How much rates vary
Facilitymedian $2,754 · 10th to 90th $1,202 to $6,761Professionalmedian $275 · 10th to 90th $41 to $1,413
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 $1,148.15 Median $3,311.31 Typical High $9,120.11 | Facility | None | $1,148.15 | $3,311.31 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,174.90 Typical High $1,584.89 | Professional | None | $1,047.13 | $1,174.90 | $1,584.89 |
Ambetter Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,122.02 | $1,122.02 | $1,122.02 |
BCBS Setting Facility Modifier None Typical Low $1,202.26 Median $2,570.40 Typical High $6,606.93 | Facility | None | $1,202.26 | $2,570.40 | $6,606.93 |
BCBS Setting Professional Modifier None Typical Low $1,148.15 Median $1,445.44 Typical High $2,089.30 | Professional | None | $1,148.15 | $1,445.44 | $2,089.30 |
Christus Setting Facility Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Facility | None | $2,754.23 | $2,754.23 | $2,754.23 |
Cigna Setting Facility Modifier None Typical Low $1,202.26 Median $1,659.59 Typical High $4,570.88 | Facility | None | $1,202.26 | $1,659.59 | $4,570.88 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,412.54 Typical High $1,949.84 | Professional | None | $1,174.90 | $1,412.54 | $1,949.84 |
Lucent Health Setting Professional Modifier None Typical Low $8,912.51 Median $10,000.00 Typical High $10,000.00 | Professional | None | $8,912.51 | $10,000.00 | $10,000.00 |
Moda Health Setting Facility Modifier None Typical Low $870.96 Median $2,454.71 Typical High $6,918.31 | Facility | None | $870.96 | $2,454.71 | $6,918.31 |
Moda Health Setting Professional Modifier None Typical Low $1,047.13 Median $1,174.90 Typical High $1,584.89 | Professional | None | $1,047.13 | $1,174.90 | $1,584.89 |
Molina Setting Professional Modifier None Typical Low $37.15 Median $204.17 Typical High $1,047.13 | Professional | None | $37.15 | $204.17 | $1,047.13 |
Providence Setting Facility Modifier None Typical Low $1,202.26 Median $1,862.09 Typical High $11,748.98 | Facility | None | $1,202.26 | $1,862.09 | $11,748.98 |
Providence Setting Professional Modifier None Typical Low $1,148.15 Median $1,412.54 Typical High $1,949.84 | Professional | None | $1,148.15 | $1,412.54 | $1,949.84 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $3,311.31 Typical High $6,606.93 | Facility | None | $1,258.93 | $3,311.31 | $6,606.93 |
United Setting Professional Modifier None Typical Low $1,000.00 Median $1,318.26 Typical High $1,995.26 | Professional | None | $1,000.00 | $1,318.26 | $1,995.26 |
Wellpoint Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | None | $1,148.15 | $1,148.15 | $1,148.15 |
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 $794.33 Median $870.96 Typical High $1,000.00 | Professional | 54 · Surgery only | $794.33 | $870.96 | $1,000.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $812.83 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $741.31 | $812.83 | $933.25 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $794.33 Median $870.96 Typical High $977.24 | Professional | 54 · Surgery only | $794.33 | $870.96 | $977.24 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $812.83 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $741.31 | $812.83 | $912.01 |
Where Texas sits
The same service costs 3.4 times more in Alaska than in Maryland. 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
AK $8,759MD $2,608
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.