How much rates vary
Facilitymedian $3,020 · 10th to 90th $1,479 to $7,762Professionalmedian $389 · 10th to 90th $58 to $813
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 $977.24 Median $3,311.31 Typical High $8,709.64 | Facility | None | $977.24 | $3,311.31 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $512.86 Typical High $3,311.31 | Professional | None | $457.09 | $512.86 | $3,311.31 |
BCBS Texas Setting Facility Modifier None Typical Low $1,584.89 Median $3,162.28 Typical High $7,585.78 | Facility | None | $1,584.89 | $3,162.28 | $7,585.78 |
BCBS Texas Setting Professional Modifier None Typical Low $416.87 Median $524.81 Typical High $758.58 | Professional | None | $416.87 | $524.81 | $758.58 |
Christus Setting Facility Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,995.26 | $1,995.26 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $2,089.30 Typical High $2,754.23 | Facility | None | $724.44 | $2,089.30 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $549.54 Typical High $831.76 | Professional | None | $467.74 | $549.54 | $831.76 |
Health Smart Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
Lucent Health Setting Professional Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $4,073.80 | Professional | None | $4,073.80 | $4,073.80 | $4,073.80 |
Moda Health Setting Facility Modifier None Typical Low $524.81 Median $3,090.30 Typical High $7,413.10 | Facility | None | $524.81 | $3,090.30 | $7,413.10 |
Moda Health Setting Professional Modifier None Typical Low $457.09 Median $512.86 Typical High $758.58 | Professional | None | $457.09 | $512.86 | $758.58 |
Molina Setting Professional Modifier None Typical Low $53.70 Median $309.03 Typical High $446.68 | Professional | None | $53.70 | $309.03 | $446.68 |
Oscar Health Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,659.59 | Professional | None | $1,513.56 | $1,513.56 | $1,659.59 |
Providence Setting Facility Modifier None Typical Low $660.69 Median $2,137.96 Typical High $6,165.95 | Facility | None | $660.69 | $2,137.96 | $6,165.95 |
Providence Setting Professional Modifier None Typical Low $467.74 Median $549.54 Typical High $831.76 | Professional | None | $467.74 | $549.54 | $831.76 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $4,570.88 Typical High $9,549.93 | Facility | None | $1,698.24 | $4,570.88 | $9,549.93 |
United Setting Professional Modifier None Typical Low $380.19 Median $524.81 Typical High $812.83 | Professional | None | $380.19 | $524.81 | $812.83 |
Wellpoint Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None | $426.58 | $426.58 | $426.58 |
3 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 $316.23 Median $354.81 Typical High $398.11 | Professional | 78 · Unplanned return to OR | $316.23 | $354.81 | $398.11 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | 50 · Both sides | $616.60 | $616.60 | $616.60 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $316.23 Median $354.81 Typical High $398.11 | Professional | 78 · Unplanned return to OR | $316.23 | $354.81 | $398.11 |
Where Texas sits
The same service costs 5.3 times more in Wisconsin than in Montana. 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
WI $7,610MT $1,433
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.