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 $676.08 Median $2,570.40 Typical High $6,918.31 | Facility | None | $676.08 | $2,570.40 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $199.53 Typical High $288.40 | Professional | None | $138.04 | $199.53 | $288.40 |
Ambetter Setting Professional Modifier None Typical Low $125.89 Median $147.91 Typical High $288.40 | Professional | None | $125.89 | $147.91 | $288.40 |
BCBS Texas Setting Facility Modifier None Typical Low $173.78 Median $331.13 Typical High $1,047.13 | Facility | None | $173.78 | $331.13 | $1,047.13 |
BCBS Texas Setting Professional Modifier None Typical Low $144.54 Median $223.87 Typical High $398.11 | Professional | None | $144.54 | $223.87 | $398.11 |
Christus Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $239.88 Typical High $1,412.54 | Facility | None | $169.82 | $239.88 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $229.09 Typical High $323.59 | Professional | None | $151.36 | $229.09 | $323.59 |
Lucent Health Setting Professional Modifier None Typical Low $1,698.24 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,698.24 | $1,905.46 | $1,905.46 |
Moda Health Setting Facility Modifier None Typical Low $199.53 Median $1,819.70 Typical High $4,786.30 | Facility | None | $199.53 | $1,819.70 | $4,786.30 |
Moda Health Setting Professional Modifier None Typical Low $141.25 Median $208.93 Typical High $316.23 | Professional | None | $141.25 | $208.93 | $316.23 |
Molina Setting Professional Modifier None Typical Low $34.67 Median $190.55 Typical High $257.04 | Professional | None | $34.67 | $190.55 | $257.04 |
Providence Setting Facility Modifier None Typical Low $181.97 Median $295.12 Typical High $3,801.89 | Facility | None | $181.97 | $295.12 | $3,801.89 |
Providence Setting Professional Modifier None Typical Low $151.36 Median $229.09 Typical High $323.59 | Professional | None | $151.36 | $229.09 | $323.59 |
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 $123.03 Median $177.83 Typical High $281.84 | Professional | None | $123.03 | $177.83 | $281.84 |
Wellpoint Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None | $223.87 | $223.87 | $223.87 |
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 $104.71 Median $144.54 Typical High $199.53 | Professional | 54 · Surgery only | $104.71 | $144.54 | $199.53 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $104.71 Median $147.91 Typical High $199.53 | Professional | 54 · Surgery only | $104.71 | $147.91 | $199.53 |
Where Texas sits
The same service costs 4.2 times more in Alaska 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· 30th of 51
$224
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.