How much rates vary
Facilitymedian $1,023 · 10th to 90th $501 to $3,715Professionalmedian $174 · 10th to 90th $28 to $389
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 $707.95 Median $2,691.53 Typical High $6,918.31 | Facility | None | $707.95 | $2,691.53 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $263.03 Typical High $380.19 | Professional | None | $138.04 | $263.03 | $380.19 |
BCBS Texas Setting Facility Modifier None Typical Low $501.19 Median $954.99 Typical High $2,344.23 | Facility | None | $501.19 | $954.99 | $2,344.23 |
BCBS Texas Setting Professional Modifier None Typical Low $125.89 Median $229.09 Typical High $331.13 | Professional | None | $125.89 | $229.09 | $331.13 |
Christus Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $707.95 Typical High $1,862.09 | Facility | None | $512.86 | $707.95 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $245.47 Typical High $363.08 | Professional | None | $128.82 | $245.47 | $363.08 |
Health Smart Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Facility | None | $676.08 | $676.08 | $676.08 |
Lucent Health Setting Professional Modifier None Typical Low $2,290.87 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,290.87 | $2,951.21 | $2,951.21 |
Moda Health Setting Facility Modifier None Typical Low $147.91 Median $1,122.02 Typical High $4,786.30 | Facility | None | $147.91 | $1,122.02 | $4,786.30 |
Moda Health Setting Professional Modifier None Typical Low $138.04 Median $263.03 Typical High $363.08 | Professional | None | $138.04 | $263.03 | $363.08 |
Molina Setting Professional Modifier None Typical Low $5.89 Median $42.66 Typical High $257.04 | Professional | None | $5.89 | $42.66 | $257.04 |
Oscar Health Setting Professional Modifier None Typical Low $114.82 Median $123.03 Typical High $269.15 | Professional | None | $114.82 | $123.03 | $269.15 |
Providence Setting Facility Modifier None Typical Low $281.84 Median $758.58 Typical High $4,466.84 | Facility | None | $281.84 | $758.58 | $4,466.84 |
Providence Setting Professional Modifier None Typical Low $128.82 Median $245.47 Typical High $363.08 | Professional | None | $128.82 | $245.47 | $363.08 |
United Setting Facility Modifier None Typical Low $616.60 Median $2,041.74 Typical High $3,801.89 | Facility | None | $616.60 | $2,041.74 | $3,801.89 |
United Setting Professional Modifier None Typical Low $112.20 Median $204.17 Typical High $331.13 | Professional | None | $112.20 | $204.17 | $331.13 |
Wellpoint Setting Professional Modifier None Typical Low $257.04 Median $269.15 Typical High $269.15 | Professional | None | $257.04 | $269.15 | $269.15 |
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 $67.61 Median $123.03 Typical High $173.78 | Professional | 52 · Reduced service | $67.61 | $123.03 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $48.98 Typical High $69.18 | Professional | 53 · Discontinued | $27.54 | $48.98 | $69.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $102.33 Median $186.21 Typical High $263.03 | Professional | 54 · Surgery only | $102.33 | $186.21 | $263.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $37.15 Typical High $52.48 | Professional | 55 · Aftercare only | $20.42 | $37.15 | $52.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $24.55 Typical High $34.67 | Professional | 56 · Pre-op care only | $13.80 | $24.55 | $34.67 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $95.50 Median $173.78 Typical High $245.47 | Professional | 78 · Unplanned return to OR | $95.50 | $173.78 | $245.47 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $120.23 Typical High $173.78 | Professional | 52 · Reduced service | $67.61 | $120.23 | $173.78 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $47.86 Typical High $69.18 | Professional | 53 · Discontinued | $27.54 | $47.86 | $69.18 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $102.33 Median $181.97 Typical High $263.03 | Professional | 54 · Surgery only | $102.33 | $181.97 | $263.03 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $36.31 Typical High $52.48 | Professional | 55 · Aftercare only | $20.42 | $36.31 | $52.48 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $23.99 Typical High $34.67 | Professional | 56 · Pre-op care only | $13.80 | $23.99 | $34.67 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $95.50 Median $169.82 Typical High $245.47 | Professional | 78 · Unplanned return to OR | $95.50 | $169.82 | $245.47 |
Where Texas sits
The same service costs 4.7 times more in Alaska than in Virginia. 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· 48th of 51
$214
AK $851VA $182
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.