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 $1,122.02 Median $3,715.35 Typical High $9,120.11 | Facility | None | $1,122.02 | $3,715.35 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $1,905.46 Median $2,137.96 Typical High $2,511.89 | Professional | None | $1,905.46 | $2,137.96 | $2,511.89 |
BCBS Texas Setting Professional Modifier None Typical Low $1,778.28 Median $2,238.72 Typical High $3,235.94 | Professional | None | $1,778.28 | $2,238.72 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,288.25 Typical High $2,691.53 | Facility | None | $630.96 | $1,288.25 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $2,454.71 Typical High $3,388.44 | Professional | None | $1,819.70 | $2,454.71 | $3,388.44 |
Lucent Health Setting Professional Modifier None Typical Low $19,054.61 Median $21,379.62 Typical High $21,379.62 | Professional | None | $19,054.61 | $21,379.62 | $21,379.62 |
Moda Health Setting Facility Modifier None Typical Low $977.24 Median $2,754.23 Typical High $6,918.31 | Facility | None | $977.24 | $2,754.23 | $6,918.31 |
Moda Health Setting Professional Modifier None Typical Low $1,905.46 Median $2,137.96 Typical High $2,754.23 | Professional | None | $1,905.46 | $2,137.96 | $2,754.23 |
Molina Setting Professional Modifier None Typical Low $26.30 Median $263.03 Typical High $1,778.28 | Professional | None | $26.30 | $263.03 | $1,778.28 |
Providence Setting Facility Modifier None Typical Low $794.33 Median $2,041.74 Typical High $251,188.64 | Facility | None | $794.33 | $2,041.74 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $1,819.70 Median $2,454.71 Typical High $3,388.44 | Professional | None | $1,819.70 | $2,454.71 | $3,388.44 |
United Setting Facility Modifier None Typical Low $407.38 Median $2,137.96 Typical High $8,912.51 | Facility | None | $407.38 | $2,137.96 | $8,912.51 |
United Setting Professional Modifier None Typical Low $1,548.82 Median $2,238.72 Typical High $3,388.44 | Professional | None | $1,548.82 | $2,238.72 | $3,388.44 |
Wellpoint Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,819.70 | $1,819.70 | $1,819.70 |
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 $1,445.44 Median $1,584.89 Typical High $1,819.70 | Professional | 54 · Surgery only | $1,445.44 | $1,584.89 | $1,819.70 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,348.96 Median $1,479.11 Typical High $1,698.24 | Professional | 78 · Unplanned return to OR | $1,348.96 | $1,479.11 | $1,698.24 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $1,445.44 Median $1,584.89 Typical High $1,778.28 | Professional | 54 · Surgery only | $1,445.44 | $1,584.89 | $1,778.28 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,348.96 Median $1,479.11 Typical High $1,659.59 | Professional | 78 · Unplanned return to OR | $1,348.96 | $1,479.11 | $1,659.59 |
Where Texas sits
The same service costs 5.8 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
$1,349
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.