How much rates vary
Facilitymedian $2,399 · 10th to 90th $1,122 to $6,607Professionalmedian $776 · 10th to 90th $89 to $1,445
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 $1,000.00 Median $2,754.23 Typical High $6,918.31 | Facility | None | $1,000.00 | $2,754.23 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,122.02 Typical High $1,445.44 | Professional | None | $1,000.00 | $1,122.02 | $1,445.44 |
BCBS Texas Setting Facility Modifier None Typical Low $1,412.54 Median $2,511.89 Typical High $5,495.41 | Facility | None | $1,412.54 | $2,511.89 | $5,495.41 |
BCBS Texas Setting Professional Modifier None Typical Low $1,071.52 Median $1,318.26 Typical High $1,819.70 | Professional | None | $1,071.52 | $1,318.26 | $1,819.70 |
Christus Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Facility | None | $1,148.15 | $1,148.15 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,202.26 Typical High $2,187.76 | Facility | None | $602.56 | $1,202.26 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,380.38 Typical High $1,905.46 | Professional | None | $1,096.48 | $1,380.38 | $1,905.46 |
Health Smart Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Facility | None | $676.08 | $676.08 | $676.08 |
Lucent Health Setting Professional Modifier None Typical Low $8,511.38 Median $8,511.38 Typical High $9,332.54 | Professional | None | $8,511.38 | $8,511.38 | $9,332.54 |
Moda Health Setting Facility Modifier None Typical Low $707.95 Median $1,995.26 Typical High $5,495.41 | Facility | None | $707.95 | $1,995.26 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $1,000.00 Median $1,122.02 Typical High $1,380.38 | Professional | None | $1,000.00 | $1,122.02 | $1,380.38 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $199.53 Typical High $1,047.13 | Professional | None | $81.28 | $199.53 | $1,047.13 |
Providence Setting Facility Modifier None Typical Low $660.69 Median $1,380.38 Typical High $4,466.84 | Facility | None | $660.69 | $1,380.38 | $4,466.84 |
Providence Setting Professional Modifier None Typical Low $1,096.48 Median $1,380.38 Typical High $1,905.46 | Professional | None | $1,096.48 | $1,380.38 | $1,905.46 |
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 $912.01 Median $1,174.90 Typical High $1,737.80 | Professional | None | $912.01 | $1,174.90 | $1,737.80 |
Wellpoint Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None | $1,071.52 | $1,071.52 | $1,071.52 |
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 $501.19 Median $549.54 Typical High $630.96 | Professional | 52 · Reduced service | $501.19 | $549.54 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $223.87 Typical High $251.19 | Professional | 53 · Discontinued | $199.53 | $223.87 | $251.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $831.76 Typical High $933.25 | Professional | 54 · Surgery only | $741.31 | $831.76 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $165.96 Typical High $186.21 | Professional | 55 · Aftercare only | $147.91 | $165.96 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $109.65 Typical High $125.89 | Professional | 56 · Pre-op care only | $100.00 | $109.65 | $125.89 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $776.25 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $691.83 | $776.25 | $870.96 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $501.19 Median $549.54 Typical High $630.96 | Professional | 52 · Reduced service | $501.19 | $549.54 | $630.96 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $223.87 Typical High $251.19 | Professional | 53 · Discontinued | $199.53 | $223.87 | $251.19 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $831.76 Typical High $933.25 | Professional | 54 · Surgery only | $741.31 | $831.76 | $933.25 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $165.96 Typical High $186.21 | Professional | 55 · Aftercare only | $147.91 | $165.96 | $186.21 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $109.65 Typical High $125.89 | Professional | 56 · Pre-op care only | $100.00 | $109.65 | $125.89 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $776.25 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $691.83 | $776.25 | $870.96 |
Where Texas sits
The same service costs 6.2 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
$794
AK $4,786UT $776
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.