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 $1,230.27 Median $3,715.35 Typical High $10,232.93 | Facility | None | $1,230.27 | $3,715.35 | $10,232.93 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,318.26 Typical High $1,949.84 | Professional | None | $1,230.27 | $1,318.26 | $1,949.84 |
BCBS Texas Setting Facility Modifier None Typical Low $933.25 Median $1,698.24 Typical High $11,481.54 | Facility | None | $933.25 | $1,698.24 | $11,481.54 |
BCBS Texas Setting Professional Modifier None Typical Low $1,174.90 Median $1,479.11 Typical High $2,691.53 | Professional | None | $1,174.90 | $1,479.11 | $2,691.53 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,318.26 Typical High $15,488.17 | Facility | None | $660.69 | $1,318.26 | $15,488.17 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,513.56 Typical High $1,905.46 | Professional | None | $1,071.52 | $1,513.56 | $1,905.46 |
Lucent Health Setting Professional Modifier None Typical Low $10,232.93 Median $10,232.93 Typical High $10,471.29 | Professional | None | $10,232.93 | $10,232.93 | $10,471.29 |
Moda Health Setting Facility Modifier None Typical Low $977.24 Median $3,467.37 Typical High $8,511.38 | Facility | None | $977.24 | $3,467.37 | $8,511.38 |
Moda Health Setting Professional Modifier None Typical Low $1,230.27 Median $1,318.26 Typical High $1,621.81 | Professional | None | $1,230.27 | $1,318.26 | $1,621.81 |
Molina Setting Professional Modifier None Typical Low $15.49 Median $177.83 Typical High $1,148.15 | Professional | None | $15.49 | $177.83 | $1,148.15 |
Oscar Health Setting Professional Modifier None Typical Low $1,288.25 Median $2,398.83 Typical High $3,019.95 | Professional | None | $1,288.25 | $2,398.83 | $3,019.95 |
Providence Setting Facility Modifier None Typical Low $758.58 Median $1,737.80 Typical High $251,188.64 | Facility | None | $758.58 | $1,737.80 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $1,071.52 Median $1,548.82 Typical High $1,862.09 | Professional | None | $1,071.52 | $1,548.82 | $1,862.09 |
United Setting Facility Modifier None Typical Low $1,737.80 Median $6,309.57 Typical High $19,498.45 | Facility | None | $1,737.80 | $6,309.57 | $19,498.45 |
United Setting Professional Modifier None Typical Low $1,000.00 Median $1,288.25 Typical High $1,905.46 | Professional | None | $1,000.00 | $1,288.25 | $1,905.46 |
Wellpoint Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,202.26 | $1,202.26 | $1,202.26 |
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 $851.14 Median $912.01 Typical High $1,071.52 | Professional | 78 · Unplanned return to OR | $851.14 | $912.01 | $1,071.52 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $912.01 Typical High $977.24 | Professional | 78 · Unplanned return to OR | $851.14 | $912.01 | $977.24 |
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
$214
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.