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 $3,311.31 Typical High $9,120.11 | Facility | None | $1,230.27 | $3,311.31 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $2,089.30 Median $2,290.87 Typical High $2,951.21 | Professional | None | $2,089.30 | $2,290.87 | $2,951.21 |
BCBS Texas Setting Facility Modifier None Typical Low $2,398.83 Median $4,365.16 Typical High $22,908.68 | Facility | None | $2,398.83 | $4,365.16 | $22,908.68 |
BCBS Texas Setting Professional Modifier None Typical Low $2,041.74 Median $2,570.40 Typical High $3,467.37 | Professional | None | $2,041.74 | $2,570.40 | $3,467.37 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,288.25 Typical High $2,691.53 | Facility | None | $630.96 | $1,288.25 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $2,630.27 Typical High $3,235.94 | Professional | None | $1,819.70 | $2,630.27 | $3,235.94 |
Lucent Health Setting Professional Modifier None Typical Low $17,782.79 Median $17,782.79 Typical High $18,197.01 | Professional | None | $17,782.79 | $17,782.79 | $18,197.01 |
Moda Health Setting Facility Modifier None Typical Low $870.96 Median $3,019.95 Typical High $6,025.60 | Facility | None | $870.96 | $3,019.95 | $6,025.60 |
Moda Health Setting Professional Modifier None Typical Low $2,089.30 Median $2,290.87 Typical High $2,691.53 | Professional | None | $2,089.30 | $2,290.87 | $2,691.53 |
Molina Setting Professional Modifier None Typical Low $37.15 Median $295.12 Typical High $1,995.26 | Professional | None | $37.15 | $295.12 | $1,995.26 |
Providence Setting Facility Modifier None Typical Low $794.33 Median $2,187.76 Typical High $251,188.64 | Facility | None | $794.33 | $2,187.76 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $1,819.70 Median $2,630.27 Typical High $3,235.94 | Professional | None | $1,819.70 | $2,630.27 | $3,235.94 |
United Setting Facility Modifier None Typical Low $407.38 Median $2,137.96 Typical High $8,912.51 | Facility | None | $407.38 | $2,137.96 | $8,912.51 |
United Setting Professional Modifier None Typical Low $1,737.80 Median $2,238.72 Typical High $3,311.31 | Professional | None | $1,737.80 | $2,238.72 | $3,311.31 |
Wellpoint Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Professional | None | $2,089.30 | $2,089.30 | $2,089.30 |
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 $1,479.11 Median $1,584.89 Typical High $1,819.70 | Professional | 78 · Unplanned return to OR | $1,479.11 | $1,584.89 | $1,819.70 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,479.11 Median $1,584.89 Typical High $1,698.24 | Professional | 78 · Unplanned return to OR | $1,479.11 | $1,584.89 | $1,698.24 |
Where Texas sits
The same service costs 21.9 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
$355
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.