How much rates vary
Facilitymedian $4,677 · 10th to 90th $1,514 to $11,220Professionalmedian $708 · 10th to 90th $89 to $1,288
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 $2,754.23 Typical High $6,918.31 | Facility | None | $977.24 | $2,754.23 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $1,000.00 Typical High $1,318.26 | Professional | None | $891.25 | $1,000.00 | $1,318.26 |
BCBS Texas Setting Facility Modifier None Typical Low $2,187.76 Median $5,128.61 Typical High $12,882.50 | Facility | None | $2,187.76 | $5,128.61 | $12,882.50 |
BCBS Texas Setting Professional Modifier None Typical Low $954.99 Median $1,174.90 Typical High $1,621.81 | Professional | None | $954.99 | $1,174.90 | $1,621.81 |
Christus Setting Facility Modifier None Typical Low $8,128.31 Median $8,128.31 Typical High $8,128.31 | Facility | None | $8,128.31 | $8,128.31 | $8,128.31 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $7,585.78 Typical High $10,715.19 | Facility | None | $602.56 | $7,585.78 | $10,715.19 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $1,230.27 Typical High $1,698.24 | Professional | None | $977.24 | $1,230.27 | $1,698.24 |
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 $7,585.78 Median $7,585.78 Typical High $8,317.64 | Professional | None | $7,585.78 | $7,585.78 | $8,317.64 |
Moda Health Setting Facility Modifier None Typical Low $758.58 Median $1,905.46 Typical High $5,495.41 | Facility | None | $758.58 | $1,905.46 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $891.25 Median $1,000.00 Typical High $1,288.25 | Professional | None | $891.25 | $1,000.00 | $1,288.25 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $173.78 Typical High $933.25 | Professional | None | $81.28 | $173.78 | $933.25 |
Providence Setting Facility Modifier None Typical Low $660.69 Median $4,466.84 Typical High $9,772.37 | Facility | None | $660.69 | $4,466.84 | $9,772.37 |
Providence Setting Professional Modifier None Typical Low $977.24 Median $1,230.27 Typical High $1,698.24 | Professional | None | $977.24 | $1,230.27 | $1,698.24 |
United Setting Facility Modifier None Typical Low $2,137.96 Median $5,248.07 Typical High $12,302.69 | Facility | None | $2,137.96 | $5,248.07 | $12,302.69 |
United Setting Professional Modifier None Typical Low $812.83 Median $1,071.52 Typical High $1,548.82 | Professional | None | $812.83 | $1,071.52 | $1,548.82 |
Wellpoint Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | None | $954.99 | $954.99 | $954.99 |
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 $446.68 Median $489.78 Typical High $562.34 | Professional | 52 · Reduced service | $446.68 | $489.78 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $199.53 Typical High $223.87 | Professional | 53 · Discontinued | $177.83 | $199.53 | $223.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $741.31 Typical High $851.14 | Professional | 54 · Surgery only | $676.08 | $741.31 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $147.91 Typical High $169.82 | Professional | 55 · Aftercare only | $134.90 | $147.91 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $100.00 Typical High $112.20 | Professional | 56 · Pre-op care only | $89.13 | $100.00 | $112.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $691.83 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $630.96 | $691.83 | $794.33 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $446.68 Median $489.78 Typical High $562.34 | Professional | 52 · Reduced service | $446.68 | $489.78 | $562.34 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $199.53 Typical High $223.87 | Professional | 53 · Discontinued | $177.83 | $199.53 | $223.87 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $741.31 Typical High $851.14 | Professional | 54 · Surgery only | $676.08 | $741.31 | $851.14 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $147.91 Typical High $169.82 | Professional | 55 · Aftercare only | $134.90 | $147.91 | $169.82 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $100.00 Typical High $112.20 | Professional | 56 · Pre-op care only | $89.13 | $100.00 | $112.20 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $691.83 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $630.96 | $691.83 | $794.33 |
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
$741
AK $4,266UT $692
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.