How much rates vary
Facilitymedian $2,138 · 10th to 90th $490 to $10,471Professionalmedian $1,349 · 10th to 90th $30 to $2,754
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 $2,089.30 Median $2,344.23 Typical High $2,754.23 | Professional | None | $2,089.30 | $2,344.23 | $2,754.23 |
BCBS Texas Setting Professional Modifier None Typical Low $1,949.84 Median $2,454.71 Typical High $3,981.07 | Professional | None | $1,949.84 | $2,454.71 | $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 $1,995.26 Median $2,691.53 Typical High $3,890.45 | Professional | None | $1,995.26 | $2,691.53 | $3,890.45 |
Lucent Health Setting Professional Modifier None Typical Low $22,908.68 Median $22,908.68 Typical High $22,908.68 | Professional | None | $22,908.68 | $22,908.68 | $22,908.68 |
Moda Health Setting Facility Modifier None Typical Low $977.24 Median $3,019.95 Typical High $6,918.31 | Facility | None | $977.24 | $3,019.95 | $6,918.31 |
Moda Health Setting Professional Modifier None Typical Low $2,089.30 Median $2,344.23 Typical High $2,951.21 | Professional | None | $2,089.30 | $2,344.23 | $2,951.21 |
Molina Setting Professional Modifier None Typical Low $26.30 Median $295.12 Typical High $1,949.84 | Professional | None | $26.30 | $295.12 | $1,949.84 |
Oscar Health Setting Professional Modifier None Typical Low $7,079.46 Median $7,244.36 Typical High $7,943.28 | Professional | None | $7,079.46 | $7,244.36 | $7,943.28 |
Providence Setting Facility Modifier None Typical Low $794.33 Median $2,137.96 Typical High $251,188.64 | Facility | None | $794.33 | $2,137.96 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $1,995.26 Median $2,691.53 Typical High $3,981.07 | Professional | None | $1,995.26 | $2,691.53 | $3,981.07 |
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 $2,454.71 Typical High $3,801.89 | Professional | None | $1,737.80 | $2,454.71 | $3,801.89 |
Wellpoint Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Professional | None | $1,995.26 | $1,995.26 | $1,995.26 |
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 $1,584.89 Median $1,737.80 Typical High $1,995.26 | Professional | 54 · Surgery only | $1,584.89 | $1,737.80 | $1,995.26 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,479.11 Median $1,621.81 Typical High $1,862.09 | Professional | 78 · Unplanned return to OR | $1,479.11 | $1,621.81 | $1,862.09 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $1,584.89 Median $1,737.80 Typical High $1,995.26 | Professional | 54 · Surgery only | $1,584.89 | $1,737.80 | $1,995.26 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,479.11 Median $1,621.81 Typical High $1,862.09 | Professional | 78 · Unplanned return to OR | $1,479.11 | $1,621.81 | $1,862.09 |
Where Texas sits
The same service costs 6.3 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
$1,380
AK $8,710TX $1,380
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.