7,762.47 | $7,762.47 |
Moda Health Setting Facility Modifier None Typical Low $891.25 Median $2,454.71 Typical High $6,025.60 | Facility | None | $891.25 | $2,454.71 | $6,025.60 |
Moda Health Setting Professional Modifier None Typical Low $933.25 Median $1,000.00 Typical High $1,348.96 | Professional | None | $933.25 | $1,000.00 | $1,348.96 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $154.88 Typical High $870.96 | Professional | None | $79.43 | $154.88 | $870.96 |
Providence Setting Facility Modifier None Typical Low $758.58 Median $3,235.94 Typical High $6,606.93 | Facility | None | $758.58 | $3,235.94 | $6,606.93 |
Providence Setting Professional Modifier None Typical Low $1,023.29 Median $1,174.90 Typical High $1,819.70 | Professional | None | $1,023.29 | $1,174.90 | $1,819.70 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $4,570.88 Typical High $10,000.00 | Facility | None | $1,698.24 | $4,570.88 | $10,000.00 |
United Setting Professional Modifier None Typical Low $794.33 Median $1,096.48 Typical High $1,659.59 | Professional | None | $794.33 | $1,096.48 | $1,659.59 |
Wellpoint Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | None | $912.01 | $912.01 | $912.01 |
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 $467.74 Median $501.19 Typical High $575.44 | Professional | 52 · Reduced service | $467.74 | $501.19 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $199.53 Typical High $234.42 | Professional | 53 · Discontinued | $186.21 | $199.53 | $234.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $691.83 Median $758.58 Typical High $870.96 | Professional | 54 · Surgery only | $691.83 | $758.58 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $151.36 Typical High $173.78 | Professional | 55 · Aftercare only | $138.04 | $151.36 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $100.00 Typical High $114.82 | Professional | 56 · Pre-op care only | $93.33 | $100.00 | $114.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $707.95 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $645.65 | $707.95 | $812.83 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $467.74 Median $501.19 Typical High $575.44 | Professional | 52 · Reduced service | $467.74 | $501.19 | $575.44 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $199.53 Typical High $234.42 | Professional | 53 · Discontinued | $186.21 | $199.53 | $234.42 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $691.83 Median $758.58 Typical High $870.96 | Professional | 54 · Surgery only | $691.83 | $758.58 | $870.96 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $151.36 Typical High $173.78 | Professional | 55 · Aftercare only | $138.04 | $151.36 | $173.78 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $100.00 Typical High $114.82 | Professional | 56 · Pre-op care only | $93.33 | $100.00 | $114.82 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $707.95 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $645.65 | $707.95 | $812.83 |
Where Texas sits
The same service costs 5.6 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
$741
AK $4,074UT $724
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.