How much rates vary
Facilitymedian $5,623 · 10th to 90th $2,570 to $13,804Professionalmedian $302 · 10th to 90th $48 to $468
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 $1,148.15 Median $3,890.45 Typical High $10,000.00 | Facility | None | $1,148.15 | $3,890.45 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $398.11 Typical High $562.34 | Professional | None | $371.54 | $398.11 | $562.34 |
Ambetter Setting Professional Modifier None Typical Low $323.59 Median $354.81 Typical High $371.54 | Professional | None | $323.59 | $354.81 | $371.54 |
BCBS Texas Setting Facility Modifier None Typical Low $4,365.16 Median $7,943.28 Typical High $17,378.01 | Facility | None | $4,365.16 | $7,943.28 | $17,378.01 |
BCBS Texas Setting Professional Modifier None Typical Low $354.81 Median $446.68 Typical High $602.56 | Professional | None | $354.81 | $446.68 | $602.56 |
Christus Setting Facility Modifier None Typical Low $5,623.41 Median $5,623.41 Typical High $5,623.41 | Facility | None | $5,623.41 | $5,623.41 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $467.74 Typical High $602.56 | Professional | None | $323.59 | $467.74 | $602.56 |
Lucent Health Setting Professional Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $3,311.31 | Professional | None | $3,311.31 | $3,311.31 | $3,311.31 |
Moda Health Setting Facility Modifier None Typical Low $891.25 Median $5,248.07 Typical High $13,489.63 | Facility | None | $891.25 | $5,248.07 | $13,489.63 |
Moda Health Setting Professional Modifier None Typical Low $371.54 Median $398.11 Typical High $562.34 | Professional | None | $371.54 | $398.11 | $562.34 |
Molina Setting Professional Modifier None Typical Low $44.67 Median $257.04 Typical High $371.54 | Professional | None | $44.67 | $257.04 | $371.54 |
Oscar Health Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $416.87 | Professional | None | $407.38 | $407.38 | $416.87 |
Providence Setting Facility Modifier None Typical Low $549.54 Median $10,715.19 Typical High $14,791.08 | Facility | None | $549.54 | $10,715.19 | $14,791.08 |
Providence Setting Professional Modifier None Typical Low $323.59 Median $467.74 Typical High $575.44 | Professional | None | $323.59 | $467.74 | $575.44 |
United Setting Facility Modifier None Typical Low $2,290.87 Median $7,762.47 Typical High $15,135.61 | Facility | None | $2,290.87 | $7,762.47 | $15,135.61 |
United Setting Professional Modifier None Typical Low $302.00 Median $398.11 Typical High $588.84 | Professional | None | $302.00 | $398.11 | $588.84 |
Wellpoint Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None | $363.08 | $363.08 | $363.08 |
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 $275.42 Median $295.12 Typical High $346.74 | Professional | 54 · Surgery only | $275.42 | $295.12 | $346.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $257.04 Median $275.42 Typical High $323.59 | Professional | 78 · Unplanned return to OR | $257.04 | $275.42 | $323.59 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $295.12 Typical High $316.23 | Professional | 54 · Surgery only | $275.42 | $295.12 | $316.23 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $257.04 Median $275.42 Typical High $295.12 | Professional | 78 · Unplanned return to OR | $257.04 | $275.42 | $295.12 |
Where Texas sits
The same service costs 4.2 times more in Wyoming than in Utah. 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· 50th of 51
$302
WY $1,202UT $288
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.