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 $575.44 Median $2,238.72 Typical High $6,918.31 | Facility | None | $575.44 | $2,238.72 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $72.44 Typical High $93.33 | Professional | None | $37.15 | $72.44 | $93.33 |
BCBS Texas Setting Facility Modifier None Typical Low $36.31 Median $64.57 Typical High $338.84 | Facility | None | $36.31 | $64.57 | $338.84 |
BCBS Texas Setting Professional Modifier None Typical Low $37.15 Median $69.18 Typical High $134.90 | Professional | None | $37.15 | $69.18 | $134.90 |
Christus Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $61.66 Typical High $114.82 | Facility | None | $45.71 | $61.66 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $69.18 Typical High $100.00 | Professional | None | $40.74 | $69.18 | $100.00 |
Lucent Health Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None | $645.65 | $645.65 | $645.65 |
Moda Health Setting Facility Modifier None Typical Low $52.48 Median $1,202.26 Typical High $5,128.61 | Facility | None | $52.48 | $1,202.26 | $5,128.61 |
Moda Health Setting Professional Modifier None Typical Low $37.15 Median $70.79 Typical High $93.33 | Professional | None | $37.15 | $70.79 | $93.33 |
Molina Setting Professional Modifier None Typical Low $9.77 Median $53.70 Typical High $72.44 | Professional | None | $9.77 | $53.70 | $72.44 |
Providence Setting Facility Modifier None Typical Low $45.71 Median $63.10 Typical High $112.20 | Facility | None | $45.71 | $63.10 | $112.20 |
Providence Setting Professional Modifier None Typical Low $40.74 Median $69.18 Typical High $100.00 | Professional | None | $40.74 | $69.18 | $100.00 |
United Setting Facility Modifier None Typical Low $141.25 Median $741.31 Typical High $2,187.76 | Facility | None | $141.25 | $741.31 | $2,187.76 |
United Setting Professional Modifier None Typical Low $33.88 Median $56.23 Typical High $91.20 | Professional | None | $33.88 | $56.23 | $91.20 |
Wellpoint Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None | $74.13 | $74.13 | $74.13 |
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 $28.18 Median $51.29 Typical High $60.26 | Professional | 54 · Surgery only | $28.18 | $51.29 | $60.26 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $28.18 Median $51.29 Typical High $58.88 | Professional | 54 · Surgery only | $28.18 | $51.29 | $58.88 |
Where Texas sits
The same service costs 3.5 times more in Wisconsin than in Kentucky. 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· 41st of 51
$69.18
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.