How much rates vary
Facilitymedian $2,239 · 10th to 90th $490 to $10,471Professionalmedian $2,042 · 10th to 90th $43 to $4,266
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 $3,801.89 Typical High $9,120.11 | Facility | None | $1,122.02 | $3,801.89 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $3,090.30 Median $3,467.37 Typical High $4,168.69 | Professional | None | $3,090.30 | $3,467.37 | $4,168.69 |
Ambetter Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $3,630.78 | Professional | None | $100.00 | $100.00 | $3,630.78 |
BCBS Texas Setting Professional Modifier None Typical Low $2,884.03 Median $3,630.78 Typical High $5,495.41 | Professional | None | $2,884.03 | $3,630.78 | $5,495.41 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,258.93 Typical High $2,691.53 | Facility | None | $630.96 | $1,258.93 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $2,951.21 Median $3,890.45 Typical High $5,495.41 | Professional | None | $2,951.21 | $3,890.45 | $5,495.41 |
Lucent Health Setting Professional Modifier None Typical Low $31,622.78 Median $31,622.78 Typical High $31,622.78 | Professional | None | $31,622.78 | $31,622.78 | $31,622.78 |
Moda Health Setting Facility Modifier None Typical Low $870.96 Median $3,548.13 Typical High $6,918.31 | Facility | None | $870.96 | $3,548.13 | $6,918.31 |
Moda Health Setting Professional Modifier None Typical Low $3,090.30 Median $3,548.13 Typical High $4,466.84 | Professional | None | $3,090.30 | $3,548.13 | $4,466.84 |
Molina Setting Professional Modifier None Typical Low $37.15 Median $426.58 Typical High $2,884.03 | Professional | None | $37.15 | $426.58 | $2,884.03 |
Providence Setting Facility Modifier None Typical Low $758.58 Median $2,691.53 Typical High $251,188.64 | Facility | None | $758.58 | $2,691.53 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $2,951.21 Median $3,981.07 Typical High $5,495.41 | Professional | None | $2,951.21 | $3,981.07 | $5,495.41 |
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 $2,511.89 Median $3,548.13 Typical High $5,495.41 | Professional | None | $2,511.89 | $3,548.13 | $5,495.41 |
Wellpoint Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,951.21 | $2,951.21 | $2,951.21 |
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 $2,344.23 Median $2,570.40 Typical High $2,951.21 | Professional | 54 · Surgery only | $2,344.23 | $2,570.40 | $2,951.21 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,187.76 Median $2,398.83 Typical High $2,754.23 | Professional | 78 · Unplanned return to OR | $2,187.76 | $2,398.83 | $2,754.23 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $2,344.23 Median $2,570.40 Typical High $2,951.21 | Professional | 54 · Surgery only | $2,344.23 | $2,570.40 | $2,951.21 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,187.76 Median $2,398.83 Typical High $2,754.23 | Professional | 78 · Unplanned return to OR | $2,187.76 | $2,398.83 | $2,754.23 |
Where Texas sits
The same service costs 6.8 times more in Alaska than in Washington. 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
AK $24,612WA $3,608
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.