How much rates vary
Facilitymedian $10,715 · 10th to 90th $4,365 to $26,303Professionalmedian $479 · 10th to 90th $135 to $851
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 $1,202.26 Median $4,570.88 Typical High $15,135.61 | Facility | None | $1,202.26 | $4,570.88 | $15,135.61 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $9,120.11 | Professional | None | $676.08 | $676.08 | $9,120.11 |
BCBS Texas Setting Facility Modifier None Typical Low $6,918.31 Median $12,882.50 Typical High $33,884.42 | Facility | None | $6,918.31 | $12,882.50 | $33,884.42 |
Christus Setting Facility Modifier None Typical Low $10,232.93 Median $10,232.93 Typical High $10,232.93 | Facility | None | $10,232.93 | $10,232.93 | $10,232.93 |
Cigna Setting Facility Modifier None Typical Low $7,943.28 Median $12,022.64 Typical High $19,952.62 | Facility | None | $7,943.28 | $12,022.64 | $19,952.62 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
Moda Health Setting Facility Modifier None Typical Low $1,230.27 Median $15,488.17 Typical High $23,442.29 | Facility | None | $1,230.27 | $15,488.17 | $23,442.29 |
Moda Health Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $4,786.30 | Professional | None | $676.08 | $676.08 | $4,786.30 |
Molina Setting Professional Modifier None Typical Low $54.95 Median $457.09 Typical High $478.63 | Professional | None | $54.95 | $457.09 | $478.63 |
Providence Setting Facility Modifier None Typical Low $7,585.78 Median $10,715.19 Typical High $20,417.38 | Facility | None | $7,585.78 | $10,715.19 | $20,417.38 |
Providence Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
United Setting Facility Modifier None Typical Low $3,981.07 Median $10,232.93 Typical High $26,302.68 | Facility | None | $3,981.07 | $10,232.93 | $26,302.68 |
Wellpoint Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | None | $851.14 | $851.14 | $851.14 |
10 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 $338.84 Median $338.84 Typical High $338.84 | Professional | 52 · Reduced service | $338.84 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | 53 · Discontinued | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | 54 · Surgery only | $501.19 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | 55 · Aftercare only | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 56 · Pre-op care only | $67.61 | $67.61 | $67.61 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | 52 · Reduced service | $338.84 | $338.84 | $338.84 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | 53 · Discontinued | $134.90 | $134.90 | $134.90 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | 54 · Surgery only | $501.19 | $501.19 | $501.19 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | 55 · Aftercare only | $100.00 | $100.00 | $100.00 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 56 · Pre-op care only | $67.61 | $67.61 | $67.61 |
Where Texas sits
The same service costs 281.8 times more in Minnesota than in Montana. 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· 9th of 51
$10,233
MN $22,387MT $79.43
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.