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 $2,344.23 Median $2,570.40 Typical High $3,019.95 | Professional | None | $2,344.23 | $2,570.40 | $3,019.95 |
BCBS Texas Setting Professional Modifier None Typical Low $2,187.76 Median $2,754.23 Typical High $3,981.07 | Professional | None | $2,187.76 | $2,754.23 | $3,981.07 |
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 $2,238.72 Median $3,019.95 Typical High $4,265.80 | Professional | None | $2,238.72 | $3,019.95 | $4,265.80 |
Lucent Health Setting Professional Modifier None Typical Low $21,877.62 Median $22,908.68 Typical High $22,908.68 | Professional | None | $21,877.62 | $22,908.68 | $22,908.68 |
Moda Health Setting Facility Modifier None Typical Low $977.24 Median $3,311.31 Typical High $6,918.31 | Facility | None | $977.24 | $3,311.31 | $6,918.31 |
Moda Health Setting Professional Modifier None Typical Low $2,344.23 Median $2,630.27 Typical High $3,311.31 | Professional | None | $2,344.23 | $2,630.27 | $3,311.31 |
Molina Setting Professional Modifier None Typical Low $31.62 Median $323.59 Typical High $2,187.76 | Professional | None | $31.62 | $323.59 | $2,187.76 |
Providence Setting Facility Modifier None Typical Low $794.33 Median $2,398.83 Typical High $251,188.64 | Facility | None | $794.33 | $2,398.83 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $2,238.72 Median $3,019.95 Typical High $4,265.80 | Professional | None | $2,238.72 | $3,019.95 | $4,265.80 |
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 $1,995.26 Median $2,691.53 Typical High $4,168.69 | Professional | None | $1,995.26 | $2,691.53 | $4,168.69 |
Wellpoint Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Professional | None | $2,238.72 | $2,238.72 | $2,238.72 |
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 78 · Unplanned return to OR Typical Low $1,621.81 Median $1,819.70 Typical High $2,089.30 | Professional | 78 · Unplanned return to OR | $1,621.81 | $1,819.70 | $2,089.30 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,621.81 Median $1,819.70 Typical High $2,041.74 | Professional | 78 · Unplanned return to OR | $1,621.81 | $1,819.70 | $2,041.74 |
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
$1,660
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.