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 $1,230.27 Median $3,311.31 Typical High $9,120.11 | Facility | None | $1,230.27 | $3,311.31 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $1,659.59 Median $1,778.28 Typical High $2,137.96 | Professional | None | $1,659.59 | $1,778.28 | $2,137.96 |
BCBS Texas Setting Facility Modifier None Typical Low $707.95 Median $1,230.27 Typical High $6,309.57 | Facility | None | $707.95 | $1,230.27 | $6,309.57 |
BCBS Texas Setting Professional Modifier None Typical Low $1,548.82 Median $1,862.09 Typical High $2,570.40 | Professional | None | $1,548.82 | $1,862.09 | $2,570.40 |
Christus Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,071.52 | $1,071.52 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $1,148.15 Typical High $4,265.80 | Facility | None | $851.14 | $1,148.15 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $1,513.56 Median $1,995.26 Typical High $2,754.23 | Professional | None | $1,513.56 | $1,995.26 | $2,754.23 |
Lucent Health Setting Professional Modifier None Typical Low $12,302.69 Median $16,595.87 Typical High $16,595.87 | Professional | None | $12,302.69 | $16,595.87 | $16,595.87 |
Moda Health Setting Facility Modifier None Typical Low $870.96 Median $2,691.53 Typical High $6,918.31 | Facility | None | $870.96 | $2,691.53 | $6,918.31 |
Moda Health Setting Professional Modifier None Typical Low $1,659.59 Median $1,778.28 Typical High $2,511.89 | Professional | None | $1,659.59 | $1,778.28 | $2,511.89 |
Molina Setting Professional Modifier None Typical Low $275.42 Median $1,548.82 Typical High $2,089.30 | Professional | None | $275.42 | $1,548.82 | $2,089.30 |
Oscar Health Setting Professional Modifier None Typical Low $6,456.54 Median $6,918.31 Typical High $7,413.10 | Professional | None | $6,456.54 | $6,918.31 | $7,413.10 |
Providence Setting Facility Modifier None Typical Low $954.99 Median $1,479.11 Typical High $9,772.37 | Facility | None | $954.99 | $1,479.11 | $9,772.37 |
Providence Setting Professional Modifier None Typical Low $1,513.56 Median $1,995.26 Typical High $2,754.23 | Professional | None | $1,513.56 | $1,995.26 | $2,754.23 |
United Setting Facility Modifier None Typical Low $389.05 Median $1,288.25 Typical High $3,311.31 | Facility | None | $389.05 | $1,288.25 | $3,311.31 |
United Setting Professional Modifier None Typical Low $1,348.96 Median $1,862.09 Typical High $2,818.38 | Professional | None | $1,348.96 | $1,862.09 | $2,818.38 |
Wellpoint Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,905.46 | $1,905.46 | $1,905.46 |
2 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 $1,258.93 Median $1,318.26 Typical High $1,621.81 | Professional | 54 · Surgery only | $1,258.93 | $1,318.26 | $1,621.81 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $1,258.93 Median $1,318.26 Typical High $1,621.81 | Professional | 54 · Surgery only | $1,258.93 | $1,318.26 | $1,621.81 |
Where Texas sits
The same service costs 4.8 times more in Alaska than in Delaware. 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· 42nd of 51
$1,820
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.