How much rates vary
Facilitymedian $4,677 · 10th to 90th $1,905 to $12,023Professionalmedian $245 · 10th to 90th $35 to $1,479
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 $1,202.26 Median $3,311.31 Typical High $8,709.64 | Facility | None | $1,202.26 | $3,311.31 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $1,148.15 Median $1,318.26 Typical High $1,698.24 | Professional | None | $1,148.15 | $1,318.26 | $1,698.24 |
BCBS Texas Setting Facility Modifier None Typical Low $2,187.76 Median $5,011.87 Typical High $14,125.38 | Facility | None | $2,187.76 | $5,011.87 | $14,125.38 |
BCBS Texas Setting Professional Modifier None Typical Low $1,258.93 Median $1,548.82 Typical High $2,089.30 | Professional | None | $1,258.93 | $1,548.82 | $2,089.30 |
Christus Setting Facility Modifier None Typical Low $5,128.61 Median $5,128.61 Typical High $5,128.61 | Facility | None | $5,128.61 | $5,128.61 | $5,128.61 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $4,677.35 Typical High $6,760.83 | Facility | None | $691.83 | $4,677.35 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,584.89 Typical High $2,187.76 | Professional | None | $1,288.25 | $1,584.89 | $2,187.76 |
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 $11,220.18 Median $11,220.18 Typical High $11,220.18 | Professional | None | $11,220.18 | $11,220.18 | $11,220.18 |
Moda Health Setting Facility Modifier None Typical Low $933.25 Median $2,398.83 Typical High $5,623.41 | Facility | None | $933.25 | $2,398.83 | $5,623.41 |
Moda Health Setting Professional Modifier None Typical Low $1,148.15 Median $1,318.26 Typical High $1,659.59 | Professional | None | $1,148.15 | $1,318.26 | $1,659.59 |
Molina Setting Professional Modifier None Typical Low $31.62 Median $194.98 Typical High $1,174.90 | Professional | None | $31.62 | $194.98 | $1,174.90 |
Providence Setting Facility Modifier None Typical Low $758.58 Median $4,677.35 Typical High $6,918.31 | Facility | None | $758.58 | $4,677.35 | $6,918.31 |
Providence Setting Professional Modifier None Typical Low $1,288.25 Median $1,584.89 Typical High $2,187.76 | Professional | None | $1,288.25 | $1,584.89 | $2,187.76 |
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 $1,071.52 Median $1,412.54 Typical High $1,995.26 | Professional | None | $1,071.52 | $1,412.54 | $1,995.26 |
Wellpoint Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,230.27 | $1,230.27 | $1,230.27 |
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 $575.44 Median $645.65 Typical High $724.44 | Professional | 52 · Reduced service | $575.44 | $645.65 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $257.04 Typical High $295.12 | Professional | 53 · Discontinued | $234.42 | $257.04 | $295.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $977.24 Typical High $1,096.48 | Professional | 54 · Surgery only | $870.96 | $977.24 | $1,096.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $194.98 Typical High $218.78 | Professional | 55 · Aftercare only | $173.78 | $194.98 | $218.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $128.82 Typical High $144.54 | Professional | 56 · Pre-op care only | $114.82 | $128.82 | $144.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $912.01 Typical High $1,023.29 | Professional | 78 · Unplanned return to OR | $812.83 | $912.01 | $1,023.29 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $575.44 Median $645.65 Typical High $724.44 | Professional | 52 · Reduced service | $575.44 | $645.65 | $724.44 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $257.04 Typical High $295.12 | Professional | 53 · Discontinued | $234.42 | $257.04 | $295.12 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $977.24 Typical High $1,096.48 | Professional | 54 · Surgery only | $870.96 | $977.24 | $1,096.48 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $194.98 Typical High $218.78 | Professional | 55 · Aftercare only | $173.78 | $194.98 | $218.78 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $128.82 Typical High $144.54 | Professional | 56 · Pre-op care only | $114.82 | $128.82 | $144.54 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $912.01 Typical High $1,023.29 | Professional | 78 · Unplanned return to OR | $812.83 | $912.01 | $1,023.29 |
Where Texas sits
The same service costs 7.2 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
$759
AK $5,495TX $759
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.