How much rates vary
Facilitymedian $3,020 · 10th to 90th $891 to $10,471Professionalmedian $363 · 10th to 90th $17 to $933
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 $977.24 Median $3,311.31 Typical High $9,120.11 | Facility | None | $977.24 | $3,311.31 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $724.44 Typical High $2,398.83 | Professional | None | $645.65 | $724.44 | $2,398.83 |
BCBS Texas Setting Professional Modifier None Typical Low $645.65 Median $831.76 Typical High $1,122.02 | Professional | None | $645.65 | $831.76 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $1,258.93 Typical High $2,691.53 | Facility | None | $616.60 | $1,258.93 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $812.83 Typical High $1,202.26 | Professional | None | $707.95 | $812.83 | $1,202.26 |
Lucent Health Setting Professional Modifier None Typical Low $5,128.61 Median $5,128.61 Typical High $5,495.41 | Professional | None | $5,128.61 | $5,128.61 | $5,495.41 |
Moda Health Setting Facility Modifier None Typical Low $660.69 Median $2,290.87 Typical High $6,025.60 | Facility | None | $660.69 | $2,290.87 | $6,025.60 |
Moda Health Setting Professional Modifier None Typical Low $660.69 Median $724.44 Typical High $954.99 | Professional | None | $660.69 | $724.44 | $954.99 |
Molina Setting Professional Modifier None Typical Low $15.14 Median $97.72 Typical High $602.56 | Professional | None | $15.14 | $97.72 | $602.56 |
Providence Setting Facility Modifier None Typical Low $645.65 Median $1,318.26 Typical High $251,188.64 | Facility | None | $645.65 | $1,318.26 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $707.95 Median $794.33 Typical High $1,230.27 | Professional | None | $707.95 | $794.33 | $1,230.27 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $4,570.88 Typical High $9,549.93 | Facility | None | $1,698.24 | $4,570.88 | $9,549.93 |
United Setting Professional Modifier None Typical Low $562.34 Median $758.58 Typical High $1,148.15 | Professional | None | $562.34 | $758.58 | $1,148.15 |
Wellpoint Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | None | $630.96 | $630.96 | $630.96 |
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 $323.59 Median $354.81 Typical High $416.87 | Professional | 52 · Reduced service | $323.59 | $354.81 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $141.25 Typical High $165.96 | Professional | 53 · Discontinued | $128.82 | $141.25 | $165.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $537.03 Typical High $630.96 | Professional | 54 · Surgery only | $489.78 | $537.03 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $107.15 Typical High $125.89 | Professional | 55 · Aftercare only | $97.72 | $107.15 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $70.79 Typical High $83.18 | Professional | 56 · Pre-op care only | $64.57 | $70.79 | $83.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $501.19 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $457.09 | $501.19 | $588.84 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $323.59 Median $363.08 Typical High $416.87 | Professional | 52 · Reduced service | $323.59 | $363.08 | $416.87 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $144.54 Typical High $165.96 | Professional | 53 · Discontinued | $128.82 | $144.54 | $165.96 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $537.03 Typical High $630.96 | Professional | 54 · Surgery only | $489.78 | $537.03 | $630.96 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $107.15 Typical High $125.89 | Professional | 55 · Aftercare only | $97.72 | $107.15 | $125.89 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $72.44 Typical High $83.18 | Professional | 56 · Pre-op care only | $64.57 | $72.44 | $83.18 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $501.19 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $457.09 | $501.19 | $588.84 |
Where Texas sits
The same service costs 6.9 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
$417
AK $2,884TX $417
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.