How much rates vary
Facilitymedian $4,467 · 10th to 90th $1,413 to $12,023Professionalmedian $174 · 10th to 90th $22 to $1,259
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 $1,122.02 Median $3,801.89 Typical High $9,120.11 | Facility | None | $1,122.02 | $3,801.89 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,096.48 Typical High $3,019.95 | Professional | None | $1,047.13 | $1,096.48 | $3,019.95 |
BCBS Texas Setting Facility Modifier None Typical Low $4,570.88 Median $8,128.31 Typical High $16,982.44 | Facility | None | $4,570.88 | $8,128.31 | $16,982.44 |
BCBS Texas Setting Professional Modifier None Typical Low $1,071.52 Median $1,122.02 Typical High $1,479.11 | Professional | None | $1,071.52 | $1,122.02 | $1,479.11 |
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 $954.99 Median $3,715.35 Typical High $4,897.79 | Facility | None | $954.99 | $3,715.35 | $4,897.79 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,288.25 Typical High $1,949.84 | Professional | None | $1,148.15 | $1,288.25 | $1,949.84 |
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 $10,000.00 Median $10,000.00 Typical High $10,000.00 | Professional | None | $10,000.00 | $10,000.00 | $10,000.00 |
Moda Health Setting Facility Modifier None Typical Low $1,000.00 Median $2,570.40 Typical High $6,918.31 | Facility | None | $1,000.00 | $2,570.40 | $6,918.31 |
Moda Health Setting Professional Modifier None Typical Low $1,047.13 Median $1,096.48 Typical High $1,548.82 | Professional | None | $1,047.13 | $1,096.48 | $1,548.82 |
Molina Setting Professional Modifier None Typical Low $19.95 Median $147.91 Typical High $954.99 | Professional | None | $19.95 | $147.91 | $954.99 |
Providence Setting Facility Modifier None Typical Low $1,000.00 Median $3,715.35 Typical High $7,585.78 | Facility | None | $1,000.00 | $3,715.35 | $7,585.78 |
Providence Setting Professional Modifier None Typical Low $1,148.15 Median $1,288.25 Typical High $1,949.84 | Professional | None | $1,148.15 | $1,288.25 | $1,949.84 |
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 $912.01 Median $1,202.26 Typical High $1,862.09 | Professional | None | $912.01 | $1,202.26 | $1,862.09 |
Wellpoint Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None | $1,023.29 | $1,023.29 | $1,023.29 |
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 $524.81 Median $549.54 Typical High $630.96 | Professional | 52 · Reduced service | $524.81 | $549.54 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $223.87 Typical High $257.04 | Professional | 53 · Discontinued | $208.93 | $223.87 | $257.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $794.33 Median $831.76 Typical High $954.99 | Professional | 54 · Surgery only | $794.33 | $831.76 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $165.96 Typical High $190.55 | Professional | 55 · Aftercare only | $158.49 | $165.96 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $109.65 Typical High $128.82 | Professional | 56 · Pre-op care only | $104.71 | $109.65 | $128.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $776.25 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $741.31 | $776.25 | $891.25 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $524.81 Median $549.54 Typical High $630.96 | Professional | 52 · Reduced service | $524.81 | $549.54 | $630.96 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $223.87 Typical High $257.04 | Professional | 53 · Discontinued | $208.93 | $223.87 | $257.04 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $794.33 Median $831.76 Typical High $954.99 | Professional | 54 · Surgery only | $794.33 | $831.76 | $954.99 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $165.96 Typical High $190.55 | Professional | 55 · Aftercare only | $158.49 | $165.96 | $190.55 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $109.65 Typical High $128.82 | Professional | 56 · Pre-op care only | $104.71 | $109.65 | $128.82 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $776.25 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $741.31 | $776.25 | $891.25 |
Where Texas sits
The same service costs 6.8 times more in Alaska than in Texas. 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· 51st of 51
$692
AK $4,677TX $692
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.