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 $851.14 Median $2,754.23 Typical High $6,918.31 | Facility | None | $851.14 | $2,754.23 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $691.83 Typical High $933.25 | Professional | None | $645.65 | $691.83 | $933.25 |
BCBS Texas Setting Professional Modifier None Typical Low $512.86 Median $645.65 Typical High $954.99 | Professional | None | $512.86 | $645.65 | $954.99 |
Christus Setting Facility Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $4,677.35 | Facility | None | $4,677.35 | $4,677.35 | $4,677.35 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $4,365.16 Typical High $6,165.95 | Facility | None | $741.31 | $4,365.16 | $6,165.95 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $741.31 Typical High $954.99 | Professional | None | $537.03 | $741.31 | $954.99 |
Lucent Health Setting Professional Modifier None Typical Low $4,786.30 Median $5,370.32 Typical High $5,370.32 | Professional | None | $4,786.30 | $5,370.32 | $5,370.32 |
Moda Health Setting Facility Modifier None Typical Low $630.96 Median $1,995.26 Typical High $6,025.60 | Facility | None | $630.96 | $1,995.26 | $6,025.60 |
Moda Health Setting Professional Modifier None Typical Low $645.65 Median $691.83 Typical High $831.76 | Professional | None | $645.65 | $691.83 | $831.76 |
Molina Setting Professional Modifier None Typical Low $15.14 Median $95.50 Typical High $575.44 | Professional | None | $15.14 | $95.50 | $575.44 |
Providence Setting Facility Modifier None Typical Low $691.83 Median $4,570.88 Typical High $6,760.83 | Facility | None | $691.83 | $4,570.88 | $6,760.83 |
Providence Setting Professional Modifier None Typical Low $537.03 Median $741.31 Typical High $977.24 | Professional | None | $537.03 | $741.31 | $977.24 |
United Setting Facility Modifier None Typical Low $2,137.96 Median $5,248.07 Typical High $12,302.69 | Facility | None | $2,137.96 | $5,248.07 | $12,302.69 |
United Setting Professional Modifier None Typical Low $512.86 Median $676.08 Typical High $977.24 | Professional | None | $512.86 | $676.08 | $977.24 |
Wellpoint Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | None | $616.60 | $616.60 | $616.60 |
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 $489.78 Median $524.81 Typical High $602.56 | Professional | 54 · Surgery only | $489.78 | $524.81 | $602.56 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $489.78 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $457.09 | $489.78 | $562.34 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $524.81 Typical High $562.34 | Professional | 54 · Surgery only | $489.78 | $524.81 | $562.34 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $489.78 Typical High $524.81 | Professional | 78 · Unplanned return to OR | $457.09 | $489.78 | $524.81 |
Where Texas sits
The same service costs 24.0 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
$112
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.