How much rates vary
Facilitymedian $8,511 · 10th to 90th $3,090 to $16,596Professionalmedian $741 · 10th to 90th $407 to $3,890
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 $10,232.93 | Facility | None | $1,122.02 | $3,715.35 | $10,232.93 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $602.56 Typical High $676.08 | Professional | None | $588.84 | $602.56 | $676.08 |
Ambetter Setting Professional Modifier None Typical Low $213.80 Median $398.11 Typical High $398.11 | Professional | None | $213.80 | $398.11 | $398.11 |
BCBS Texas Setting Facility Modifier None Typical Low $4,073.80 Median $8,709.64 Typical High $16,595.87 | Facility | None | $4,073.80 | $8,709.64 | $16,595.87 |
BCBS Texas Setting Professional Modifier None Typical Low $812.83 Median $954.99 Typical High $954.99 | Professional | None | $812.83 | $954.99 | $954.99 |
Christus Setting Facility Modifier None Typical Low $12,302.69 Median $12,302.69 Typical High $12,302.69 | Facility | None | $12,302.69 | $12,302.69 | $12,302.69 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $11,481.54 Typical High $16,218.10 | Facility | None | $1,778.28 | $11,481.54 | $16,218.10 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $794.33 Typical High $870.96 | Professional | None | $575.44 | $794.33 | $870.96 |
Lucent Health Setting Professional Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Professional | None | $3,890.45 | $3,890.45 | $3,890.45 |
Moda Health Setting Facility Modifier None Typical Low $794.33 Median $3,715.35 Typical High $8,709.64 | Facility | None | $794.33 | $3,715.35 | $8,709.64 |
Moda Health Setting Professional Modifier None Typical Low $588.84 Median $602.56 Typical High $660.69 | Professional | None | $588.84 | $602.56 | $660.69 |
Molina Setting Professional Modifier None Typical Low $56.23 Median $60.26 Typical High $380.19 | Professional | None | $56.23 | $60.26 | $380.19 |
Oscar Health Setting Professional Modifier None Typical Low $851.14 Median $954.99 Typical High $1,148.15 | Professional | None | $851.14 | $954.99 | $1,148.15 |
Providence Setting Facility Modifier None Typical Low $1,659.59 Median $11,220.18 Typical High $16,218.10 | Facility | None | $1,659.59 | $11,220.18 | $16,218.10 |
Providence Setting Professional Modifier None Typical Low $575.44 Median $794.33 Typical High $870.96 | Professional | None | $575.44 | $794.33 | $870.96 |
United Setting Facility Modifier None Typical Low $3,981.07 Median $9,772.37 Typical High $20,892.96 | Facility | None | $3,981.07 | $9,772.37 | $20,892.96 |
United Setting Professional Modifier None Typical Low $323.59 Median $467.74 Typical High $794.33 | Professional | None | $323.59 | $467.74 | $794.33 |
Wellpoint Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | None | $741.31 | $741.31 | $741.31 |
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 $446.68 Median $478.63 Typical High $501.19 | Professional | 54 · Surgery only | $446.68 | $478.63 | $501.19 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $446.68 Typical High $467.74 | Professional | 78 · Unplanned return to OR | $416.87 | $446.68 | $467.74 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $478.63 Typical High $501.19 | Professional | 54 · Surgery only | $446.68 | $478.63 | $501.19 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $446.68 Typical High $467.74 | Professional | 78 · Unplanned return to OR | $416.87 | $446.68 | $467.74 |
Where Texas sits
The same service costs 8.3 times more in South Dakota than in Kentucky. 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· 27th of 51
$794
SD $2,818KY $339
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.