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 $691.83 Median $2,238.72 Typical High $6,918.31 | Facility | None | $691.83 | $2,238.72 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $741.31 Typical High $1,023.29 | Professional | None | $154.88 | $741.31 | $1,023.29 |
Ambetter Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | None | $707.95 | $707.95 | $707.95 |
BCBS Texas Setting Facility Modifier None Typical Low $588.84 Median $1,047.13 Typical High $4,073.80 | Facility | None | $588.84 | $1,047.13 | $4,073.80 |
BCBS Texas Setting Professional Modifier None Typical Low $151.36 Median $588.84 Typical High $1,318.26 | Professional | None | $151.36 | $588.84 | $1,318.26 |
Christus Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Facility | None | $794.33 | $794.33 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $831.76 Typical High $1,548.82 | Facility | None | $524.81 | $831.76 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $478.63 Typical High $1,071.52 | Professional | None | $169.82 | $478.63 | $1,071.52 |
Lucent Health Setting Professional Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $6,456.54 | Professional | None | $5,248.07 | $5,248.07 | $6,456.54 |
Moda Health Setting Facility Modifier None Typical Low $218.78 Median $1,288.25 Typical High $5,011.87 | Facility | None | $218.78 | $1,288.25 | $5,011.87 |
Moda Health Setting Professional Modifier None Typical Low $154.88 Median $741.31 Typical High $1,023.29 | Professional | None | $154.88 | $741.31 | $1,023.29 |
Molina Setting Professional Modifier None Typical Low $104.71 Median $588.84 Typical High $794.33 | Professional | None | $104.71 | $588.84 | $794.33 |
Providence Setting Facility Modifier None Typical Low $426.58 Median $870.96 Typical High $3,801.89 | Facility | None | $426.58 | $870.96 | $3,801.89 |
Providence Setting Professional Modifier None Typical Low $169.82 Median $478.63 Typical High $1,071.52 | Professional | None | $169.82 | $478.63 | $1,071.52 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $3,235.94 Typical High $6,606.93 | Facility | None | $1,258.93 | $3,235.94 | $6,606.93 |
United Setting Professional Modifier None Typical Low $144.54 Median $478.63 Typical High $1,096.48 | Professional | None | $144.54 | $478.63 | $1,096.48 |
Wellpoint Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
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 $117.49 Median $489.78 Typical High $630.96 | Professional | 54 · Surgery only | $117.49 | $489.78 | $630.96 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $117.49 Median $512.86 Typical High $630.96 | Professional | 54 · Surgery only | $117.49 | $512.86 | $630.96 |
Where Texas sits
The same service costs 4.0 times more in Wisconsin than in Nebraska. 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· 29th of 51
$759
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.