How much rates vary
Facilitymedian $6,310 · 10th to 90th $1,820 to $13,183Professionalmedian $692 · 10th to 90th $457 to $4,266
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 $549.54 Median $562.34 Typical High $630.96 | Professional | None | $549.54 | $562.34 | $630.96 |
BCBS Texas Setting Facility Modifier None Typical Low $4,365.16 Median $8,128.31 Typical High $18,197.01 | Facility | None | $4,365.16 | $8,128.31 | $18,197.01 |
BCBS Texas Setting Professional Modifier None Typical Low $1,096.48 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,096.48 | $1,288.25 | $1,288.25 |
Christus Setting Facility Modifier None Typical Low $6,309.57 Median $6,309.57 Typical High $6,309.57 | Facility | None | $6,309.57 | $6,309.57 | $6,309.57 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $6,309.57 Typical High $8,317.64 | Facility | None | $1,778.28 | $6,309.57 | $8,317.64 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $707.95 Typical High $812.83 | Professional | None | $537.03 | $707.95 | $812.83 |
Lucent Health Setting Professional Modifier None Typical Low $3,890.45 Median $4,265.80 Typical High $4,265.80 | Professional | None | $3,890.45 | $4,265.80 | $4,265.80 |
Moda Health Setting Facility Modifier None Typical Low $537.03 Median $3,311.31 Typical High $8,511.38 | Facility | None | $537.03 | $3,311.31 | $8,511.38 |
Moda Health Setting Professional Modifier None Typical Low $549.54 Median $562.34 Typical High $616.60 | Professional | None | $549.54 | $562.34 | $616.60 |
Molina Setting Professional Modifier None Typical Low $67.61 Median $74.13 Typical High $457.09 | Professional | None | $67.61 | $74.13 | $457.09 |
Oscar Health Setting Professional Modifier None Typical Low $741.31 Median $851.14 Typical High $1,000.00 | Professional | None | $741.31 | $851.14 | $1,000.00 |
Providence Setting Facility Modifier None Typical Low $794.33 Median $6,606.93 Typical High $11,748.98 | Facility | None | $794.33 | $6,606.93 | $11,748.98 |
Providence Setting Professional Modifier None Typical Low $537.03 Median $707.95 Typical High $812.83 | Professional | None | $537.03 | $707.95 | $812.83 |
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 $363.08 Median $524.81 Typical High $1,258.93 | Professional | None | $363.08 | $524.81 | $1,258.93 |
Wellpoint Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | None | $630.96 | $630.96 | $630.96 |
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 $416.87 Median $446.68 Typical High $478.63 | Professional | 54 · Surgery only | $416.87 | $446.68 | $478.63 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $389.05 Median $416.87 Typical High $446.68 | Professional | 78 · Unplanned return to OR | $389.05 | $416.87 | $446.68 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $446.68 Typical High $478.63 | Professional | 54 · Surgery only | $416.87 | $446.68 | $478.63 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $389.05 Median $416.87 Typical High $446.68 | Professional | 78 · Unplanned return to OR | $389.05 | $416.87 | $446.68 |
Where Texas sits
The same service costs 5.9 times more in Alaska than in Hawaii. 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· 24th of 51
$724
AK $2,344HI $398
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.