How much rates vary
Facilitymedian $3,311 · 10th to 90th $1,349 to $9,333Professionalmedian $204 · 10th to 90th $28 to $1,380
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 $3,715.35 Typical High $9,120.11 | Facility | None | $977.24 | $3,715.35 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $954.99 Typical High $1,174.90 | Professional | None | $851.14 | $954.99 | $1,174.90 |
BCBS Texas Setting Facility Modifier None Typical Low $2,511.89 Median $4,466.84 Typical High $10,000.00 | Facility | None | $2,511.89 | $4,466.84 | $10,000.00 |
BCBS Texas Setting Professional Modifier None Typical Low $954.99 Median $1,202.26 Typical High $1,659.59 | Professional | None | $954.99 | $1,202.26 | $1,659.59 |
Christus Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,905.46 Typical High $2,691.53 | Facility | None | $758.58 | $1,905.46 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,202.26 Typical High $1,659.59 | Professional | None | $1,047.13 | $1,202.26 | $1,659.59 |
Lucent Health Setting Professional Modifier None Typical Low $7,762.47 Median $7,762.47 Typical High $9,332.54 | Professional | None | $7,762.47 | $7,762.47 | $9,332.54 |
Moda Health Setting Facility Modifier None Typical Low $870.96 Median $1,862.09 Typical High $6,918.31 | Facility | None | $870.96 | $1,862.09 | $6,918.31 |
Moda Health Setting Professional Modifier None Typical Low $851.14 Median $954.99 Typical High $1,412.54 | Professional | None | $851.14 | $954.99 | $1,412.54 |
Molina Setting Professional Modifier None Typical Low $24.55 Median $158.49 Typical High $954.99 | Professional | None | $24.55 | $158.49 | $954.99 |
Providence Setting Facility Modifier None Typical Low $794.33 Median $1,819.70 Typical High $2,691.53 | Facility | None | $794.33 | $1,819.70 | $2,691.53 |
Providence Setting Professional Modifier None Typical Low $1,047.13 Median $1,202.26 Typical High $1,659.59 | Professional | None | $1,047.13 | $1,202.26 | $1,659.59 |
United Setting Facility Modifier None Typical Low $2,137.96 Median $5,248.07 Typical High $11,748.98 | Facility | None | $2,137.96 | $5,248.07 | $11,748.98 |
United Setting Professional Modifier None Typical Low $794.33 Median $1,071.52 Typical High $1,621.81 | Professional | None | $794.33 | $1,071.52 | $1,621.81 |
Wellpoint Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | None | $1,047.13 | $1,047.13 | $1,047.13 |
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 $426.58 Median $467.74 Typical High $537.03 | Professional | 52 · Reduced service | $426.58 | $467.74 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $186.21 Typical High $218.78 | Professional | 53 · Discontinued | $169.82 | $186.21 | $218.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $707.95 Typical High $812.83 | Professional | 54 · Surgery only | $645.65 | $707.95 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $141.25 Typical High $162.18 | Professional | 55 · Aftercare only | $128.82 | $141.25 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $93.33 Typical High $109.65 | Professional | 56 · Pre-op care only | $85.11 | $93.33 | $109.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $660.69 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $602.56 | $660.69 | $758.58 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $426.58 Median $467.74 Typical High $537.03 | Professional | 52 · Reduced service | $426.58 | $467.74 | $537.03 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $186.21 Typical High $218.78 | Professional | 53 · Discontinued | $169.82 | $186.21 | $218.78 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $707.95 Typical High $812.83 | Professional | 54 · Surgery only | $645.65 | $707.95 | $812.83 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $141.25 Typical High $162.18 | Professional | 55 · Aftercare only | $128.82 | $141.25 | $162.18 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $93.33 Typical High $109.65 | Professional | 56 · Pre-op care only | $85.11 | $93.33 | $109.65 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $660.69 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $602.56 | $660.69 | $758.58 |
Where Texas sits
The same service costs 6.6 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
$646
AK $4,266TX $646
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.