How much rates vary
Facilitymedian $3,715 · 10th to 90th $1,820 to $8,318Professionalmedian $501 · 10th to 90th $62 to $1,202
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 $851.14 Median $3,715.35 Typical High $9,120.11 | Facility | None | $851.14 | $3,715.35 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $741.31 Typical High $977.24 | Professional | None | $691.83 | $741.31 | $977.24 |
BCBS Texas Setting Facility Modifier None Typical Low $2,398.83 Median $3,981.07 Typical High $8,317.64 | Facility | None | $2,398.83 | $3,981.07 | $8,317.64 |
BCBS Texas Setting Professional Modifier None Typical Low $660.69 Median $707.95 Typical High $851.14 | Professional | None | $660.69 | $707.95 | $851.14 |
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 $758.58 Median $851.14 Typical High $1,288.25 | Professional | None | $758.58 | $851.14 | $1,288.25 |
Lucent Health Setting Professional Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $5,754.40 | Professional | None | $5,370.32 | $5,370.32 | $5,754.40 |
Moda Health Setting Facility Modifier None Typical Low $691.83 Median $1,995.26 Typical High $6,918.31 | Facility | None | $691.83 | $1,995.26 | $6,918.31 |
Moda Health Setting Professional Modifier None Typical Low $691.83 Median $741.31 Typical High $1,000.00 | Professional | None | $691.83 | $741.31 | $1,000.00 |
Molina Setting Professional Modifier None Typical Low $56.23 Median $123.03 Typical High $676.08 | Professional | None | $56.23 | $123.03 | $676.08 |
Providence Setting Facility Modifier None Typical Low $676.08 Median $2,137.96 Typical High $2,884.03 | Facility | None | $676.08 | $2,137.96 | $2,884.03 |
Providence Setting Professional Modifier None Typical Low $758.58 Median $851.14 Typical High $1,288.25 | Professional | None | $758.58 | $851.14 | $1,288.25 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $4,570.88 Typical High $9,549.93 | Facility | None | $1,698.24 | $4,570.88 | $9,549.93 |
United Setting Professional Modifier None Typical Low $575.44 Median $794.33 Typical High $1,202.26 | Professional | None | $575.44 | $794.33 | $1,202.26 |
Wellpoint Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | None | $676.08 | $676.08 | $676.08 |
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 $346.74 Median $371.54 Typical High $426.58 | Professional | 52 · Reduced service | $346.74 | $371.54 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $147.91 Typical High $169.82 | Professional | 53 · Discontinued | $138.04 | $147.91 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $562.34 Typical High $645.65 | Professional | 54 · Surgery only | $512.86 | $562.34 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $112.20 Typical High $128.82 | Professional | 55 · Aftercare only | $102.33 | $112.20 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $74.13 Typical High $85.11 | Professional | 56 · Pre-op care only | $69.18 | $74.13 | $85.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $524.81 Typical High $602.56 | Professional | 78 · Unplanned return to OR | $478.63 | $524.81 | $602.56 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $346.74 Median $371.54 Typical High $426.58 | Professional | 52 · Reduced service | $346.74 | $371.54 | $426.58 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $147.91 Typical High $169.82 | Professional | 53 · Discontinued | $138.04 | $147.91 | $169.82 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $562.34 Typical High $645.65 | Professional | 54 · Surgery only | $512.86 | $562.34 | $645.65 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $112.20 Typical High $128.82 | Professional | 55 · Aftercare only | $102.33 | $112.20 | $128.82 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $74.13 Typical High $85.11 | Professional | 56 · Pre-op care only | $69.18 | $74.13 | $85.11 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $524.81 Typical High $602.56 | Professional | 78 · Unplanned return to OR | $478.63 | $524.81 | $602.56 |
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
$575
AK $3,020UT $525
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.