How much rates vary
Facilitymedian $8,710 · 10th to 90th $2,692 to $19,055Professionalmedian $759 · 10th to 90th $81 to $1,380
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 $1,202.26 Median $3,801.89 Typical High $12,022.64 | Facility | None | $1,202.26 | $3,801.89 | $12,022.64 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,148.15 Typical High $1,737.80 | Professional | None | $1,071.52 | $1,148.15 | $1,737.80 |
BCBS Texas Setting Facility Modifier None Typical Low $5,011.87 Median $10,000.00 Typical High $20,892.96 | Facility | None | $5,011.87 | $10,000.00 | $20,892.96 |
BCBS Texas Setting Professional Modifier None Typical Low $1,023.29 Median $1,318.26 Typical High $2,398.83 | Professional | None | $1,023.29 | $1,318.26 | $2,398.83 |
Christus Setting Facility Modifier None Typical Low $7,943.28 Median $7,943.28 Typical High $7,943.28 | Facility | None | $7,943.28 | $7,943.28 | $7,943.28 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $8,511.38 Typical High $15,848.93 | Facility | None | $870.96 | $8,511.38 | $15,848.93 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $1,348.96 Typical High $1,698.24 | Professional | None | $954.99 | $1,348.96 | $1,698.24 |
Lucent Health Setting Professional Modifier None Typical Low $9,332.54 Median $16,218.10 Typical High $16,218.10 | Professional | None | $9,332.54 | $16,218.10 | $16,218.10 |
Moda Health Setting Facility Modifier None Typical Low $977.24 Median $3,311.31 Typical High $9,120.11 | Facility | None | $977.24 | $3,311.31 | $9,120.11 |
Moda Health Setting Professional Modifier None Typical Low $1,071.52 Median $1,148.15 Typical High $1,445.44 | Professional | None | $1,071.52 | $1,148.15 | $1,445.44 |
Molina Setting Professional Modifier None Typical Low $75.86 Median $186.21 Typical High $1,047.13 | Professional | None | $75.86 | $186.21 | $1,047.13 |
Oscar Health Setting Professional Modifier None Typical Low $1,202.26 Median $2,089.30 Typical High $2,691.53 | Professional | None | $1,202.26 | $2,089.30 | $2,691.53 |
Providence Setting Facility Modifier None Typical Low $812.83 Median $7,943.28 Typical High $19,054.61 | Facility | None | $812.83 | $7,943.28 | $19,054.61 |
Providence Setting Professional Modifier None Typical Low $933.25 Median $1,348.96 Typical High $1,659.59 | Professional | None | $933.25 | $1,348.96 | $1,659.59 |
United Setting Facility Modifier None Typical Low $2,630.27 Median $8,511.38 Typical High $21,877.62 | Facility | None | $2,630.27 | $8,511.38 | $21,877.62 |
United Setting Professional Modifier None Typical Low $870.96 Median $1,148.15 Typical High $1,659.59 | Professional | None | $870.96 | $1,148.15 | $1,659.59 |
Wellpoint Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None | $1,071.52 | $1,071.52 | $1,071.52 |
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 78 · Unplanned return to OR Typical Low $758.58 Median $812.83 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $758.58 | $812.83 | $933.25 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $812.83 Typical High $851.14 | Professional | 78 · Unplanned return to OR | $758.58 | $812.83 | $851.14 |
Where Texas sits
The same service costs 6.5 times more in Alaska than in West Virginia. 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
AK $17,292WV $2,643
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.