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 $2,290.87 Typical High $6,918.31 | Facility | None | $691.83 | $2,290.87 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $45.71 Typical High $70.79 | Professional | None | $43.65 | $45.71 | $70.79 |
BCBS Texas Setting Facility Modifier None Typical Low $1,348.96 Median $2,630.27 Typical High $6,760.83 | Facility | None | $1,348.96 | $2,630.27 | $6,760.83 |
BCBS Texas Setting Professional Modifier None Typical Low $43.65 Median $54.95 Typical High $75.86 | Professional | None | $43.65 | $54.95 | $75.86 |
Christus Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Facility | None | $2,137.96 | $2,137.96 | $2,137.96 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $1,862.09 Typical High $2,754.23 | Facility | None | $616.60 | $1,862.09 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $53.70 Typical High $83.18 | Professional | None | $47.86 | $53.70 | $83.18 |
Lucent Health Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None | $575.44 | $575.44 | $575.44 |
Moda Health Setting Facility Modifier None Typical Low $53.70 Median $2,089.30 Typical High $5,495.41 | Facility | None | $53.70 | $2,089.30 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $43.65 Median $45.71 Typical High $63.10 | Professional | None | $43.65 | $45.71 | $63.10 |
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 $416.87 Median $2,041.74 Typical High $3,890.45 | Facility | None | $416.87 | $2,041.74 | $3,890.45 |
Providence Setting Professional Modifier None Typical Low $47.86 Median $56.23 Typical High $83.18 | Professional | None | $47.86 | $56.23 | $83.18 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $3,311.31 Typical High $6,760.83 | Facility | None | $1,258.93 | $3,311.31 | $6,760.83 |
United Setting Professional Modifier None Typical Low $37.15 Median $50.12 Typical High $75.86 | Professional | None | $37.15 | $50.12 | $75.86 |
Wellpoint Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None | $43.65 | $43.65 | $43.65 |
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 $31.62 Median $34.67 Typical High $40.74 | Professional | 54 · Surgery only | $31.62 | $34.67 | $40.74 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $31.62 Median $34.67 Typical High $40.74 | Professional | 54 · Surgery only | $31.62 | $34.67 | $40.74 |
Where Texas sits
The same service costs 20.9 times more in Oklahoma 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· 31st of 51
$70.79
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.