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 $851.14 Median $2,754.23 Typical High $6,918.31 | Facility | None | $851.14 | $2,754.23 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $489.78 Typical High $676.08 | Professional | None | $436.52 | $489.78 | $676.08 |
BCBS Texas Setting Facility Modifier None Typical Low $933.25 Median $1,905.46 Typical High $4,570.88 | Facility | None | $933.25 | $1,905.46 | $4,570.88 |
BCBS Texas Setting Professional Modifier None Typical Low $489.78 Median $616.60 Typical High $831.76 | Professional | None | $489.78 | $616.60 | $831.76 |
Christus Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Facility | None | $1,148.15 | $1,148.15 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,258.93 Typical High $1,995.26 | Facility | None | $660.69 | $1,258.93 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $602.56 Typical High $794.33 | Professional | None | $478.63 | $602.56 | $794.33 |
Lucent Health Setting Professional Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $4,677.35 | Professional | None | $4,677.35 | $4,677.35 | $4,677.35 |
Moda Health Setting Facility Modifier None Typical Low $524.81 Median $2,187.76 Typical High $5,623.41 | Facility | None | $524.81 | $2,187.76 | $5,623.41 |
Moda Health Setting Professional Modifier None Typical Low $436.52 Median $489.78 Typical High $676.08 | Professional | None | $436.52 | $489.78 | $676.08 |
Molina Setting Professional Modifier None Typical Low $16.22 Median $85.11 Typical High $436.52 | Professional | None | $16.22 | $85.11 | $436.52 |
Providence Setting Facility Modifier None Typical Low $602.56 Median $1,348.96 Typical High $4,466.84 | Facility | None | $602.56 | $1,348.96 | $4,466.84 |
Providence Setting Professional Modifier None Typical Low $478.63 Median $602.56 Typical High $794.33 | Professional | None | $478.63 | $602.56 | $794.33 |
United Setting Facility Modifier None Typical Low $616.60 Median $2,041.74 Typical High $3,801.89 | Facility | None | $616.60 | $2,041.74 | $3,801.89 |
United Setting Professional Modifier None Typical Low $407.38 Median $524.81 Typical High $794.33 | Professional | None | $407.38 | $524.81 | $794.33 |
Wellpoint Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
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 $331.13 Median $363.08 Typical High $416.87 | Professional | 54 · Surgery only | $331.13 | $363.08 | $416.87 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $338.84 Typical High $389.05 | Professional | 78 · Unplanned return to OR | $309.03 | $338.84 | $389.05 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $363.08 Typical High $416.87 | Professional | 54 · Surgery only | $331.13 | $363.08 | $416.87 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $338.84 Typical High $389.05 | Professional | 78 · Unplanned return to OR | $309.03 | $338.84 | $389.05 |
Where Texas sits
The same service costs 8.1 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
$263
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.