How much rates vary
Facilitymedian $4,467 · 10th to 90th $2,291 to $11,482Professionalmedian $525 · 10th to 90th $83 to $912
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 $4,168.69 Typical High $10,000.00 | Facility | None | $1,148.15 | $4,168.69 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $724.44 Typical High $2,951.21 | Professional | None | $676.08 | $724.44 | $2,951.21 |
BCBS Texas Setting Facility Modifier None Typical Low $2,398.83 Median $4,897.79 Typical High $12,589.25 | Facility | None | $2,398.83 | $4,897.79 | $12,589.25 |
BCBS Texas Setting Professional Modifier None Typical Low $676.08 Median $912.01 Typical High $1,412.54 | Professional | None | $676.08 | $912.01 | $1,412.54 |
Christus Setting Facility Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $3,715.35 | Facility | None | $3,715.35 | $3,715.35 | $3,715.35 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $3,715.35 Typical High $4,897.79 | Facility | None | $954.99 | $3,715.35 | $4,897.79 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $831.76 Typical High $1,230.27 | Professional | None | $724.44 | $831.76 | $1,230.27 |
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 $7,413.10 Median $7,413.10 Typical High $7,413.10 | Professional | None | $7,413.10 | $7,413.10 | $7,413.10 |
Moda Health Setting Facility Modifier None Typical Low $758.58 Median $3,467.37 Typical High $7,943.28 | Facility | None | $758.58 | $3,467.37 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $676.08 Median $724.44 Typical High $977.24 | Professional | None | $676.08 | $724.44 | $977.24 |
Molina Setting Professional Modifier None Typical Low $77.62 Median $446.68 Typical High $660.69 | Professional | None | $77.62 | $446.68 | $660.69 |
Providence Setting Facility Modifier None Typical Low $891.25 Median $3,801.89 Typical High $7,585.78 | Facility | None | $891.25 | $3,801.89 | $7,585.78 |
Providence Setting Professional Modifier None Typical Low $724.44 Median $851.14 Typical High $1,230.27 | Professional | None | $724.44 | $851.14 | $1,230.27 |
United Setting Facility Modifier None Typical Low $2,630.27 Median $6,456.54 Typical High $14,791.08 | Facility | None | $2,630.27 | $6,456.54 | $14,791.08 |
United Setting Professional Modifier None Typical Low $575.44 Median $776.25 Typical High $1,202.26 | Professional | None | $575.44 | $776.25 | $1,202.26 |
Wellpoint Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None | $645.65 | $645.65 | $645.65 |
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 $331.13 Median $363.08 Typical High $426.58 | Professional | 52 · Reduced service | $331.13 | $363.08 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $144.54 Typical High $169.82 | Professional | 53 · Discontinued | $131.83 | $144.54 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $549.54 Typical High $645.65 | Professional | 54 · Surgery only | $501.19 | $549.54 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $109.65 Typical High $128.82 | Professional | 55 · Aftercare only | $100.00 | $109.65 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $72.44 Typical High $85.11 | Professional | 56 · Pre-op care only | $66.07 | $72.44 | $85.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $467.74 Median $512.86 Typical High $602.56 | Professional | 78 · Unplanned return to OR | $467.74 | $512.86 | $602.56 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $331.13 Median $363.08 Typical High $426.58 | Professional | 52 · Reduced service | $331.13 | $363.08 | $426.58 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $147.91 Typical High $169.82 | Professional | 53 · Discontinued | $131.83 | $147.91 | $169.82 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $549.54 Typical High $645.65 | Professional | 54 · Surgery only | $501.19 | $549.54 | $645.65 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $109.65 Typical High $128.82 | Professional | 55 · Aftercare only | $100.00 | $109.65 | $128.82 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $74.13 Typical High $85.11 | Professional | 56 · Pre-op care only | $66.07 | $74.13 | $85.11 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $467.74 Median $512.86 Typical High $602.56 | Professional | 78 · Unplanned return to OR | $467.74 | $512.86 | $602.56 |
Where Texas sits
The same service costs 6.5 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
$603
AK $3,467UT $537
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.