How much rates vary
Facilitymedian $2,951 · 10th to 90th $562 to $12,023Professionalmedian $457 · 10th to 90th $46 to $3,236
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 $9,120.11 | Facility | None | $1,122.02 | $3,715.35 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $2,691.53 Median $2,884.03 Typical High $3,630.78 | Professional | None | $2,691.53 | $2,884.03 | $3,630.78 |
BCBS Texas Setting Facility Modifier None Typical Low $3,090.30 Median $5,495.41 Typical High $29,512.09 | Facility | None | $3,090.30 | $5,495.41 | $29,512.09 |
BCBS Texas Setting Professional Modifier None Typical Low $2,570.40 Median $3,235.94 Typical High $4,466.84 | Professional | None | $2,570.40 | $3,235.94 | $4,466.84 |
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 $2,344.23 Median $3,388.44 Typical High $4,265.80 | Professional | None | $2,344.23 | $3,388.44 | $4,265.80 |
Lucent Health Setting Professional Modifier None Typical Low $19,952.62 Median $22,387.21 Typical High $22,387.21 | Professional | None | $19,952.62 | $22,387.21 | $22,387.21 |
Moda Health Setting Facility Modifier None Typical Low $977.24 Median $3,162.28 Typical High $6,918.31 | Facility | None | $977.24 | $3,162.28 | $6,918.31 |
Moda Health Setting Professional Modifier None Typical Low $2,691.53 Median $2,884.03 Typical High $3,388.44 | Professional | None | $2,691.53 | $2,884.03 | $3,388.44 |
Molina Setting Professional Modifier None Typical Low $42.66 Median $363.08 Typical High $2,398.83 | Professional | None | $42.66 | $363.08 | $2,398.83 |
Oscar Health Setting Professional Modifier None Typical Low $2,754.23 Median $9,120.11 Typical High $9,332.54 | Professional | None | $2,754.23 | $9,120.11 | $9,332.54 |
Providence Setting Facility Modifier None Typical Low $794.33 Median $2,511.89 Typical High $251,188.64 | Facility | None | $794.33 | $2,511.89 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $2,344.23 Median $3,388.44 Typical High $4,168.69 | Professional | None | $2,344.23 | $3,388.44 | $4,168.69 |
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 $2,238.72 Median $2,884.03 Typical High $4,168.69 | Professional | None | $2,238.72 | $2,884.03 | $4,168.69 |
Wellpoint Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,570.40 | $2,570.40 | $2,570.40 |
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 $2,041.74 Median $2,187.76 Typical High $2,570.40 | Professional | 54 · Surgery only | $2,041.74 | $2,187.76 | $2,570.40 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,905.46 Median $2,041.74 Typical High $2,398.83 | Professional | 78 · Unplanned return to OR | $1,905.46 | $2,041.74 | $2,398.83 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $2,041.74 Median $2,187.76 Typical High $2,290.87 | Professional | 54 · Surgery only | $2,041.74 | $2,187.76 | $2,290.87 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,905.46 Median $2,041.74 Typical High $2,137.96 | Professional | 78 · Unplanned return to OR | $1,905.46 | $2,041.74 | $2,137.96 |
Where Texas sits
The same service costs 6.5 times more in Alaska than in Washington. 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 $21,355WA $3,262
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.