How much rates vary
Facilitymedian $1,995 · 10th to 90th $1,096 to $5,623Professionalmedian $537 · 10th to 90th $24 to $1,230
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 $1,071.52 Median $3,801.89 Typical High $9,120.11 | Facility | None | $1,071.52 | $3,801.89 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $1,071.52 Typical High $1,513.56 | Professional | None | $977.24 | $1,071.52 | $1,513.56 |
BCBS Texas Setting Facility Modifier None Typical Low $1,122.02 Median $1,905.46 Typical High $3,388.44 | Facility | None | $1,122.02 | $1,905.46 | $3,388.44 |
BCBS Texas Setting Professional Modifier None Typical Low $891.25 Median $1,122.02 Typical High $1,445.44 | Professional | None | $891.25 | $1,122.02 | $1,445.44 |
Christus Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | None | $1,548.82 | $1,548.82 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $1,621.81 Typical High $3,801.89 | Facility | None | $954.99 | $1,621.81 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $1,023.29 Typical High $1,380.38 | Professional | None | $912.01 | $1,023.29 | $1,380.38 |
Health Smart Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Lucent Health Setting Professional Modifier None Typical Low $7,079.46 Median $7,079.46 Typical High $7,244.36 | Professional | None | $7,079.46 | $7,079.46 | $7,244.36 |
Moda Health Setting Facility Modifier None Typical Low $870.96 Median $2,511.89 Typical High $6,918.31 | Facility | None | $870.96 | $2,511.89 | $6,918.31 |
Moda Health Setting Professional Modifier None Typical Low $977.24 Median $1,071.52 Typical High $1,348.96 | Professional | None | $977.24 | $1,071.52 | $1,348.96 |
Molina Setting Professional Modifier None Typical Low $20.89 Median $131.83 Typical High $776.25 | Professional | None | $20.89 | $131.83 | $776.25 |
Providence Setting Facility Modifier None Typical Low $933.25 Median $1,778.28 Typical High $7,585.78 | Facility | None | $933.25 | $1,778.28 | $7,585.78 |
Providence Setting Professional Modifier None Typical Low $912.01 Median $1,023.29 Typical High $1,380.38 | Professional | None | $912.01 | $1,023.29 | $1,380.38 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $3,311.31 Typical High $6,606.93 | Facility | None | $1,258.93 | $3,311.31 | $6,606.93 |
United Setting Professional Modifier None Typical Low $741.31 Median $977.24 Typical High $1,445.44 | Professional | None | $741.31 | $977.24 | $1,445.44 |
Wellpoint Setting Professional Modifier None Typical Low $831.76 Median $851.14 Typical High $851.14 | Professional | None | $831.76 | $851.14 | $851.14 |
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 $537.03 Typical High $660.69 | Professional | 52 · Reduced service | $501.19 | $537.03 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $213.80 Typical High $263.03 | Professional | 53 · Discontinued | $199.53 | $213.80 | $263.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $812.83 Typical High $1,000.00 | Professional | 54 · Surgery only | $741.31 | $812.83 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $162.18 Typical High $199.53 | Professional | 55 · Aftercare only | $151.36 | $162.18 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $107.15 Typical High $131.83 | Professional | 56 · Pre-op care only | $100.00 | $107.15 | $131.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $758.58 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $691.83 | $758.58 | $933.25 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $501.19 Median $537.03 Typical High $660.69 | Professional | 52 · Reduced service | $501.19 | $537.03 | $660.69 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $213.80 Typical High $263.03 | Professional | 53 · Discontinued | $199.53 | $213.80 | $263.03 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $812.83 Typical High $1,000.00 | Professional | 54 · Surgery only | $741.31 | $812.83 | $1,000.00 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $162.18 Typical High $199.53 | Professional | 55 · Aftercare only | $151.36 | $162.18 | $199.53 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $107.15 Typical High $131.83 | Professional | 56 · Pre-op care only | $100.00 | $107.15 | $131.83 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $758.58 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $691.83 | $758.58 | $933.25 |
Where Texas sits
The same service costs 7.2 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
$631
AK $3,981UT $550
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.