How much rates vary
Facilitymedian $2,570 · 10th to 90th $1,148 to $5,754Professionalmedian $309 · 10th to 90th $45 to $537
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 $501.19 Median $2,187.76 Typical High $6,760.83 | Facility | None | $501.19 | $2,187.76 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $416.87 Typical High $524.81 | Professional | None | $288.40 | $416.87 | $524.81 |
Ambetter Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $457.09 | Professional | None | $309.03 | $309.03 | $457.09 |
BCBS Texas Setting Facility Modifier None Typical Low $1,202.26 Median $2,570.40 Typical High $6,456.54 | Facility | None | $1,202.26 | $2,570.40 | $6,456.54 |
BCBS Texas Setting Professional Modifier None Typical Low $309.03 Median $426.58 Typical High $691.83 | Professional | None | $309.03 | $426.58 | $691.83 |
Christus Setting Facility Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Facility | None | $3,235.94 | $3,235.94 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,584.89 Typical High $2,187.76 | Facility | None | $660.69 | $1,584.89 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $489.78 Typical High $676.08 | Professional | None | $354.81 | $489.78 | $676.08 |
Lucent Health Setting Professional Modifier None Typical Low $3,388.44 Median $4,073.80 Typical High $4,073.80 | Professional | None | $3,388.44 | $4,073.80 | $4,073.80 |
Moda Health Setting Facility Modifier None Typical Low $416.87 Median $1,905.46 Typical High $5,128.61 | Facility | None | $416.87 | $1,905.46 | $5,128.61 |
Moda Health Setting Professional Modifier None Typical Low $288.40 Median $416.87 Typical High $524.81 | Professional | None | $288.40 | $416.87 | $524.81 |
Molina Setting Professional Modifier None Typical Low $15.85 Median $85.11 Typical High $416.87 | Professional | None | $15.85 | $85.11 | $416.87 |
Providence Setting Facility Modifier None Typical Low $478.63 Median $1,659.59 Typical High $4,466.84 | Facility | None | $478.63 | $1,659.59 | $4,466.84 |
Providence Setting Professional Modifier None Typical Low $354.81 Median $489.78 Typical High $676.08 | Professional | None | $354.81 | $489.78 | $676.08 |
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 $288.40 Median $426.58 Typical High $660.69 | Professional | None | $288.40 | $426.58 | $660.69 |
Wellpoint Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None | $478.63 | $478.63 | $478.63 |
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 $218.78 Median $316.23 Typical High $389.05 | Professional | 54 · Surgery only | $218.78 | $316.23 | $389.05 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $204.17 Median $295.12 Typical High $363.08 | Professional | 78 · Unplanned return to OR | $204.17 | $295.12 | $363.08 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $316.23 Typical High $380.19 | Professional | 54 · Surgery only | $218.78 | $316.23 | $380.19 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $204.17 Median $295.12 Typical High $354.81 | Professional | 78 · Unplanned return to OR | $204.17 | $295.12 | $354.81 |
Where Texas sits
The same service costs 6.0 times more in Colorado than in West Virginia. 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
CO $6,136WV $1,026
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.