How much rates vary
Facilitymedian $1,995 · 10th to 90th $891 to $5,495Professionalmedian $263 · 10th to 90th $39 to $468
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 $575.44 Median $2,570.40 Typical High $6,918.31 | Facility | None | $575.44 | $2,570.40 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $323.59 Typical High $467.74 | Professional | None | $213.80 | $323.59 | $467.74 |
Ambetter Setting Professional Modifier None Typical Low $199.53 Median $331.13 Typical High $371.54 | Professional | None | $199.53 | $331.13 | $371.54 |
BCBS Texas Setting Facility Modifier None Typical Low $954.99 Median $1,949.84 Typical High $5,128.61 | Facility | None | $954.99 | $1,949.84 | $5,128.61 |
BCBS Texas Setting Professional Modifier None Typical Low $190.55 Median $295.12 Typical High $512.86 | Professional | None | $190.55 | $295.12 | $512.86 |
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 $602.56 Median $1,288.25 Typical High $2,187.76 | Facility | None | $602.56 | $1,288.25 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $346.74 Typical High $588.84 | Professional | None | $239.88 | $346.74 | $588.84 |
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 $3,162.28 Median $3,162.28 Typical High $3,162.28 | Professional | None | $3,162.28 | $3,162.28 | $3,162.28 |
Moda Health Setting Facility Modifier None Typical Low $323.59 Median $2,818.38 Typical High $5,754.40 | Facility | None | $323.59 | $2,818.38 | $5,754.40 |
Moda Health Setting Professional Modifier None Typical Low $213.80 Median $323.59 Typical High $512.86 | Professional | None | $213.80 | $323.59 | $512.86 |
Molina Setting Professional Modifier None Typical Low $32.36 Median $199.53 Typical High $331.13 | Professional | None | $32.36 | $199.53 | $331.13 |
Oscar Health Setting Facility Modifier None Typical Low $933.25 Median $1,071.52 Typical High $5,370.32 | Facility | None | $933.25 | $1,071.52 | $5,370.32 |
Providence Setting Facility Modifier None Typical Low $354.81 Median $1,318.26 Typical High $4,466.84 | Facility | None | $354.81 | $1,318.26 | $4,466.84 |
Providence Setting Professional Modifier None Typical Low $239.88 Median $346.74 Typical High $588.84 | Professional | None | $239.88 | $346.74 | $588.84 |
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 $199.53 Median $316.23 Typical High $588.84 | Professional | None | $199.53 | $316.23 | $588.84 |
Wellpoint Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None | $346.74 | $346.74 | $346.74 |
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 $107.15 Median $154.88 Typical High $194.98 | Professional | 52 · Reduced service | $107.15 | $154.88 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $61.66 Typical High $79.43 | Professional | 53 · Discontinued | $42.66 | $61.66 | $79.43 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $158.49 Median $229.09 Typical High $295.12 | Professional | 54 · Surgery only | $158.49 | $229.09 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $45.71 Typical High $58.88 | Professional | 55 · Aftercare only | $31.62 | $45.71 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $30.90 Typical High $39.81 | Professional | 56 · Pre-op care only | $21.38 | $30.90 | $39.81 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $147.91 Median $213.80 Typical High $275.42 | Professional | 78 · Unplanned return to OR | $147.91 | $213.80 | $275.42 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $151.36 Typical High $194.98 | Professional | 52 · Reduced service | $107.15 | $151.36 | $194.98 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $61.66 Typical High $79.43 | Professional | 53 · Discontinued | $42.66 | $61.66 | $79.43 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $158.49 Median $229.09 Typical High $295.12 | Professional | 54 · Surgery only | $158.49 | $229.09 | $295.12 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $45.71 Typical High $58.88 | Professional | 55 · Aftercare only | $31.62 | $45.71 | $58.88 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $30.20 Typical High $39.81 | Professional | 56 · Pre-op care only | $21.38 | $30.20 | $39.81 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $147.91 Median $213.80 Typical High $275.42 | Professional | 78 · Unplanned return to OR | $147.91 | $213.80 | $275.42 |
Where Texas sits
The same service costs 4.6 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
$288
AK $1,259UT $275
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.