How much rates vary
Facilitymedian $5,248 · 10th to 90th $1,738 to $11,220Professionalmedian $204 · 10th to 90th $23 to $1,413
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 $1,174.90 Median $3,311.31 Typical High $8,709.64 | Facility | None | $1,174.90 | $3,311.31 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,230.27 Typical High $1,548.82 | Professional | None | $1,071.52 | $1,230.27 | $1,548.82 |
BCBS Texas Setting Facility Modifier None Typical Low $3,019.95 Median $5,623.41 Typical High $12,882.50 | Facility | None | $3,019.95 | $5,623.41 | $12,882.50 |
BCBS Texas Setting Professional Modifier None Typical Low $1,148.15 Median $1,479.11 Typical High $1,995.26 | Professional | None | $1,148.15 | $1,479.11 | $1,995.26 |
Christus Setting Facility Modifier None Typical Low $6,456.54 Median $6,456.54 Typical High $6,456.54 | Facility | None | $6,456.54 | $6,456.54 | $6,456.54 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $6,025.60 Typical High $8,511.38 | Facility | None | $691.83 | $6,025.60 | $8,511.38 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,479.11 Typical High $2,041.74 | Professional | None | $1,174.90 | $1,479.11 | $2,041.74 |
Health Smart Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
Lucent Health Setting Professional Modifier None Typical Low $9,120.11 Median $9,120.11 Typical High $10,000.00 | Professional | None | $9,120.11 | $9,120.11 | $10,000.00 |
Moda Health Setting Facility Modifier None Typical Low $933.25 Median $2,398.83 Typical High $6,025.60 | Facility | None | $933.25 | $2,398.83 | $6,025.60 |
Moda Health Setting Professional Modifier None Typical Low $1,071.52 Median $1,202.26 Typical High $1,548.82 | Professional | None | $1,071.52 | $1,202.26 | $1,548.82 |
Molina Setting Professional Modifier None Typical Low $21.38 Median $162.18 Typical High $1,071.52 | Professional | None | $21.38 | $162.18 | $1,071.52 |
Providence Setting Facility Modifier None Typical Low $758.58 Median $5,495.41 Typical High $8,511.38 | Facility | None | $758.58 | $5,495.41 | $8,511.38 |
Providence Setting Professional Modifier None Typical Low $1,174.90 Median $1,479.11 Typical High $2,041.74 | Professional | None | $1,174.90 | $1,479.11 | $2,041.74 |
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 $1,000.00 Median $1,288.25 Typical High $1,862.09 | Professional | None | $1,000.00 | $1,288.25 | $1,862.09 |
Wellpoint Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | None | $1,148.15 | $1,148.15 | $1,148.15 |
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 $537.03 Median $602.56 Typical High $676.08 | Professional | 52 · Reduced service | $537.03 | $602.56 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $239.88 Typical High $269.15 | Professional | 53 · Discontinued | $213.80 | $239.88 | $269.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $812.83 Median $891.25 Typical High $1,023.29 | Professional | 54 · Surgery only | $812.83 | $891.25 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $177.83 Typical High $204.17 | Professional | 55 · Aftercare only | $162.18 | $177.83 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $120.23 Typical High $134.90 | Professional | 56 · Pre-op care only | $107.15 | $120.23 | $134.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $831.76 Typical High $954.99 | Professional | 78 · Unplanned return to OR | $758.58 | $831.76 | $954.99 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $537.03 Median $602.56 Typical High $676.08 | Professional | 52 · Reduced service | $537.03 | $602.56 | $676.08 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $239.88 Typical High $269.15 | Professional | 53 · Discontinued | $213.80 | $239.88 | $269.15 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $812.83 Median $891.25 Typical High $1,023.29 | Professional | 54 · Surgery only | $812.83 | $891.25 | $1,023.29 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $177.83 Typical High $204.17 | Professional | 55 · Aftercare only | $162.18 | $177.83 | $204.17 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $120.23 Typical High $134.90 | Professional | 56 · Pre-op care only | $107.15 | $120.23 | $134.90 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $831.76 Typical High $954.99 | Professional | 78 · Unplanned return to OR | $758.58 | $831.76 | $954.99 |
Where Texas sits
The same service costs 7.4 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
$692
AK $5,129TX $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.