How much rates vary
Facilitymedian $4,786 · 10th to 90th $1,950 to $11,482Professionalmedian $912 · 10th to 90th $110 to $1,622
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 $1,230.27 Median $3,311.31 Typical High $8,709.64 | Facility | None | $1,230.27 | $3,311.31 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,412.54 Typical High $3,019.95 | Professional | None | $1,288.25 | $1,412.54 | $3,019.95 |
BCBS Texas Setting Facility Modifier None Typical Low $2,884.03 Median $6,165.95 Typical High $12,589.25 | Facility | None | $2,884.03 | $6,165.95 | $12,589.25 |
BCBS Texas Setting Professional Modifier None Typical Low $1,096.48 Median $1,380.38 Typical High $2,951.21 | Professional | None | $1,096.48 | $1,380.38 | $2,951.21 |
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 $1,445.44 Median $1,621.81 Typical High $2,570.40 | Professional | None | $1,445.44 | $1,621.81 | $2,570.40 |
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 $11,481.54 Median $11,481.54 Typical High $11,481.54 | Professional | None | $11,481.54 | $11,481.54 | $11,481.54 |
Moda Health Setting Facility Modifier None Typical Low $933.25 Median $2,511.89 Typical High $6,025.60 | Facility | None | $933.25 | $2,511.89 | $6,025.60 |
Moda Health Setting Professional Modifier None Typical Low $1,288.25 Median $1,412.54 Typical High $1,949.84 | Professional | None | $1,288.25 | $1,412.54 | $1,949.84 |
Molina Setting Professional Modifier None Typical Low $104.71 Median $213.80 Typical High $1,230.27 | Professional | None | $104.71 | $213.80 | $1,230.27 |
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 $1,445.44 Median $1,621.81 Typical High $2,570.40 | Professional | None | $1,445.44 | $1,621.81 | $2,570.40 |
United Setting Facility Modifier None Typical Low $2,137.96 Median $5,248.07 Typical High $11,748.98 | Facility | None | $2,137.96 | $5,248.07 | $11,748.98 |
United Setting Professional Modifier None Typical Low $1,096.48 Median $1,548.82 Typical High $2,344.23 | Professional | None | $1,096.48 | $1,548.82 | $2,344.23 |
Wellpoint Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
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 $645.65 Median $707.95 Typical High $812.83 | Professional | 52 · Reduced service | $645.65 | $707.95 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $281.84 Typical High $323.59 | Professional | 53 · Discontinued | $257.04 | $281.84 | $323.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $977.24 Median $1,047.13 Typical High $1,202.26 | Professional | 54 · Surgery only | $977.24 | $1,047.13 | $1,202.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $208.93 Typical High $245.47 | Professional | 55 · Aftercare only | $194.98 | $208.93 | $245.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $141.25 Typical High $162.18 | Professional | 56 · Pre-op care only | $128.82 | $141.25 | $162.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $912.01 Median $977.24 Typical High $1,122.02 | Professional | 78 · Unplanned return to OR | $912.01 | $977.24 | $1,122.02 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $645.65 Median $707.95 Typical High $812.83 | Professional | 52 · Reduced service | $645.65 | $707.95 | $812.83 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $281.84 Typical High $323.59 | Professional | 53 · Discontinued | $257.04 | $281.84 | $323.59 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $977.24 Median $1,047.13 Typical High $1,202.26 | Professional | 54 · Surgery only | $977.24 | $1,047.13 | $1,202.26 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $208.93 Typical High $245.47 | Professional | 55 · Aftercare only | $194.98 | $208.93 | $245.47 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $141.25 Typical High $162.18 | Professional | 56 · Pre-op care only | $128.82 | $141.25 | $162.18 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $912.01 Median $977.24 Typical High $1,122.02 | Professional | 78 · Unplanned return to OR | $912.01 | $977.24 | $1,122.02 |
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
$1,047
AK $5,623UT $977
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.