How much rates vary
Facilitymedian $6,918 · 10th to 90th $3,020 to $17,378Professionalmedian $550 · 10th to 90th $83 to $1,096
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 $1,122.02 Median $4,073.80 Typical High $10,000.00 | Facility | None | $1,122.02 | $4,073.80 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $912.01 Typical High $1,905.46 | Professional | None | $831.76 | $912.01 | $1,905.46 |
Ambetter Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None | $776.25 | $776.25 | $776.25 |
BCBS Texas Setting Facility Modifier None Typical Low $3,801.89 Median $8,128.31 Typical High $21,877.62 | Facility | None | $3,801.89 | $8,128.31 | $21,877.62 |
BCBS Texas Setting Professional Modifier None Typical Low $831.76 Median $1,047.13 Typical High $1,445.44 | Professional | None | $831.76 | $1,047.13 | $1,445.44 |
Christus Setting Facility Modifier None Typical Low $6,309.57 Median $6,309.57 Typical High $6,309.57 | Facility | None | $6,309.57 | $6,309.57 | $6,309.57 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $6,309.57 Typical High $8,317.64 | Facility | None | $1,778.28 | $6,309.57 | $8,317.64 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $1,023.29 Typical High $1,737.80 | Professional | None | $912.01 | $1,023.29 | $1,737.80 |
Lucent Health Setting Professional Modifier None Typical Low $9,549.93 Median $9,549.93 Typical High $9,549.93 | Professional | None | $9,549.93 | $9,549.93 | $9,549.93 |
Moda Health Setting Facility Modifier None Typical Low $891.25 Median $3,715.35 Typical High $9,120.11 | Facility | None | $891.25 | $3,715.35 | $9,120.11 |
Moda Health Setting Professional Modifier None Typical Low $831.76 Median $912.01 Typical High $1,288.25 | Professional | None | $831.76 | $912.01 | $1,288.25 |
Molina Setting Professional Modifier None Typical Low $77.62 Median $138.04 Typical High $758.58 | Professional | None | $77.62 | $138.04 | $758.58 |
Providence Setting Facility Modifier None Typical Low $1,412.54 Median $6,606.93 Typical High $11,748.98 | Facility | None | $1,412.54 | $6,606.93 | $11,748.98 |
Providence Setting Professional Modifier None Typical Low $891.25 Median $1,047.13 Typical High $1,698.24 | Professional | None | $891.25 | $1,047.13 | $1,698.24 |
United Setting Facility Modifier None Typical Low $2,630.27 Median $6,456.54 Typical High $15,848.93 | Facility | None | $2,630.27 | $6,456.54 | $15,848.93 |
United Setting Professional Modifier None Typical Low $707.95 Median $1,000.00 Typical High $1,513.56 | Professional | None | $707.95 | $1,000.00 | $1,513.56 |
Wellpoint Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | None | $794.33 | $794.33 | $794.33 |
4 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 $616.60 Median $676.08 Typical High $794.33 | Professional | 54 · Surgery only | $616.60 | $676.08 | $794.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $630.96 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $575.44 | $630.96 | $741.31 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $676.08 Typical High $794.33 | Professional | 54 · Surgery only | $616.60 | $676.08 | $794.33 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $630.96 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $575.44 | $630.96 | $741.31 |
Where Texas sits
The same service costs 5.6 times more in Colorado than in Montana. 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.
Physician feeFacility fee
CO $15,803MT $2,826
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.