How much rates vary
Facilitymedian $4,571 · 10th to 90th $2,138 to $11,482Professionalmedian $219 · 10th to 90th $29 to $1,622
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 $1,288.25 Median $4,168.69 Typical High $10,964.78 | Facility | None | $1,288.25 | $4,168.69 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,230.27 Typical High $3,019.95 | Professional | None | $1,174.90 | $1,230.27 | $3,019.95 |
BCBS Texas Setting Facility Modifier None Typical Low $2,398.83 Median $4,897.79 Typical High $12,589.25 | Facility | None | $2,398.83 | $4,897.79 | $12,589.25 |
BCBS Texas Setting Professional Modifier None Typical Low $1,174.90 Median $1,258.93 Typical High $1,621.81 | Professional | None | $1,174.90 | $1,258.93 | $1,621.81 |
Christus Setting Facility Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $3,715.35 | Facility | None | $3,715.35 | $3,715.35 | $3,715.35 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $3,715.35 Typical High $5,248.07 | Facility | None | $1,288.25 | $3,715.35 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,445.44 Typical High $2,137.96 | Professional | None | $1,258.93 | $1,445.44 | $2,137.96 |
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 $9,332.54 Median $9,332.54 Typical High $10,232.93 | Professional | None | $9,332.54 | $9,332.54 | $10,232.93 |
Moda Health Setting Facility Modifier None Typical Low $1,071.52 Median $2,187.76 Typical High $8,128.31 | Facility | None | $1,071.52 | $2,187.76 | $8,128.31 |
Moda Health Setting Professional Modifier None Typical Low $1,174.90 Median $1,230.27 Typical High $1,737.80 | Professional | None | $1,174.90 | $1,230.27 | $1,737.80 |
Molina Setting Professional Modifier None Typical Low $25.70 Median $173.78 Typical High $1,096.48 | Professional | None | $25.70 | $173.78 | $1,096.48 |
Providence Setting Facility Modifier None Typical Low $1,258.93 Median $3,890.45 Typical High $9,772.37 | Facility | None | $1,258.93 | $3,890.45 | $9,772.37 |
Providence Setting Professional Modifier None Typical Low $1,258.93 Median $1,445.44 Typical High $2,137.96 | Professional | None | $1,258.93 | $1,445.44 | $2,137.96 |
United Setting Facility Modifier None Typical Low $2,137.96 Median $5,248.07 Typical High $12,302.69 | Facility | None | $2,137.96 | $5,248.07 | $12,302.69 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,318.26 Typical High $1,995.26 | Professional | None | $977.24 | $1,318.26 | $1,995.26 |
Wellpoint Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | None | $1,174.90 | $1,174.90 | $1,174.90 |
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 $588.84 Median $616.60 Typical High $707.95 | Professional | 52 · Reduced service | $588.84 | $616.60 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $245.47 Typical High $281.84 | Professional | 53 · Discontinued | $234.42 | $245.47 | $281.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $891.25 Median $933.25 Typical High $1,071.52 | Professional | 54 · Surgery only | $891.25 | $933.25 | $1,071.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $186.21 Typical High $213.80 | Professional | 55 · Aftercare only | $177.83 | $186.21 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $123.03 Typical High $141.25 | Professional | 56 · Pre-op care only | $117.49 | $123.03 | $141.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $870.96 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $831.76 | $870.96 | $1,000.00 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $588.84 Median $616.60 Typical High $707.95 | Professional | 52 · Reduced service | $588.84 | $616.60 | $707.95 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $245.47 Typical High $281.84 | Professional | 53 · Discontinued | $234.42 | $245.47 | $281.84 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $891.25 Median $933.25 Typical High $1,071.52 | Professional | 54 · Surgery only | $891.25 | $933.25 | $1,071.52 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $186.21 Typical High $213.80 | Professional | 55 · Aftercare only | $177.83 | $186.21 | $213.80 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $123.03 Typical High $141.25 | Professional | 56 · Pre-op care only | $117.49 | $123.03 | $141.25 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $870.96 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $831.76 | $870.96 | $1,000.00 |
Where Texas sits
The same service costs 6.2 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
$871
AK $5,248UT $851
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.