How much rates vary
Facilitymedian $2,138 · 10th to 90th $603 to $10,965Professionalmedian $646 · 10th to 90th $35 to $1,660
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 $1,000.00 Median $3,715.35 Typical High $9,120.11 | Facility | None | $1,000.00 | $3,715.35 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $1,071.52 Typical High $1,230.27 | Professional | None | $912.01 | $1,071.52 | $1,230.27 |
BCBS Texas Setting Facility Modifier None Typical Low $1,258.93 Median $2,344.23 Typical High $14,454.40 | Facility | None | $1,258.93 | $2,344.23 | $14,454.40 |
BCBS Texas Setting Professional Modifier None Typical Low $1,122.02 Median $1,412.54 Typical High $2,089.30 | Professional | None | $1,122.02 | $1,412.54 | $2,089.30 |
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 $1,230.27 Median $1,479.11 Typical High $1,949.84 | Professional | None | $1,230.27 | $1,479.11 | $1,949.84 |
Lucent Health Setting Professional Modifier None Typical Low $8,709.64 Median $10,232.93 Typical High $10,232.93 | Professional | None | $8,709.64 | $10,232.93 | $10,232.93 |
Moda Health Setting Facility Modifier None Typical Low $977.24 Median $1,995.26 Typical High $6,918.31 | Facility | None | $977.24 | $1,995.26 | $6,918.31 |
Moda Health Setting Professional Modifier None Typical Low $912.01 Median $1,096.48 Typical High $1,548.82 | Professional | None | $912.01 | $1,096.48 | $1,548.82 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $181.97 Typical High $1,047.13 | Professional | None | $30.20 | $181.97 | $1,047.13 |
Oscar Health Setting Professional Modifier None Typical Low $1,288.25 Median $2,290.87 Typical High $2,951.21 | Professional | None | $1,288.25 | $2,290.87 | $2,951.21 |
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 $1,230.27 Median $1,479.11 Typical High $1,995.26 | Professional | None | $1,230.27 | $1,479.11 | $1,995.26 |
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 $954.99 Median $1,258.93 Typical High $1,905.46 | Professional | None | $954.99 | $1,258.93 | $1,905.46 |
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 |
4 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 $691.83 Median $812.83 Typical High $912.01 | Professional | 54 · Surgery only | $691.83 | $812.83 | $912.01 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $758.58 Typical High $851.14 | Professional | 78 · Unplanned return to OR | $645.65 | $758.58 | $851.14 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $691.83 Median $812.83 Typical High $912.01 | Professional | 54 · Surgery only | $691.83 | $812.83 | $912.01 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $758.58 Typical High $851.14 | Professional | 78 · Unplanned return to OR | $645.65 | $758.58 | $851.14 |
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
$741
AK $5,012TX $741
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.