How much rates vary
Facilitymedian $2,042 · 10th to 90th $955 to $6,026Professionalmedian $537 · 10th to 90th $62 to $1,259
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 $1,000.00 Median $3,715.35 Typical High $9,120.11 | Facility | None | $1,000.00 | $3,715.35 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $794.33 Typical High $2,691.53 | Professional | None | $741.31 | $794.33 | $2,691.53 |
BCBS Texas Setting Facility Modifier None Typical Low $954.99 Median $1,949.84 Typical High $5,011.87 | Facility | None | $954.99 | $1,949.84 | $5,011.87 |
BCBS Texas Setting Professional Modifier None Typical Low $741.31 Median $912.01 Typical High $1,513.56 | Professional | None | $741.31 | $912.01 | $1,513.56 |
Christus Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $1,288.25 Typical High $2,818.38 | Facility | None | $870.96 | $1,288.25 | $2,818.38 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $933.25 Typical High $1,348.96 | Professional | None | $812.83 | $933.25 | $1,348.96 |
Health Smart Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Facility | None | $870.96 | $870.96 | $870.96 |
Lucent Health Setting Professional Modifier None Typical Low $5,888.44 Median $5,888.44 Typical High $6,165.95 | Professional | None | $5,888.44 | $5,888.44 | $6,165.95 |
Moda Health Setting Facility Modifier None Typical Low $741.31 Median $2,511.89 Typical High $6,760.83 | Facility | None | $741.31 | $2,511.89 | $6,760.83 |
Moda Health Setting Professional Modifier None Typical Low $741.31 Median $794.33 Typical High $1,096.48 | Professional | None | $741.31 | $794.33 | $1,096.48 |
Molina Setting Professional Modifier None Typical Low $54.95 Median $131.83 Typical High $707.95 | Professional | None | $54.95 | $131.83 | $707.95 |
Providence Setting Facility Modifier None Typical Low $831.76 Median $1,445.44 Typical High $6,760.83 | Facility | None | $831.76 | $1,445.44 | $6,760.83 |
Providence Setting Professional Modifier None Typical Low $812.83 Median $933.25 Typical High $1,348.96 | Professional | None | $812.83 | $933.25 | $1,348.96 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $3,235.94 Typical High $6,606.93 | Facility | None | $1,258.93 | $3,235.94 | $6,606.93 |
United Setting Professional Modifier None Typical Low $630.96 Median $870.96 Typical High $1,288.25 | Professional | None | $630.96 | $870.96 | $1,288.25 |
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 $371.54 Median $398.11 Typical High $457.09 | Professional | 52 · Reduced service | $371.54 | $398.11 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $158.49 Typical High $181.97 | Professional | 53 · Discontinued | $147.91 | $158.49 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $602.56 Typical High $691.83 | Professional | 54 · Surgery only | $549.54 | $602.56 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $120.23 Typical High $138.04 | Professional | 55 · Aftercare only | $109.65 | $120.23 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $79.43 Typical High $91.20 | Professional | 56 · Pre-op care only | $74.13 | $79.43 | $91.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $562.34 Typical High $645.65 | Professional | 78 · Unplanned return to OR | $512.86 | $562.34 | $645.65 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $371.54 Median $398.11 Typical High $457.09 | Professional | 52 · Reduced service | $371.54 | $398.11 | $457.09 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $158.49 Typical High $181.97 | Professional | 53 · Discontinued | $147.91 | $158.49 | $181.97 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $602.56 Typical High $691.83 | Professional | 54 · Surgery only | $549.54 | $602.56 | $691.83 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $120.23 Typical High $138.04 | Professional | 55 · Aftercare only | $109.65 | $120.23 | $138.04 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $79.43 Typical High $91.20 | Professional | 56 · Pre-op care only | $74.13 | $79.43 | $91.20 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $562.34 Typical High $645.65 | Professional | 78 · Unplanned return to OR | $512.86 | $562.34 | $645.65 |
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
$617
AK $3,236UT $562
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.