How much rates vary
Facilitymedian $5,370 · 10th to 90th $2,692 to $13,804Professionalmedian $302 · 10th to 90th $48 to $490
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 $3,890.45 Typical High $10,000.00 | Facility | None | $1,202.26 | $3,890.45 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $426.58 Typical High $602.56 | Professional | None | $398.11 | $426.58 | $602.56 |
Ambetter Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None | $380.19 | $380.19 | $380.19 |
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 $331.13 Median $478.63 Typical High $794.33 | Professional | None | $331.13 | $478.63 | $794.33 |
Christus Setting Facility Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Facility | None | $3,548.13 | $3,548.13 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $501.19 Typical High $630.96 | Professional | None | $346.74 | $501.19 | $630.96 |
Lucent Health Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Professional | None | $3,548.13 | $3,548.13 | $3,548.13 |
Moda Health Setting Facility Modifier None Typical Low $660.69 Median $4,168.69 Typical High $12,302.69 | Facility | None | $660.69 | $4,168.69 | $12,302.69 |
Moda Health Setting Professional Modifier None Typical Low $398.11 Median $426.58 Typical High $602.56 | Professional | None | $398.11 | $426.58 | $602.56 |
Molina Setting Professional Modifier None Typical Low $44.67 Median $263.03 Typical High $398.11 | Professional | None | $44.67 | $263.03 | $398.11 |
Oscar Health Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None | $416.87 | $416.87 | $416.87 |
Providence Setting Facility Modifier None Typical Low $588.84 Median $10,715.19 Typical High $14,791.08 | Facility | None | $588.84 | $10,715.19 | $14,791.08 |
Providence Setting Professional Modifier None Typical Low $346.74 Median $501.19 Typical High $616.60 | Professional | None | $346.74 | $501.19 | $616.60 |
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 $323.59 Median $426.58 Typical High $630.96 | Professional | None | $323.59 | $426.58 | $630.96 |
Wellpoint Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None | $389.05 | $389.05 | $389.05 |
5 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 $295.12 Median $316.23 Typical High $371.54 | Professional | 54 · Surgery only | $295.12 | $316.23 | $371.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $275.42 Median $295.12 Typical High $346.74 | Professional | 78 · Unplanned return to OR | $275.42 | $295.12 | $346.74 |
Ambetter Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | 78 · Unplanned return to OR | $398.11 | $398.11 | $398.11 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $295.12 Median $316.23 Typical High $338.84 | Professional | 54 · Surgery only | $295.12 | $316.23 | $338.84 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $275.42 Median $295.12 Typical High $316.23 | Professional | 78 · Unplanned return to OR | $275.42 | $295.12 | $316.23 |
Where Texas sits
The same service costs 4.4 times more in Alaska 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
$309
AK $1,318UT $302
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.