How much rates vary
Facilitymedian $1,995 · 10th to 90th $933 to $5,888Professionalmedian $295 · 10th to 90th $26 to $589
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 $776.25 Median $3,235.94 Typical High $8,511.38 | Facility | None | $776.25 | $3,235.94 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $489.78 Typical High $645.65 | Professional | None | $309.03 | $489.78 | $645.65 |
BCBS Texas Setting Facility Modifier None Typical Low $954.99 Median $2,041.74 Typical High $5,370.32 | Facility | None | $954.99 | $2,041.74 | $5,370.32 |
BCBS Texas Setting Professional Modifier None Typical Low $281.84 Median $426.58 Typical High $588.84 | Professional | None | $281.84 | $426.58 | $588.84 |
Christus Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,318.26 | $1,318.26 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,380.38 Typical High $2,691.53 | Facility | None | $691.83 | $1,380.38 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $436.52 Typical High $588.84 | Professional | None | $288.40 | $436.52 | $588.84 |
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 $3,715.35 Median $3,715.35 Typical High $4,073.80 | Professional | None | $3,715.35 | $3,715.35 | $4,073.80 |
Moda Health Setting Facility Modifier None Typical Low $331.13 Median $1,318.26 Typical High $5,623.41 | Facility | None | $331.13 | $1,318.26 | $5,623.41 |
Moda Health Setting Professional Modifier None Typical Low $309.03 Median $478.63 Typical High $645.65 | Professional | None | $309.03 | $478.63 | $645.65 |
Molina Setting Professional Modifier None Typical Low $16.60 Median $83.18 Typical High $426.58 | Professional | None | $16.60 | $83.18 | $426.58 |
Oscar Health Setting Professional Modifier None Typical Low $295.12 Median $323.59 Typical High $549.54 | Professional | None | $295.12 | $323.59 | $549.54 |
Providence Setting Facility Modifier None Typical Low $489.78 Median $1,445.44 Typical High $6,165.95 | Facility | None | $489.78 | $1,445.44 | $6,165.95 |
Providence Setting Professional Modifier None Typical Low $288.40 Median $436.52 Typical High $602.56 | Professional | None | $288.40 | $436.52 | $602.56 |
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 $239.88 Median $363.08 Typical High $549.54 | Professional | None | $239.88 | $363.08 | $549.54 |
Wellpoint Setting Professional Modifier None Typical Low $457.09 Median $478.63 Typical High $478.63 | Professional | None | $457.09 | $478.63 | $478.63 |
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 $154.88 Median $234.42 Typical High $309.03 | Professional | 52 · Reduced service | $154.88 | $234.42 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $93.33 Typical High $123.03 | Professional | 53 · Discontinued | $61.66 | $93.33 | $123.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $346.74 Typical High $457.09 | Professional | 54 · Surgery only | $234.42 | $346.74 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $70.79 Typical High $91.20 | Professional | 55 · Aftercare only | $46.77 | $70.79 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $46.77 Typical High $61.66 | Professional | 56 · Pre-op care only | $30.90 | $46.77 | $61.66 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $218.78 Median $323.59 Typical High $426.58 | Professional | 78 · Unplanned return to OR | $218.78 | $323.59 | $426.58 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $154.88 Median $234.42 Typical High $309.03 | Professional | 52 · Reduced service | $154.88 | $234.42 | $309.03 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $93.33 Typical High $123.03 | Professional | 53 · Discontinued | $61.66 | $93.33 | $123.03 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $346.74 Typical High $457.09 | Professional | 54 · Surgery only | $234.42 | $346.74 | $457.09 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $70.79 Typical High $91.20 | Professional | 55 · Aftercare only | $46.77 | $70.79 | $91.20 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $46.77 Typical High $61.66 | Professional | 56 · Pre-op care only | $30.90 | $46.77 | $61.66 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $218.78 Median $323.59 Typical High $426.58 | Professional | 78 · Unplanned return to OR | $218.78 | $323.59 | $426.58 |
Where Texas sits
The same service costs 5.9 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
$339
AK $1,698UT $288
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.