How much rates vary
Facilitymedian $4,677 · 10th to 90th $1,660 to $11,482Professionalmedian $741 · 10th to 90th $87 to $1,349
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 $954.99 Median $1,071.52 Typical High $1,318.26 | Professional | None | $954.99 | $1,071.52 | $1,318.26 |
BCBS Texas Setting Facility Modifier None Typical Low $3,162.28 Median $6,025.60 Typical High $14,125.38 | Facility | None | $3,162.28 | $6,025.60 | $14,125.38 |
BCBS Texas Setting Professional Modifier None Typical Low $1,023.29 Median $1,288.25 Typical High $1,778.28 | Professional | None | $1,023.29 | $1,288.25 | $1,778.28 |
Christus Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Facility | None | $2,691.53 | $2,691.53 | $2,691.53 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $2,511.89 Typical High $3,548.13 | Facility | None | $602.56 | $2,511.89 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,318.26 Typical High $1,819.70 | Professional | None | $1,047.13 | $1,318.26 | $1,819.70 |
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 $8,128.31 Median $8,128.31 Typical High $8,912.51 | Professional | None | $8,128.31 | $8,128.31 | $8,912.51 |
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 $954.99 Median $1,071.52 Typical High $1,318.26 | Professional | None | $954.99 | $1,071.52 | $1,318.26 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $186.21 Typical High $977.24 | Professional | None | $81.28 | $186.21 | $977.24 |
Providence Setting Facility Modifier None Typical Low $660.69 Median $2,511.89 Typical High $4,466.84 | Facility | None | $660.69 | $2,511.89 | $4,466.84 |
Providence Setting Professional Modifier None Typical Low $1,047.13 Median $1,318.26 Typical High $1,819.70 | Professional | None | $1,047.13 | $1,318.26 | $1,819.70 |
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 $870.96 Median $1,148.15 Typical High $1,621.81 | Professional | None | $870.96 | $1,148.15 | $1,621.81 |
Wellpoint Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None | $1,023.29 | $1,023.29 | $1,023.29 |
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 $478.63 Median $524.81 Typical High $602.56 | Professional | 52 · Reduced service | $478.63 | $524.81 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $208.93 Typical High $239.88 | Professional | 53 · Discontinued | $190.55 | $208.93 | $239.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $794.33 Typical High $891.25 | Professional | 54 · Surgery only | $707.95 | $794.33 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $158.49 Typical High $177.83 | Professional | 55 · Aftercare only | $141.25 | $158.49 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $104.71 Typical High $120.23 | Professional | 56 · Pre-op care only | $95.50 | $104.71 | $120.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $741.31 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $660.69 | $741.31 | $831.76 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $478.63 Median $524.81 Typical High $602.56 | Professional | 52 · Reduced service | $478.63 | $524.81 | $602.56 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $208.93 Typical High $239.88 | Professional | 53 · Discontinued | $190.55 | $208.93 | $239.88 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $794.33 Typical High $891.25 | Professional | 54 · Surgery only | $707.95 | $794.33 | $891.25 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $158.49 Typical High $177.83 | Professional | 55 · Aftercare only | $141.25 | $158.49 | $177.83 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $104.71 Typical High $120.23 | Professional | 56 · Pre-op care only | $95.50 | $104.71 | $120.23 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $741.31 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $660.69 | $741.31 | $831.76 |
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
$776
AK $4,571UT $741
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.