How much rates vary
Facilitymedian $4,169 · 10th to 90th $1,698 to $7,943Professionalmedian $1,349 · 10th to 90th $155 to $11,220
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 $977.24 Median $3,235.94 Typical High $8,511.38 | Facility | None | $977.24 | $3,235.94 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $1,584.89 Typical High $2,137.96 | Professional | None | $154.88 | $1,584.89 | $2,137.96 |
BCBS Texas Setting Facility Modifier None Typical Low $1,698.24 Median $3,715.35 Typical High $7,585.78 | Facility | None | $1,698.24 | $3,715.35 | $7,585.78 |
BCBS Texas Setting Professional Modifier None Typical Low $128.82 Median $1,148.15 Typical High $2,398.83 | Professional | None | $128.82 | $1,148.15 | $2,398.83 |
Christus Setting Facility Modifier None Typical Low $7,943.28 Median $7,943.28 Typical High $7,943.28 | Facility | None | $7,943.28 | $7,943.28 | $7,943.28 |
Cigna Setting Facility Modifier None Typical Low $1,584.89 Median $3,981.07 Typical High $6,165.95 | Facility | None | $1,584.89 | $3,981.07 | $6,165.95 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $467.74 Typical High $2,630.27 | Professional | None | $162.18 | $467.74 | $2,630.27 |
Lucent Health Setting Professional Modifier None Typical Low $11,220.18 Median $13,803.84 Typical High $13,803.84 | Professional | None | $11,220.18 | $13,803.84 | $13,803.84 |
Moda Health Setting Facility Modifier None Typical Low $194.98 Median $2,290.87 Typical High $5,623.41 | Facility | None | $194.98 | $2,290.87 | $5,623.41 |
Moda Health Setting Professional Modifier None Typical Low $154.88 Median $1,000.00 Typical High $2,089.30 | Professional | None | $154.88 | $1,000.00 | $2,089.30 |
Molina Setting Professional Modifier None Typical Low $223.87 Median $1,230.27 Typical High $1,698.24 | Professional | None | $223.87 | $1,230.27 | $1,698.24 |
Providence Setting Facility Modifier None Typical Low $630.96 Median $4,073.80 Typical High $11,748.98 | Facility | None | $630.96 | $4,073.80 | $11,748.98 |
Providence Setting Professional Modifier None Typical Low $162.18 Median $478.63 Typical High $2,630.27 | Professional | None | $162.18 | $478.63 | $2,630.27 |
United Setting Facility Modifier None Typical Low $1,737.80 Median $4,570.88 Typical High $10,232.93 | Facility | None | $1,737.80 | $4,570.88 | $10,232.93 |
United Setting Professional Modifier None Typical Low $138.04 Median $1,023.29 Typical High $2,818.38 | Professional | None | $138.04 | $1,023.29 | $2,818.38 |
Wellpoint Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,584.89 | $1,584.89 | $1,584.89 |
6 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 $117.49 Median $549.54 Typical High $1,513.56 | Professional | 54 · Surgery only | $117.49 | $549.54 | $1,513.56 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $1,023.29 Median $1,122.02 Typical High $2,951.21 | Professional | 50 · Both sides | $1,023.29 | $1,122.02 | $2,951.21 |
Ambetter Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $281.84 Median $281.84 Typical High $309.03 | Professional | 81 · Minimal assistant surgeon | $281.84 | $281.84 | $309.03 |
Moda Health Setting Facility Modifier 50 · Both sides Typical Low $1,318.26 Median $2,238.72 Typical High $2,290.87 | Facility | 50 · Both sides | $1,318.26 | $2,238.72 | $2,290.87 |
Moda Health Setting Professional Modifier 50 · Both sides Typical Low $91.20 Median $2,290.87 Typical High $4,786.30 | Professional | 50 · Both sides | $91.20 | $2,290.87 | $4,786.30 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $117.49 Median $549.54 Typical High $1,513.56 | Professional | 54 · Surgery only | $117.49 | $549.54 | $1,513.56 |
Where Texas sits
The same service costs 10.0 times more in Alaska than in Nebraska. 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· 37th of 51
$1,622
AK $3,020NE $302
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.