How much rates vary
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 $1,071.52 Median $4,466.84 Typical High $13,182.57 | Facility | None | $1,071.52 | $4,466.84 | $13,182.57 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $446.68 Typical High $3,715.35 | Professional | None | $426.58 | $446.68 | $3,715.35 |
BCBS Texas Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,513.56 | $1,513.56 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $12,022.64 Typical High $19,498.45 | Facility | None | $660.69 | $12,022.64 | $19,498.45 |
Lucent Health Setting Professional Modifier None Typical Low $3,162.28 Median $3,801.89 Typical High $3,801.89 | Professional | None | $3,162.28 | $3,801.89 | $3,801.89 |
Moda Health Setting Facility Modifier None Typical Low $446.68 Median $3,715.35 Typical High $14,791.08 | Facility | None | $446.68 | $3,715.35 | $14,791.08 |
Moda Health Setting Professional Modifier None Typical Low $426.58 Median $446.68 Typical High $467.74 | Professional | None | $426.58 | $446.68 | $467.74 |
Providence Setting Facility Modifier None Typical Low $426.58 Median $2,691.53 Typical High $44,668.36 | Facility | None | $426.58 | $2,691.53 | $44,668.36 |
Providence Setting Professional Modifier None Typical Low $363.08 Median $794.33 Typical High $1,047.13 | Professional | None | $363.08 | $794.33 | $1,047.13 |
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 $338.84 Median $501.19 Typical High $758.58 | Professional | None | $338.84 | $501.19 | $758.58 |
Wellpoint Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None | $371.54 | $371.54 | $371.54 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | 82 · Assistant surgeon, no resident | $89.13 | $89.13 | $89.13 |
Where Texas sits
The same service costs 7.2 times more in Texas than in New York. 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· 1st of 51
$3,162
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.