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 $2,041.74 Median $2,238.72 Typical High $2,630.27 | Professional | None | $2,041.74 | $2,238.72 | $2,630.27 |
BCBS Texas Setting Professional Modifier None Typical Low $1,905.46 Median $2,398.83 Typical High $3,311.31 | Professional | None | $1,905.46 | $2,398.83 | $3,311.31 |
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 $1,949.84 Median $2,630.27 Typical High $3,715.35 | Professional | None | $1,949.84 | $2,630.27 | $3,715.35 |
Lucent Health Setting Professional Modifier None Typical Low $20,417.38 Median $20,417.38 Typical High $20,417.38 | Professional | None | $20,417.38 | $20,417.38 | $20,417.38 |
Moda Health Setting Facility Modifier None Typical Low $977.24 Median $2,884.03 Typical High $6,918.31 | Facility | None | $977.24 | $2,884.03 | $6,918.31 |
Moda Health Setting Professional Modifier None Typical Low $2,041.74 Median $2,238.72 Typical High $2,951.21 | Professional | None | $2,041.74 | $2,238.72 | $2,951.21 |
Molina Setting Professional Modifier None Typical Low $117.49 Median $338.84 Typical High $1,949.84 | Professional | None | $117.49 | $338.84 | $1,949.84 |
Providence Setting Facility Modifier None Typical Low $794.33 Median $2,089.30 Typical High $251,188.64 | Facility | None | $794.33 | $2,089.30 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $1,949.84 Median $2,630.27 Typical High $3,715.35 | Professional | None | $1,949.84 | $2,630.27 | $3,715.35 |
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 $1,737.80 Median $2,398.83 Typical High $3,630.78 | Professional | None | $1,737.80 | $2,398.83 | $3,630.78 |
Wellpoint Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,949.84 | $1,949.84 | $1,949.84 |
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 $1,513.56 Median $1,698.24 Typical High $1,949.84 | Professional | 54 · Surgery only | $1,513.56 | $1,698.24 | $1,949.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,412.54 Median $1,584.89 Typical High $1,819.70 | Professional | 78 · Unplanned return to OR | $1,412.54 | $1,584.89 | $1,819.70 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $1,513.56 Median $1,698.24 Typical High $1,905.46 | Professional | 54 · Surgery only | $1,513.56 | $1,698.24 | $1,905.46 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,412.54 Median $1,584.89 Typical High $1,778.28 | Professional | 78 · Unplanned return to OR | $1,412.54 | $1,584.89 | $1,778.28 |
Where Texas sits
The same service costs 5.2 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
$1,585
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.