How much rates vary
Facilitymedian $2,512 · 10th to 90th $759 to $6,761Professionalmedian $263 · 10th to 90th $42 to $437
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 $691.83 Median $2,290.87 Typical High $6,918.31 | Facility | None | $691.83 | $2,290.87 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $346.74 Typical High $1,445.44 | Professional | None | $323.59 | $346.74 | $1,445.44 |
BCBS Texas Setting Facility Modifier None Typical Low $2,290.87 Median $4,897.79 Typical High $9,772.37 | Facility | None | $2,290.87 | $4,897.79 | $9,772.37 |
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 $457.09 Median $1,995.26 Typical High $2,818.38 | Facility | None | $457.09 | $1,995.26 | $2,818.38 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $407.38 Typical High $602.56 | Professional | None | $354.81 | $407.38 | $602.56 |
Health Smart Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Lucent Health Setting Professional Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $5,370.32 | Professional | None | $5,370.32 | $5,370.32 | $5,370.32 |
Moda Health Setting Facility Modifier None Typical Low $380.19 Median $1,819.70 Typical High $5,248.07 | Facility | None | $380.19 | $1,819.70 | $5,248.07 |
Moda Health Setting Professional Modifier None Typical Low $323.59 Median $346.74 Typical High $524.81 | Professional | None | $323.59 | $346.74 | $524.81 |
Molina Setting Professional Modifier None Typical Low $39.81 Median $223.87 Typical High $331.13 | Professional | None | $39.81 | $223.87 | $331.13 |
Providence Setting Facility Modifier None Typical Low $426.58 Median $1,995.26 Typical High $3,890.45 | Facility | None | $426.58 | $1,995.26 | $3,890.45 |
Providence Setting Professional Modifier None Typical Low $354.81 Median $407.38 Typical High $602.56 | Professional | None | $354.81 | $407.38 | $602.56 |
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 $275.42 Median $371.54 Typical High $575.44 | Professional | None | $275.42 | $371.54 | $575.44 |
Wellpoint Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None | $323.59 | $323.59 | $323.59 |
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 $162.18 Median $173.78 Typical High $199.53 | Professional | 52 · Reduced service | $162.18 | $173.78 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $69.18 Typical High $79.43 | Professional | 53 · Discontinued | $64.57 | $69.18 | $79.43 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $239.88 Median $263.03 Typical High $302.00 | Professional | 54 · Surgery only | $239.88 | $263.03 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $52.48 Typical High $60.26 | Professional | 55 · Aftercare only | $47.86 | $52.48 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $34.67 Typical High $39.81 | Professional | 56 · Pre-op care only | $32.36 | $34.67 | $39.81 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $223.87 Median $245.47 Typical High $281.84 | Professional | 78 · Unplanned return to OR | $223.87 | $245.47 | $281.84 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $162.18 Median $173.78 Typical High $199.53 | Professional | 52 · Reduced service | $162.18 | $173.78 | $199.53 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $69.18 Typical High $79.43 | Professional | 53 · Discontinued | $64.57 | $69.18 | $79.43 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $239.88 Median $263.03 Typical High $302.00 | Professional | 54 · Surgery only | $239.88 | $263.03 | $302.00 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $52.48 Typical High $60.26 | Professional | 55 · Aftercare only | $47.86 | $52.48 | $60.26 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $34.67 Typical High $39.81 | Professional | 56 · Pre-op care only | $32.36 | $34.67 | $39.81 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $223.87 Median $245.47 Typical High $281.84 | Professional | 78 · Unplanned return to OR | $223.87 | $245.47 | $281.84 |
Where Texas sits
The same service costs 6.9 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 $1,905UT $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.