How much rates vary
Facilitymedian $1,096 · 10th to 90th $380 to $3,890Professionalmedian $245 · 10th to 90th $54 to $1,738
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 $676.08 Median $2,570.40 Typical High $6,918.31 | Facility | None | $676.08 | $2,570.40 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $251.19 Typical High $316.23 | Professional | None | $75.86 | $251.19 | $316.23 |
BCBS Texas Setting Facility Modifier None Typical Low $616.60 Median $1,148.15 Typical High $2,754.23 | Facility | None | $616.60 | $1,148.15 | $2,754.23 |
BCBS Texas Setting Professional Modifier None Typical Low $70.79 Median $223.87 Typical High $380.19 | Professional | None | $70.79 | $223.87 | $380.19 |
Christus Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $457.09 Typical High $1,412.54 | Facility | None | $338.84 | $457.09 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $162.18 Typical High $371.54 | Professional | None | $83.18 | $162.18 | $371.54 |
Lucent Health Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $2,398.83 | Professional | None | $1,737.80 | $1,737.80 | $2,398.83 |
Moda Health Setting Facility Modifier None Typical Low $100.00 Median $1,258.93 Typical High $5,248.07 | Facility | None | $100.00 | $1,258.93 | $5,248.07 |
Moda Health Setting Professional Modifier None Typical Low $75.86 Median $245.47 Typical High $323.59 | Professional | None | $75.86 | $245.47 | $323.59 |
Molina Setting Professional Modifier None Typical Low $43.65 Median $239.88 Typical High $323.59 | Professional | None | $43.65 | $239.88 | $323.59 |
Providence Setting Facility Modifier None Typical Low $275.42 Median $501.19 Typical High $3,801.89 | Facility | None | $275.42 | $501.19 | $3,801.89 |
Providence Setting Professional Modifier None Typical Low $83.18 Median $165.96 Typical High $371.54 | Professional | None | $83.18 | $165.96 | $371.54 |
United Setting Facility Modifier None Typical Low $389.05 Median $1,230.27 Typical High $3,090.30 | Facility | None | $389.05 | $1,230.27 | $3,090.30 |
United Setting Professional Modifier None Typical Low $69.18 Median $186.21 Typical High $380.19 | Professional | None | $69.18 | $186.21 | $380.19 |
Wellpoint Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | None | $275.42 | $275.42 | $275.42 |
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 54 · Surgery only Typical Low $56.23 Median $173.78 Typical High $229.09 | Professional | 54 · Surgery only | $56.23 | $173.78 | $229.09 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $56.23 Median $173.78 Typical High $229.09 | Professional | 54 · Surgery only | $56.23 | $173.78 | $229.09 |
Where Texas sits
The same service costs 5.8 times more in New York than in Montana. 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
NY $2,983MT $514
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.