How much rates vary
Facilitymedian $513 · 10th to 90th $251 to $3,090Professionalmedian $537 · 10th to 90th $30 to $1,318
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 $977.24 Median $2,691.53 Typical High $6,918.31 | Facility | None | $977.24 | $2,691.53 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $1,148.15 Median $1,258.93 Typical High $1,621.81 | Professional | None | $1,148.15 | $1,258.93 | $1,621.81 |
BCBS Texas Setting Facility Modifier None Typical Low $251.19 Median $380.19 Typical High $1,862.09 | Facility | None | $251.19 | $380.19 | $1,862.09 |
BCBS Texas Setting Professional Modifier None Typical Low $1,023.29 Median $1,318.26 Typical High $1,698.24 | Professional | None | $1,023.29 | $1,318.26 | $1,698.24 |
Christus Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $371.54 Typical High $562.34 | Facility | None | $66.07 | $371.54 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,230.27 Typical High $1,621.81 | Professional | None | $1,071.52 | $1,230.27 | $1,621.81 |
Lucent Health Setting Professional Modifier None Typical Low $8,317.64 Median $8,317.64 Typical High $8,317.64 | Professional | None | $8,317.64 | $8,317.64 | $8,317.64 |
Moda Health Setting Facility Modifier None Typical Low $724.44 Median $1,995.26 Typical High $6,025.60 | Facility | None | $724.44 | $1,995.26 | $6,025.60 |
Moda Health Setting Professional Modifier None Typical Low $1,148.15 Median $1,258.93 Typical High $1,584.89 | Professional | None | $1,148.15 | $1,258.93 | $1,584.89 |
Molina Setting Professional Modifier None Typical Low $26.92 Median $158.49 Typical High $891.25 | Professional | None | $26.92 | $158.49 | $891.25 |
Oscar Health Setting Professional Modifier None Typical Low $977.24 Median $1,778.28 Typical High $2,187.76 | Professional | None | $977.24 | $1,778.28 | $2,187.76 |
Providence Setting Facility Modifier None Typical Low $66.07 Median $398.11 Typical High $954.99 | Facility | None | $66.07 | $398.11 | $954.99 |
Providence Setting Professional Modifier None Typical Low $1,071.52 Median $1,230.27 Typical High $1,621.81 | Professional | None | $1,071.52 | $1,230.27 | $1,621.81 |
United Setting Facility Modifier None Typical Low $389.05 Median $1,230.27 Typical High $3,090.30 | Facility | None | $389.05 | $1,230.27 | $3,090.30 |
United Setting Professional Modifier None Typical Low $891.25 Median $1,122.02 Typical High $1,659.59 | Professional | None | $891.25 | $1,122.02 | $1,659.59 |
Wellpoint Setting Professional Modifier None Typical Low $954.99 Median $977.24 Typical High $977.24 | Professional | None | $954.99 | $977.24 | $977.24 |
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 $870.96 Median $933.25 Typical High $1,174.90 | Professional | 54 · Surgery only | $870.96 | $933.25 | $1,174.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $870.96 Typical High $1,096.48 | Professional | 78 · Unplanned return to OR | $812.83 | $870.96 | $1,096.48 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $933.25 Typical High $1,148.15 | Professional | 54 · Surgery only | $870.96 | $933.25 | $1,148.15 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $870.96 Typical High $1,071.52 | Professional | 78 · Unplanned return to OR | $812.83 | $870.96 | $1,071.52 |
Where Texas sits
The same service costs 6.3 times more in Wyoming than in Texas. 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· 51st of 51
$537
WY $3,388TX $537
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.