How much rates vary
Facilitymedian $13,183 · 10th to 90th $1,905 to $31,623Professionalmedian $309 · 10th to 90th $41 to $1,318
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 $1,096.48 Median $3,311.31 Typical High $9,120.11 | Facility | None | $1,096.48 | $3,311.31 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $1,096.48 Typical High $1,584.89 | Professional | None | $977.24 | $1,096.48 | $1,584.89 |
Ambetter Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | None | $1,047.13 | $1,047.13 | $1,047.13 |
BCBS Texas Setting Facility Modifier None Typical Low $8,709.64 Median $17,378.01 Typical High $41,686.94 | Facility | None | $8,709.64 | $17,378.01 | $41,686.94 |
BCBS Texas Setting Professional Modifier None Typical Low $1,071.52 Median $1,318.26 Typical High $1,778.28 | Professional | None | $1,071.52 | $1,318.26 | $1,778.28 |
Christus Setting Facility Modifier None Typical Low $21,877.62 Median $21,877.62 Typical High $21,877.62 | Facility | None | $21,877.62 | $21,877.62 | $21,877.62 |
Cigna Setting Facility Modifier None Typical Low $1,737.80 Median $20,417.38 Typical High $29,512.09 | Facility | None | $1,737.80 | $20,417.38 | $29,512.09 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,318.26 Typical High $1,737.80 | Professional | None | $1,071.52 | $1,318.26 | $1,737.80 |
Lucent Health Setting Professional Modifier None Typical Low $8,511.38 Median $9,120.11 Typical High $9,120.11 | Professional | None | $8,511.38 | $9,120.11 | $9,120.11 |
Moda Health Setting Facility Modifier None Typical Low $870.96 Median $2,511.89 Typical High $6,918.31 | Facility | None | $870.96 | $2,511.89 | $6,918.31 |
Moda Health Setting Professional Modifier None Typical Low $977.24 Median $1,096.48 Typical High $1,513.56 | Professional | None | $977.24 | $1,096.48 | $1,513.56 |
Molina Setting Professional Modifier None Typical Low $37.15 Median $194.98 Typical High $954.99 | Professional | None | $37.15 | $194.98 | $954.99 |
Oscar Health Setting Professional Modifier None Typical Low $3,801.89 Median $3,890.45 Typical High $4,073.80 | Professional | None | $3,801.89 | $3,890.45 | $4,073.80 |
Providence Setting Facility Modifier None Typical Low $1,479.11 Median $12,589.25 Typical High $26,302.68 | Facility | None | $1,479.11 | $12,589.25 | $26,302.68 |
Providence Setting Professional Modifier None Typical Low $1,047.13 Median $1,318.26 Typical High $1,737.80 | Professional | None | $1,047.13 | $1,318.26 | $1,737.80 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $4,570.88 Typical High $10,232.93 | Facility | None | $1,698.24 | $4,570.88 | $10,232.93 |
United Setting Professional Modifier None Typical Low $933.25 Median $1,174.90 Typical High $1,819.70 | Professional | None | $933.25 | $1,174.90 | $1,819.70 |
Wellpoint 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 |
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 $741.31 Median $812.83 Typical High $933.25 | Professional | 54 · Surgery only | $741.31 | $812.83 | $933.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $758.58 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $691.83 | $758.58 | $870.96 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $812.83 Typical High $933.25 | Professional | 54 · Surgery only | $741.31 | $812.83 | $933.25 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $758.58 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $691.83 | $758.58 | $870.96 |
Where Texas sits
The same service costs 8.5 times more in Wyoming than in Kentucky. 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.
Physician feeFacility fee
WY $22,644KY $2,656
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.