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 $660.69 Median $2,398.83 Typical High $6,918.31 | Facility | None | $660.69 | $2,398.83 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $489.78 Typical High $676.08 | Professional | None | $467.74 | $489.78 | $676.08 |
BCBS Texas Setting Facility Modifier None Typical Low $3,890.45 Median $7,943.28 Typical High $16,982.44 | Facility | None | $3,890.45 | $7,943.28 | $16,982.44 |
BCBS Texas Setting Professional Modifier None Typical Low $446.68 Median $562.34 Typical High $812.83 | Professional | None | $446.68 | $562.34 | $812.83 |
Christus Setting Facility Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $3,715.35 | Facility | None | $3,715.35 | $3,715.35 | $3,715.35 |
Cigna Setting Facility Modifier None Typical Low $1,348.96 Median $3,801.89 Typical High $5,248.07 | Facility | None | $1,348.96 | $3,801.89 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $537.03 Typical High $724.44 | Professional | None | $416.87 | $537.03 | $724.44 |
Lucent Health Setting Professional Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $4,677.35 | Professional | None | $4,677.35 | $4,677.35 | $4,677.35 |
Moda Health Setting Facility Modifier None Typical Low $467.74 Median $1,862.09 Typical High $5,623.41 | Facility | None | $467.74 | $1,862.09 | $5,623.41 |
Moda Health Setting Professional Modifier None Typical Low $467.74 Median $489.78 Typical High $588.84 | Professional | None | $467.74 | $489.78 | $588.84 |
Molina Setting Professional Modifier None Typical Low $64.57 Median $354.81 Typical High $478.63 | Professional | None | $64.57 | $354.81 | $478.63 |
Oscar Health Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $457.09 | Professional | None | $446.68 | $446.68 | $457.09 |
Providence Setting Facility Modifier None Typical Low $776.25 Median $3,981.07 Typical High $9,772.37 | Facility | None | $776.25 | $3,981.07 | $9,772.37 |
Providence Setting Professional Modifier None Typical Low $398.11 Median $537.03 Typical High $724.44 | Professional | None | $398.11 | $537.03 | $724.44 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $3,311.31 Typical High $6,918.31 | Facility | None | $1,258.93 | $3,311.31 | $6,918.31 |
United Setting Professional Modifier None Typical Low $380.19 Median $489.78 Typical High $724.44 | Professional | None | $380.19 | $489.78 | $724.44 |
Wellpoint Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None | $407.38 | $407.38 | $407.38 |
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 54 · Surgery only Typical Low $354.81 Median $371.54 Typical High $436.52 | Professional | 54 · Surgery only | $354.81 | $371.54 | $436.52 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $354.81 Median $371.54 Typical High $398.11 | Professional | 54 · Surgery only | $354.81 | $371.54 | $398.11 |
Where Texas sits
The same service costs 4.6 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
$427
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.