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 $891.25 Median $3,630.78 Typical High $9,120.11 | Facility | None | $891.25 | $3,630.78 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $263.03 Typical High $331.13 | Professional | None | $186.21 | $263.03 | $331.13 |
BCBS Texas Setting Professional Modifier None Typical Low $204.17 Median $281.84 Typical High $389.05 | Professional | None | $204.17 | $281.84 | $389.05 |
Christus Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $263.03 Typical High $2,290.87 | Facility | None | $186.21 | $263.03 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $323.59 Typical High $446.68 | Professional | None | $234.42 | $323.59 | $446.68 |
Lucent Health Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,570.40 | Professional | None | $2,238.72 | $2,238.72 | $2,570.40 |
Moda Health Setting Facility Modifier None Typical Low $239.88 Median $1,737.80 Typical High $6,456.54 | Facility | None | $239.88 | $1,737.80 | $6,456.54 |
Moda Health Setting Professional Modifier None Typical Low $186.21 Median $263.03 Typical High $338.84 | Professional | None | $186.21 | $263.03 | $338.84 |
Molina Setting Professional Modifier None Typical Low $10.72 Median $54.95 Typical High $251.19 | Professional | None | $10.72 | $54.95 | $251.19 |
Providence Setting Facility Modifier None Typical Low $199.53 Median $269.15 Typical High $2,290.87 | Facility | None | $199.53 | $269.15 | $2,290.87 |
Providence Setting Professional Modifier None Typical Low $234.42 Median $323.59 Typical High $436.52 | Professional | None | $234.42 | $323.59 | $436.52 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $4,570.88 Typical High $9,549.93 | Facility | None | $1,698.24 | $4,570.88 | $9,549.93 |
United Setting Professional Modifier None Typical Low $186.21 Median $269.15 Typical High $426.58 | Professional | None | $186.21 | $269.15 | $426.58 |
Wellpoint Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None | $302.00 | $302.00 | $302.00 |
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 78 · Unplanned return to OR Typical Low $128.82 Median $186.21 Typical High $234.42 | Professional | 78 · Unplanned return to OR | $128.82 | $186.21 | $234.42 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $128.82 Median $186.21 Typical High $223.87 | Professional | 78 · Unplanned return to OR | $128.82 | $186.21 | $223.87 |
Where Texas sits
The same service costs 5.0 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
$182
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.