How much rates vary
Facilitymedian $1,862 · 10th to 90th $490 to $10,471Professionalmedian $191 · 10th to 90th $22 to $1,175
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 $954.99 Median $3,715.35 Typical High $9,120.11 | Facility | None | $954.99 | $3,715.35 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $891.25 Typical High $1,348.96 | Professional | None | $707.95 | $891.25 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,288.25 Typical High $2,691.53 | Facility | None | $630.96 | $1,288.25 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None | $1,071.52 | $1,071.52 | $1,071.52 |
Lucent Health Setting Professional Modifier None Typical Low $7,762.47 Median $10,232.93 Typical High $10,232.93 | Professional | None | $7,762.47 | $10,232.93 | $10,232.93 |
Moda Health Setting Facility Modifier None Typical Low $870.96 Median $1,905.46 Typical High $6,918.31 | Facility | None | $870.96 | $1,905.46 | $6,918.31 |
Moda Health Setting Professional Modifier None Typical Low $707.95 Median $891.25 Typical High $1,380.38 | Professional | None | $707.95 | $891.25 | $1,380.38 |
Molina Setting Professional Modifier None Typical Low $20.42 Median $165.96 Typical High $1,096.48 | Professional | None | $20.42 | $165.96 | $1,096.48 |
Providence Setting Facility Modifier None Typical Low $758.58 Median $1,513.56 Typical High $251,188.64 | Facility | None | $758.58 | $1,513.56 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None | $1,071.52 | $1,071.52 | $1,071.52 |
United Setting Facility Modifier None Typical Low $407.38 Median $2,137.96 Typical High $8,912.51 | Facility | None | $407.38 | $2,137.96 | $8,912.51 |
United Setting Professional Modifier None Typical Low $891.25 Median $1,174.90 Typical High $1,698.24 | Professional | None | $891.25 | $1,174.90 | $1,698.24 |
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 |
8 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 54 · Surgery only Typical Low $537.03 Median $676.08 Typical High $1,000.00 | Professional | 54 · Surgery only | $537.03 | $676.08 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $134.90 Typical High $199.53 | Professional | 55 · Aftercare only | $107.15 | $134.90 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $89.13 Typical High $134.90 | Professional | 56 · Pre-op care only | $70.79 | $89.13 | $134.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $501.19 Median $630.96 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $501.19 | $630.96 | $933.25 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $676.08 Typical High $933.25 | Professional | 54 · Surgery only | $537.03 | $676.08 | $933.25 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $134.90 Typical High $186.21 | Professional | 55 · Aftercare only | $107.15 | $134.90 | $186.21 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $89.13 Typical High $123.03 | Professional | 56 · Pre-op care only | $70.79 | $89.13 | $123.03 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $501.19 Median $630.96 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $501.19 | $630.96 | $870.96 |
Where Texas sits
The same service costs 16.2 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
$191
AK $3,090TX $191
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.