How much rates vary
Facilitymedian $2,291 · 10th to 90th $891 to $6,166Professionalmedian $316 · 10th to 90th $41 to $759
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 $707.95 Median $2,691.53 Typical High $6,918.31 | Facility | None | $707.95 | $2,691.53 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $363.08 Typical High $467.74 | Professional | None | $257.04 | $363.08 | $467.74 |
BCBS Texas Setting Facility Modifier None Typical Low $933.25 Median $2,238.72 Typical High $6,606.93 | Facility | None | $933.25 | $2,238.72 | $6,606.93 |
BCBS Texas Setting Professional Modifier None Typical Low $269.15 Median $371.54 Typical High $616.60 | Professional | None | $269.15 | $371.54 | $616.60 |
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 $602.56 Median $2,137.96 Typical High $2,818.38 | Facility | None | $602.56 | $2,137.96 | $2,818.38 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $398.11 Typical High $676.08 | Professional | None | $288.40 | $398.11 | $676.08 |
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 $3,467.37 Median $3,548.13 Typical High $3,548.13 | Professional | None | $3,467.37 | $3,548.13 | $3,548.13 |
Moda Health Setting Facility Modifier None Typical Low $302.00 Median $1,174.90 Typical High $4,786.30 | Facility | None | $302.00 | $1,174.90 | $4,786.30 |
Moda Health Setting Professional Modifier None Typical Low $257.04 Median $363.08 Typical High $467.74 | Professional | None | $257.04 | $363.08 | $467.74 |
Molina Setting Professional Modifier None Typical Low $32.36 Median $223.87 Typical High $398.11 | Professional | None | $32.36 | $223.87 | $398.11 |
Providence Setting Facility Modifier None Typical Low $416.87 Median $2,041.74 Typical High $4,466.84 | Facility | None | $416.87 | $2,041.74 | $4,466.84 |
Providence Setting Professional Modifier None Typical Low $288.40 Median $407.38 Typical High $676.08 | Professional | None | $288.40 | $407.38 | $676.08 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $3,311.31 Typical High $6,760.83 | Facility | None | $1,258.93 | $3,311.31 | $6,760.83 |
United Setting Professional Modifier None Typical Low $239.88 Median $380.19 Typical High $660.69 | Professional | None | $239.88 | $380.19 | $660.69 |
Wellpoint Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
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 $128.82 Median $177.83 Typical High $223.87 | Professional | 52 · Reduced service | $128.82 | $177.83 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $70.79 Typical High $91.20 | Professional | 53 · Discontinued | $51.29 | $70.79 | $91.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $194.98 Median $263.03 Typical High $338.84 | Professional | 54 · Surgery only | $194.98 | $263.03 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.90 Median $52.48 Typical High $67.61 | Professional | 55 · Aftercare only | $38.90 | $52.48 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.70 Median $35.48 Typical High $44.67 | Professional | 56 · Pre-op care only | $25.70 | $35.48 | $44.67 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $181.97 Median $245.47 Typical High $316.23 | Professional | 78 · Unplanned return to OR | $181.97 | $245.47 | $316.23 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $128.82 Median $177.83 Typical High $223.87 | Professional | 52 · Reduced service | $128.82 | $177.83 | $223.87 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $70.79 Typical High $91.20 | Professional | 53 · Discontinued | $51.29 | $70.79 | $91.20 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $194.98 Median $263.03 Typical High $338.84 | Professional | 54 · Surgery only | $194.98 | $263.03 | $338.84 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $38.90 Median $52.48 Typical High $67.61 | Professional | 55 · Aftercare only | $38.90 | $52.48 | $67.61 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $25.70 Median $35.48 Typical High $44.67 | Professional | 56 · Pre-op care only | $25.70 | $35.48 | $44.67 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $181.97 Median $245.47 Typical High $316.23 | Professional | 78 · Unplanned return to OR | $181.97 | $245.47 | $316.23 |
Where Texas sits
The same service costs 4.8 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
$339
AK $1,549UT $324
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.