How much rates vary
Facilitymedian $2,188 · 10th to 90th $575 to $9,772Professionalmedian $229 · 10th to 90th $28 to $1,738
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 $1,318.26 Median $4,073.80 Typical High $11,748.98 | Facility | None | $1,318.26 | $4,073.80 | $11,748.98 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,230.27 Typical High $2,398.83 | Professional | None | $1,122.02 | $1,230.27 | $2,398.83 |
BCBS Texas Setting Facility Modifier None Typical Low $1,318.26 Median $2,398.83 Typical High $6,165.95 | Facility | None | $1,318.26 | $2,398.83 | $6,165.95 |
BCBS Texas Setting Professional Modifier None Typical Low $1,122.02 Median $1,513.56 Typical High $2,754.23 | Professional | None | $1,122.02 | $1,513.56 | $2,754.23 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,288.25 Typical High $2,691.53 | Facility | None | $630.96 | $1,288.25 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,230.27 Median $1,412.54 Typical High $2,089.30 | Professional | None | $1,230.27 | $1,412.54 | $2,089.30 |
Lucent Health Setting Professional Modifier None Typical Low $8,912.51 Median $8,912.51 Typical High $9,332.54 | Professional | None | $8,912.51 | $8,912.51 | $9,332.54 |
Moda Health Setting Facility Modifier None Typical Low $1,071.52 Median $2,187.76 Typical High $8,128.31 | Facility | None | $1,071.52 | $2,187.76 | $8,128.31 |
Moda Health Setting Professional Modifier None Typical Low $1,122.02 Median $1,230.27 Typical High $1,778.28 | Professional | None | $1,122.02 | $1,230.27 | $1,778.28 |
Molina Setting Professional Modifier None Typical Low $25.12 Median $162.18 Typical High $1,000.00 | Professional | None | $25.12 | $162.18 | $1,000.00 |
Providence Setting Facility Modifier None Typical Low $812.83 Median $1,584.89 Typical High $251,188.64 | Facility | None | $812.83 | $1,584.89 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $1,230.27 Median $1,412.54 Typical High $2,137.96 | Professional | None | $1,230.27 | $1,412.54 | $2,137.96 |
United Setting Facility Modifier None Typical Low $407.38 Median $2,137.96 Typical High $8,912.51 | Facility | None | $407.38 | $2,137.96 | $8,912.51 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,318.26 Typical High $2,041.74 | Professional | None | $977.24 | $1,318.26 | $2,041.74 |
Wellpoint Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None | $1,096.48 | $1,096.48 | $1,096.48 |
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 $562.34 Median $616.60 Typical High $724.44 | Professional | 52 · Reduced service | $562.34 | $616.60 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $245.47 Typical High $288.40 | Professional | 53 · Discontinued | $223.87 | $245.47 | $288.40 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $831.76 Median $912.01 Typical High $1,071.52 | Professional | 54 · Surgery only | $831.76 | $912.01 | $1,071.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $186.21 Typical High $213.80 | Professional | 55 · Aftercare only | $169.82 | $186.21 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $123.03 Typical High $144.54 | Professional | 56 · Pre-op care only | $112.20 | $123.03 | $144.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $776.25 Median $851.14 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $776.25 | $851.14 | $1,000.00 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $562.34 Median $616.60 Typical High $724.44 | Professional | 52 · Reduced service | $562.34 | $616.60 | $724.44 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $245.47 Typical High $288.40 | Professional | 53 · Discontinued | $223.87 | $245.47 | $288.40 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $831.76 Median $933.25 Typical High $1,071.52 | Professional | 54 · Surgery only | $831.76 | $933.25 | $1,071.52 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $186.21 Typical High $213.80 | Professional | 55 · Aftercare only | $169.82 | $186.21 | $213.80 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $123.03 Typical High $144.54 | Professional | 56 · Pre-op care only | $112.20 | $123.03 | $144.54 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $776.25 Median $870.96 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $776.25 | $870.96 | $1,000.00 |
Where Texas sits
The same service costs 7.1 times more in Alaska than in Texas. 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· 51st of 51
$708
AK $5,012TX $708
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.