How much rates vary
Facilitymedian $3,090 · 10th to 90th $1,514 to $8,128Professionalmedian $741 · 10th to 90th $42 to $1,778
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 $1,230.27 Median $3,801.89 Typical High $10,232.93 | Facility | None | $1,230.27 | $3,801.89 | $10,232.93 |
Aetna Setting Professional Modifier None Typical Low $1,479.11 Median $1,548.82 Typical High $2,137.96 | Professional | None | $1,479.11 | $1,548.82 | $2,137.96 |
BCBS Texas Setting Facility Modifier None Typical Low $1,513.56 Median $3,235.94 Typical High $8,317.64 | Facility | None | $1,513.56 | $3,235.94 | $8,317.64 |
BCBS Texas Setting Professional Modifier None Typical Low $1,288.25 Median $1,621.81 Typical High $2,187.76 | Professional | None | $1,288.25 | $1,621.81 | $2,187.76 |
Christus Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Facility | None | $2,137.96 | $2,137.96 | $2,137.96 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $2,137.96 Typical High $2,884.03 | Facility | None | $758.58 | $2,137.96 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $1,348.96 Median $1,412.54 Typical High $1,995.26 | Professional | None | $1,348.96 | $1,412.54 | $1,995.26 |
Lucent Health Setting Professional Modifier None Typical Low $10,471.29 Median $10,471.29 Typical High $10,715.19 | Professional | None | $10,471.29 | $10,471.29 | $10,715.19 |
Moda Health Setting Facility Modifier None Typical Low $1,000.00 Median $2,818.38 Typical High $6,918.31 | Facility | None | $1,000.00 | $2,818.38 | $6,918.31 |
Moda Health Setting Professional Modifier None Typical Low $1,479.11 Median $1,513.56 Typical High $2,041.74 | Professional | None | $1,479.11 | $1,513.56 | $2,041.74 |
Molina Setting Professional Modifier None Typical Low $36.31 Median $204.17 Typical High $1,122.02 | Professional | None | $36.31 | $204.17 | $1,122.02 |
Oscar Health Setting Professional Modifier None Typical Low $1,202.26 Median $1,380.38 Typical High $1,445.44 | Professional | None | $1,202.26 | $1,380.38 | $1,445.44 |
Providence Setting Facility Modifier None Typical Low $794.33 Median $2,137.96 Typical High $2,884.03 | Facility | None | $794.33 | $2,137.96 | $2,884.03 |
Providence Setting Professional Modifier None Typical Low $1,348.96 Median $1,412.54 Typical High $1,949.84 | Professional | None | $1,348.96 | $1,412.54 | $1,949.84 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $4,570.88 Typical High $9,549.93 | Facility | None | $1,698.24 | $4,570.88 | $9,549.93 |
United Setting Professional Modifier None Typical Low $1,023.29 Median $1,380.38 Typical High $1,995.26 | Professional | None | $1,023.29 | $1,380.38 | $1,995.26 |
Wellpoint Setting Professional Modifier None Typical Low $1,202.26 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,202.26 | $1,258.93 | $1,258.93 |
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 $741.31 Median $812.83 Typical High $977.24 | Professional | 52 · Reduced service | $741.31 | $812.83 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $323.59 Typical High $389.05 | Professional | 53 · Discontinued | $295.12 | $323.59 | $389.05 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,122.02 Median $1,202.26 Typical High $1,479.11 | Professional | 54 · Surgery only | $1,122.02 | $1,202.26 | $1,479.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $239.88 Typical High $295.12 | Professional | 55 · Aftercare only | $223.87 | $239.88 | $295.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $147.91 Median $162.18 Typical High $194.98 | Professional | 56 · Pre-op care only | $147.91 | $162.18 | $194.98 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,047.13 Median $1,122.02 Typical High $1,380.38 | Professional | 78 · Unplanned return to OR | $1,047.13 | $1,122.02 | $1,380.38 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $741.31 Median $812.83 Typical High $977.24 | Professional | 52 · Reduced service | $741.31 | $812.83 | $977.24 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $323.59 Typical High $389.05 | Professional | 53 · Discontinued | $295.12 | $323.59 | $389.05 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $1,122.02 Median $1,202.26 Typical High $1,479.11 | Professional | 54 · Surgery only | $1,122.02 | $1,202.26 | $1,479.11 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $239.88 Typical High $295.12 | Professional | 55 · Aftercare only | $223.87 | $239.88 | $295.12 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $147.91 Median $162.18 Typical High $194.98 | Professional | 56 · Pre-op care only | $147.91 | $162.18 | $194.98 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,047.13 Median $1,122.02 Typical High $1,380.38 | Professional | 78 · Unplanned return to OR | $1,047.13 | $1,122.02 | $1,380.38 |
Where Texas sits
The same service costs 4.0 times more in Alaska than in Kentucky. 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.
Physician feeFacility fee
AK $10,675KY $2,688
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.