How much rates vary
Facilitymedian $9,120 · 10th to 90th $1,995 to $21,380Professionalmedian $977 · 10th to 90th $93 to $7,079
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 $1,148.15 Median $4,073.80 Typical High $9,120.11 | Facility | None | $1,148.15 | $4,073.80 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $5,011.87 Typical High $7,079.46 | Professional | None | $707.95 | $5,011.87 | $7,079.46 |
BCBS Setting Facility Modifier None Typical Low $7,943.28 Median $13,803.84 Typical High $30,902.95 | Facility | None | $7,943.28 | $13,803.84 | $30,902.95 |
BCBS Setting Professional Modifier None Typical Low $724.44 Median $4,786.30 Typical High $8,511.38 | Professional | None | $724.44 | $4,786.30 | $8,511.38 |
Christus Setting Facility Modifier None Typical Low $9,120.11 Median $9,120.11 Typical High $9,120.11 | Facility | None | $9,120.11 | $9,120.11 | $9,120.11 |
Cigna Setting Facility Modifier None Typical Low $1,737.80 Median $8,511.38 Typical High $12,022.64 | Facility | None | $1,737.80 | $8,511.38 | $12,022.64 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $2,238.72 Typical High $8,709.64 | Professional | None | $794.33 | $2,238.72 | $8,709.64 |
Health Smart Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Lucent Health Setting Professional Modifier None Typical Low $38,904.51 Median $38,904.51 Typical High $48,977.88 | Professional | None | $38,904.51 | $38,904.51 | $48,977.88 |
Moda Health Setting Facility Modifier None Typical Low $870.96 Median $3,715.35 Typical High $8,511.38 | Facility | None | $870.96 | $3,715.35 | $8,511.38 |
Moda Health Setting Professional Modifier None Typical Low $707.95 Median $4,786.30 Typical High $7,079.46 | Professional | None | $707.95 | $4,786.30 | $7,079.46 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $812.83 Typical High $5,248.07 | Professional | None | $79.43 | $812.83 | $5,248.07 |
Providence Setting Facility Modifier None Typical Low $1,318.26 Median $8,709.64 Typical High $12,302.69 | Facility | None | $1,318.26 | $8,709.64 | $12,302.69 |
Providence Setting Professional Modifier None Typical Low $794.33 Median $2,290.87 Typical High $8,709.64 | Professional | None | $794.33 | $2,290.87 | $8,709.64 |
United Setting Facility Modifier None Typical Low $3,981.07 Median $8,511.38 Typical High $21,379.62 | Facility | None | $3,981.07 | $8,511.38 | $21,379.62 |
United Setting Professional Modifier None Typical Low $660.69 Median $1,584.89 Typical High $8,317.64 | Professional | None | $660.69 | $1,584.89 | $8,317.64 |
Wellpoint Setting Professional Modifier None Typical Low $5,754.40 Median $5,754.40 Typical High $5,754.40 | Professional | None | $5,754.40 | $5,754.40 | $5,754.40 |
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 $354.81 Median $2,041.74 Typical High $3,548.13 | Professional | 52 · Reduced service | $354.81 | $2,041.74 | $3,548.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $831.76 Typical High $1,412.54 | Professional | 53 · Discontinued | $141.25 | $831.76 | $1,412.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $3,090.30 Typical High $5,248.07 | Professional | 54 · Surgery only | $524.81 | $3,090.30 | $5,248.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $616.60 Typical High $1,047.13 | Professional | 55 · Aftercare only | $104.71 | $616.60 | $1,047.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $407.38 Typical High $707.95 | Professional | 56 · Pre-op care only | $70.79 | $407.38 | $707.95 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $2,884.03 Typical High $4,897.79 | Professional | 78 · Unplanned return to OR | $489.78 | $2,884.03 | $4,897.79 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $354.81 Median $2,398.83 Typical High $3,548.13 | Professional | 52 · Reduced service | $354.81 | $2,398.83 | $3,548.13 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $954.99 Typical High $1,412.54 | Professional | 53 · Discontinued | $141.25 | $954.99 | $1,412.54 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $3,630.78 Typical High $5,248.07 | Professional | 54 · Surgery only | $524.81 | $3,630.78 | $5,248.07 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $724.44 Typical High $1,047.13 | Professional | 55 · Aftercare only | $104.71 | $724.44 | $1,047.13 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $478.63 Typical High $707.95 | Professional | 56 · Pre-op care only | $70.79 | $478.63 | $707.95 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $3,388.44 Typical High $4,897.79 | Professional | 78 · Unplanned return to OR | $489.78 | $3,388.44 | $4,897.79 |
Where Texas sits
The same service costs 4.7 times more in Alaska than in Vermont. 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.
Physician feeFacility fee
AK $21,966VT $4,662
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.