How much rates vary
Facilitymedian $2,344 · 10th to 90th $1,000 to $4,467Professionalmedian $1,259 · 10th to 90th $1,202 to $1,288
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 $1,258.93 Median $1,905.46 Typical High $2,754.23 | Facility | None | $1,258.93 | $1,905.46 | $2,754.23 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,698.24 | Professional | None | $1,258.93 | $1,258.93 | $1,698.24 |
BCBS Texas Setting Facility Modifier None Typical Low $1,000.00 Median $2,454.71 Typical High $4,570.88 | Facility | None | $1,000.00 | $2,454.71 | $4,570.88 |
BCBS Texas Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $1,949.84 Typical High $4,168.69 | Facility | None | $1,288.25 | $1,949.84 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,288.25 | $1,288.25 | $1,288.25 |
Moda Health Setting Facility Modifier None Typical Low $933.25 Median $1,513.56 Typical High $3,388.44 | Facility | None | $933.25 | $1,513.56 | $3,388.44 |
Moda Health Setting Professional Modifier None Typical Low $1,148.15 Median $1,258.93 Typical High $1,862.09 | Professional | None | $1,148.15 | $1,258.93 | $1,862.09 |
Molina Setting Professional Modifier None Typical Low $602.56 Median $645.65 Typical High $1,288.25 | Professional | None | $602.56 | $645.65 | $1,288.25 |
Providence Setting Facility Modifier None Typical Low $1,258.93 Median $1,548.82 Typical High $11,220.18 | Facility | None | $1,258.93 | $1,548.82 | $11,220.18 |
Providence Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,288.25 | $1,288.25 | $1,288.25 |
United Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
Wellpoint Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,202.26 | $1,202.26 | $1,202.26 |
15 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 Facility Modifier 52 · Reduced service Typical Low $630.96 Median $1,000.00 Typical High $1,380.38 | Facility | 52 · Reduced service | $630.96 | $1,000.00 | $1,380.38 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $257.04 Median $398.11 Typical High $549.54 | Facility | 53 · Discontinued | $257.04 | $398.11 | $549.54 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $954.99 Median $1,513.56 Typical High $2,041.74 | Facility | 54 · Surgery only | $954.99 | $1,513.56 | $2,041.74 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $190.55 Median $302.00 Typical High $416.87 | Facility | 55 · Aftercare only | $190.55 | $302.00 | $416.87 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $125.89 Median $199.53 Typical High $275.42 | Facility | 56 · Pre-op care only | $125.89 | $199.53 | $275.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | 52 · Reduced service | $630.96 | $630.96 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | 53 · Discontinued | $257.04 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | 54 · Surgery only | $954.99 | $954.99 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | 55 · Aftercare only | $190.55 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 56 · Pre-op care only | $125.89 | $125.89 | $125.89 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | 52 · Reduced service | $630.96 | $630.96 | $630.96 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | 53 · Discontinued | $257.04 | $257.04 | $257.04 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | 54 · Surgery only | $954.99 | $954.99 | $954.99 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | 55 · Aftercare only | $190.55 | $190.55 | $190.55 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 56 · Pre-op care only | $125.89 | $125.89 | $125.89 |
Where Texas sits
The same service costs 2.9 times more in Minnesota than in Alabama. 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· 29th of 51
$1,288
MN $2,239AL $776
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.