How much rates vary
Facilitymedian $2,188 · 10th to 90th $1,148 to $6,310Professionalmedian $871 · 10th to 90th $562 to $5,754
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 $1,000.00 Median $3,801.89 Typical High $10,232.93 | Facility | None | $1,000.00 | $3,801.89 | $10,232.93 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $831.76 Typical High $1,318.26 | Professional | None | $758.58 | $831.76 | $1,318.26 |
BCBS Texas Setting Facility Modifier None Typical Low $1,148.15 Median $2,187.76 Typical High $5,128.61 | Facility | None | $1,148.15 | $2,187.76 | $5,128.61 |
BCBS Texas Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None | $562.34 | $562.34 | $562.34 |
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 $1,174.90 Median $1,621.81 Typical High $4,073.80 | Facility | None | $1,174.90 | $1,621.81 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $776.25 Typical High $1,096.48 | Professional | None | $724.44 | $776.25 | $1,096.48 |
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 $5,495.41 Median $5,495.41 Typical High $5,754.40 | Professional | None | $5,495.41 | $5,495.41 | $5,754.40 |
Moda Health Setting Facility Modifier None Typical Low $724.44 Median $2,290.87 Typical High $6,918.31 | Facility | None | $724.44 | $2,290.87 | $6,918.31 |
Moda Health Setting Professional Modifier None Typical Low $758.58 Median $831.76 Typical High $1,071.52 | Professional | None | $758.58 | $831.76 | $1,071.52 |
Molina Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None | $645.65 | $645.65 | $645.65 |
Oscar Health Setting Professional Modifier None Typical Low $1,023.29 Median $1,174.90 Typical High $1,380.38 | Professional | None | $1,023.29 | $1,174.90 | $1,380.38 |
Providence Setting Facility Modifier None Typical Low $1,071.52 Median $1,819.70 Typical High $10,000.00 | Facility | None | $1,071.52 | $1,819.70 | $10,000.00 |
Providence Setting Professional Modifier None Typical Low $724.44 Median $776.25 Typical High $1,071.52 | Professional | None | $724.44 | $776.25 | $1,071.52 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $3,235.94 Typical High $6,606.93 | Facility | None | $1,258.93 | $3,235.94 | $6,606.93 |
United Setting Professional Modifier None Typical Low $575.44 Median $758.58 Typical High $1,096.48 | Professional | None | $575.44 | $758.58 | $1,096.48 |
Wellpoint Setting Professional Modifier None Typical Low $645.65 Median $812.83 Typical High $812.83 | Professional | None | $645.65 | $812.83 | $812.83 |
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 $371.54 Median $416.87 Typical High $512.86 | Professional | 52 · Reduced service | $371.54 | $416.87 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $165.96 Typical High $204.17 | Professional | 53 · Discontinued | $151.36 | $165.96 | $204.17 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $616.60 Typical High $776.25 | Professional | 54 · Surgery only | $562.34 | $616.60 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $123.03 Typical High $154.88 | Professional | 55 · Aftercare only | $112.20 | $123.03 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $83.18 Typical High $102.33 | Professional | 56 · Pre-op care only | $75.86 | $83.18 | $102.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $575.44 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $524.81 | $575.44 | $724.44 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $371.54 Median $416.87 Typical High $512.86 | Professional | 52 · Reduced service | $371.54 | $416.87 | $512.86 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $165.96 Typical High $204.17 | Professional | 53 · Discontinued | $151.36 | $165.96 | $204.17 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $616.60 Typical High $776.25 | Professional | 54 · Surgery only | $562.34 | $616.60 | $776.25 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $123.03 Typical High $154.88 | Professional | 55 · Aftercare only | $112.20 | $123.03 | $154.88 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $83.18 Typical High $102.33 | Professional | 56 · Pre-op care only | $75.86 | $83.18 | $102.33 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $575.44 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $524.81 | $575.44 | $724.44 |
Where Texas sits
The same service costs 4.6 times more in Alaska than in New York. 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· 7th of 51
$1,549
AK $3,090NY $676
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.