How much rates vary
Facilitymedian $2,239 · 10th to 90th $501 to $10,471Professionalmedian $407 · 10th to 90th $51 to $3,090
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 $1,122.02 Median $3,715.35 Typical High $9,120.11 | Facility | None | $1,122.02 | $3,715.35 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $1,949.84 Median $2,187.76 Typical High $2,884.03 | Professional | None | $1,949.84 | $2,187.76 | $2,884.03 |
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 $2,511.89 Median $2,884.03 Typical High $4,073.80 | Professional | None | $2,511.89 | $2,884.03 | $4,073.80 |
Lucent Health Setting Professional Modifier None Typical Low $16,982.44 Median $16,982.44 Typical High $20,892.96 | Professional | None | $16,982.44 | $16,982.44 | $20,892.96 |
Moda Health Setting Facility Modifier None Typical Low $1,000.00 Median $2,884.03 Typical High $6,918.31 | Facility | None | $1,000.00 | $2,884.03 | $6,918.31 |
Moda Health Setting Professional Modifier None Typical Low $1,949.84 Median $2,187.76 Typical High $3,467.37 | Professional | None | $1,949.84 | $2,187.76 | $3,467.37 |
Molina Setting Professional Modifier None Typical Low $46.77 Median $331.13 Typical High $2,137.96 | Professional | None | $46.77 | $331.13 | $2,137.96 |
Providence Setting Facility Modifier None Typical Low $812.83 Median $2,398.83 Typical High $251,188.64 | Facility | None | $812.83 | $2,398.83 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $2,454.71 Median $2,884.03 Typical High $4,073.80 | Professional | None | $2,454.71 | $2,884.03 | $4,073.80 |
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 $1,905.46 Median $2,570.40 Typical High $3,890.45 | Professional | None | $1,905.46 | $2,570.40 | $3,890.45 |
Wellpoint Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Professional | None | $2,344.23 | $2,344.23 | $2,344.23 |
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 $977.24 Median $1,071.52 Typical High $1,258.93 | Professional | 52 · Reduced service | $977.24 | $1,071.52 | $1,258.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $389.05 Median $426.58 Typical High $501.19 | Professional | 53 · Discontinued | $389.05 | $426.58 | $501.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,479.11 Median $1,621.81 Typical High $1,862.09 | Professional | 54 · Surgery only | $1,479.11 | $1,621.81 | $1,862.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $295.12 Median $323.59 Typical High $371.54 | Professional | 55 · Aftercare only | $295.12 | $323.59 | $371.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $194.98 Median $213.80 Typical High $251.19 | Professional | 56 · Pre-op care only | $194.98 | $213.80 | $251.19 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,380.38 Median $1,513.56 Typical High $1,737.80 | Professional | 78 · Unplanned return to OR | $1,380.38 | $1,513.56 | $1,737.80 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $977.24 Median $1,071.52 Typical High $1,258.93 | Professional | 52 · Reduced service | $977.24 | $1,071.52 | $1,258.93 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $389.05 Median $426.58 Typical High $501.19 | Professional | 53 · Discontinued | $389.05 | $426.58 | $501.19 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $1,479.11 Median $1,621.81 Typical High $1,862.09 | Professional | 54 · Surgery only | $1,479.11 | $1,621.81 | $1,862.09 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $295.12 Median $323.59 Typical High $380.19 | Professional | 55 · Aftercare only | $295.12 | $323.59 | $380.19 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $194.98 Median $213.80 Typical High $251.19 | Professional | 56 · Pre-op care only | $194.98 | $213.80 | $251.19 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,380.38 Median $1,513.56 Typical High $1,737.80 | Professional | 78 · Unplanned return to OR | $1,380.38 | $1,513.56 | $1,737.80 |
Where Texas sits
The same service costs 16.2 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
$603
AK $9,772TX $603
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.