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 $660.69 Median $2,398.83 Typical High $6,918.31 | Facility | None | $660.69 | $2,398.83 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $120.23 Typical High $173.78 | Professional | None | $112.20 | $120.23 | $173.78 |
BCBS Setting Facility Modifier None Typical Low $1,318.26 Median $1,949.84 Typical High $4,168.69 | Facility | None | $1,318.26 | $1,949.84 | $4,168.69 |
BCBS Setting Professional Modifier None Typical Low $95.50 Median $131.83 Typical High $186.21 | Professional | None | $95.50 | $131.83 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $1,584.89 Typical High $2,691.53 | Facility | None | $489.78 | $1,584.89 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $141.25 Typical High $181.97 | Professional | None | $97.72 | $141.25 | $181.97 |
Lucent Health Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | None | $1,174.90 | $1,174.90 | $1,174.90 |
Moda Health Setting Facility Modifier None Typical Low $123.03 Median $1,995.26 Typical High $5,370.32 | Facility | None | $123.03 | $1,995.26 | $5,370.32 |
Moda Health Setting Professional Modifier None Typical Low $112.20 Median $120.23 Typical High $151.36 | Professional | None | $112.20 | $120.23 | $151.36 |
Molina Setting Professional Modifier None Typical Low $14.13 Median $79.43 Typical High $109.65 | Professional | None | $14.13 | $79.43 | $109.65 |
Providence Setting Facility Modifier None Typical Low $114.82 Median $630.96 Typical High $2,691.53 | Facility | None | $114.82 | $630.96 | $2,691.53 |
Providence Setting Professional Modifier None Typical Low $97.72 Median $141.25 Typical High $177.83 | Professional | None | $97.72 | $141.25 | $177.83 |
United Setting Facility Modifier None Typical Low $616.60 Median $2,041.74 Typical High $3,801.89 | Facility | None | $616.60 | $2,041.74 | $3,801.89 |
United Setting Professional Modifier None Typical Low $95.50 Median $123.03 Typical High $177.83 | Professional | None | $95.50 | $123.03 | $177.83 |
Wellpoint Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
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 54 · Surgery only Typical Low $83.18 Median $91.20 Typical High $104.71 | Professional | 54 · Surgery only | $83.18 | $91.20 | $104.71 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $83.18 Median $91.20 Typical High $95.50 | Professional | 54 · Surgery only | $83.18 | $91.20 | $95.50 |
Where Texas sits
The same service costs 4.9 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
$105
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.