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 $537.03 Median $2,238.72 Typical High $6,918.31 | Facility | None | $537.03 | $2,238.72 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $102.33 Typical High $131.83 | Professional | None | $25.70 | $102.33 | $131.83 |
Ambetter Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $120.23 | Professional | None | $25.70 | $25.70 | $120.23 |
BCBS Texas Setting Facility Modifier None Typical Low $93.33 Median $158.49 Typical High $912.01 | Facility | None | $93.33 | $158.49 | $912.01 |
BCBS Texas Setting Professional Modifier None Typical Low $26.92 Median $91.20 Typical High $169.82 | Professional | None | $26.92 | $91.20 | $169.82 |
Baylor Scott & White Setting Facility Modifier None Typical Low $29.51 Median $309.03 Typical High $426.58 | Facility | None | $29.51 | $309.03 | $426.58 |
Baylor Scott & White Setting Professional Modifier None Typical Low $21.88 Median $22.91 Typical High $25.70 | Professional | None | $21.88 | $22.91 | $25.70 |
Christus Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $138.04 Typical High $1,412.54 | Facility | None | $97.72 | $138.04 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $31.62 Median $74.13 Typical High $169.82 | Professional | None | $31.62 | $74.13 | $169.82 |
Lucent Health Setting Professional Modifier None Typical Low $851.14 Median $1,023.29 Typical High $1,023.29 | Professional | None | $851.14 | $1,023.29 | $1,023.29 |
Moda Health Setting Facility Modifier None Typical Low $38.02 Median $1,000.00 Typical High $4,677.35 | Facility | None | $38.02 | $1,000.00 | $4,677.35 |
Moda Health Setting Professional Modifier None Typical Low $25.70 Median $102.33 Typical High $138.04 | Professional | None | $25.70 | $102.33 | $138.04 |
Molina Setting Professional Modifier None Typical Low $19.95 Median $109.65 Typical High $147.91 | Professional | None | $19.95 | $109.65 | $147.91 |
Providence Setting Facility Modifier None Typical Low $93.33 Median $165.96 Typical High $3,801.89 | Facility | None | $93.33 | $165.96 | $3,801.89 |
Providence Setting Professional Modifier None Typical Low $31.62 Median $74.13 Typical High $169.82 | Professional | None | $31.62 | $74.13 | $169.82 |
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 $25.70 Median $85.11 Typical High $162.18 | Professional | None | $25.70 | $85.11 | $162.18 |
Wellpoint Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None | $117.49 | $117.49 | $117.49 |
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 $19.50 Median $74.13 Typical High $91.20 | Professional | 54 · Surgery only | $19.50 | $74.13 | $91.20 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $19.50 Median $74.13 Typical High $91.20 | Professional | 54 · Surgery only | $19.50 | $74.13 | $91.20 |
Where Texas sits
The same service costs 5.1 times more in Iowa 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· 21st of 51
$117
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.