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 $426.58 Median $457.09 Typical High $707.95 | Professional | None | $426.58 | $457.09 | $707.95 |
BCBS Texas Setting Facility Modifier None Typical Low $3,715.35 Median $7,079.46 Typical High $15,135.61 | Facility | None | $3,715.35 | $7,079.46 | $15,135.61 |
BCBS Texas Setting Professional Modifier None Typical Low $426.58 Median $549.54 Typical High $870.96 | Professional | None | $426.58 | $549.54 | $870.96 |
Christus Setting Facility Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Facility | None | $2,818.38 | $2,818.38 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $2,951.21 Typical High $5,623.41 | Facility | None | $1,778.28 | $2,951.21 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $537.03 Typical High $758.58 | Professional | None | $467.74 | $537.03 | $758.58 |
Lucent Health Setting Professional Modifier None Typical Low $4,365.16 Median $4,365.16 Typical High $4,365.16 | Professional | None | $4,365.16 | $4,365.16 | $4,365.16 |
Moda Health Setting Facility Modifier None Typical Low $457.09 Median $1,905.46 Typical High $6,456.54 | Facility | None | $457.09 | $1,905.46 | $6,456.54 |
Moda Health Setting Professional Modifier None Typical Low $426.58 Median $457.09 Typical High $602.56 | Professional | None | $426.58 | $457.09 | $602.56 |
Molina Setting Professional Modifier None Typical Low $58.88 Median $331.13 Typical High $436.52 | Professional | None | $58.88 | $331.13 | $436.52 |
Providence Setting Facility Modifier None Typical Low $758.58 Median $3,162.28 Typical High $11,748.98 | Facility | None | $758.58 | $3,162.28 | $11,748.98 |
Providence Setting Professional Modifier None Typical Low $467.74 Median $537.03 Typical High $758.58 | Professional | None | $467.74 | $537.03 | $758.58 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $4,570.88 Typical High $10,000.00 | Facility | None | $1,698.24 | $4,570.88 | $10,000.00 |
United Setting Professional Modifier None Typical Low $354.81 Median $478.63 Typical High $724.44 | Professional | None | $354.81 | $478.63 | $724.44 |
Wellpoint Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None | $380.19 | $380.19 | $380.19 |
3 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 $316.23 Median $346.74 Typical High $398.11 | Professional | 54 · Surgery only | $316.23 | $346.74 | $398.11 |
Ambetter Setting Professional Modifier 59 · Distinct service + XU · Unusual separate service Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | 59 · Distinct service + XU · Unusual separate service | $478.63 | $478.63 | $478.63 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $316.23 Median $346.74 Typical High $398.11 | Professional | 54 · Surgery only | $316.23 | $346.74 | $398.11 |
Where Texas sits
The same service costs 4.3 times more in Alaska than in New York. 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· 48th of 51
$479
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.