How much rates vary
Facilitymedian $3,090 · 10th to 90th $1,585 to $12,589Professionalmedian $661 · 10th to 90th $89 to $5,888
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 $870.96 Median $3,235.94 Typical High $12,589.25 | Facility | None | $870.96 | $3,235.94 | $12,589.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $602.56 Median $776.25 Typical High $2,089.30 | Professional | None (both parts) | $602.56 | $776.25 | $2,089.30 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $107.15 Typical High $173.78 | Professional | 26 · Professional part | $81.28 | $107.15 | $173.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $630.96 Typical High $977.24 | Professional | TC · Technical part | $512.86 | $630.96 | $977.24 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None (both parts) | $812.83 | $812.83 | $812.83 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $125.89 Typical High $158.49 | Professional | 26 · Professional part | $123.03 | $125.89 | $158.49 |
BCBS Texas Setting Facility Modifier None Typical Low $1,584.89 Median $3,388.44 Typical High $10,964.78 | Facility | None | $1,584.89 | $3,388.44 | $10,964.78 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $104.71 Median $588.84 Typical High $1,288.25 | Professional | None (both parts) | $104.71 | $588.84 | $1,288.25 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $707.95 Median $707.95 Typical High $741.31 | Professional | None (both parts) | $707.95 | $707.95 | $741.31 |
Christus Setting Facility Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Facility | None | $3,019.95 | $3,019.95 | $3,019.95 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | 26 · Professional part | $123.03 | $123.03 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $2,754.23 Typical High $16,218.10 | Facility | None | $1,778.28 | $2,754.23 | $16,218.10 |
Cigna Setting Professional Modifier None (both parts) Typical Low $831.76 Median $1,047.13 Typical High $1,380.38 | Professional | None (both parts) | $831.76 | $1,047.13 | $1,380.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $154.88 Typical High $245.47 | Professional | 26 · Professional part | $134.90 | $154.88 | $245.47 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $870.96 Typical High $1,122.02 | Professional | TC · Technical part | $707.95 | $870.96 | $1,122.02 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $5,888.44 Median $7,413.10 Typical High $7,413.10 | Professional | None (both parts) | $5,888.44 | $7,413.10 | $7,413.10 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $812.83 Median $1,096.48 Typical High $1,096.48 | Professional | 26 · Professional part | $812.83 | $1,096.48 | $1,096.48 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $5,011.87 Median $6,309.57 Typical High $6,309.57 | Professional | TC · Technical part | $5,011.87 | $6,309.57 | $6,309.57 |
Moda Health Setting Facility Modifier None Typical Low $758.58 Median $3,715.35 Typical High $16,595.87 | Facility | None | $758.58 | $3,715.35 | $16,595.87 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $602.56 Median $758.58 Typical High $1,479.11 | Professional | None (both parts) | $602.56 | $758.58 | $1,479.11 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $107.15 Typical High $181.97 | Professional | 26 · Professional part | $81.28 | $107.15 | $181.97 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $630.96 Typical High $1,047.13 | Professional | TC · Technical part | $512.86 | $630.96 | $1,047.13 |
Molina Setting Professional Modifier None (both parts) Typical Low $17.78 Median $131.83 Typical High $831.76 | Professional | None (both parts) | $17.78 | $131.83 | $831.76 |
Providence Setting Facility Modifier None Typical Low $1,122.02 Median $2,344.23 Typical High $16,218.10 | Facility | None | $1,122.02 | $2,344.23 | $16,218.10 |
Providence Setting Professional Modifier None (both parts) Typical Low $831.76 Median $1,023.29 Typical High $1,380.38 | Professional | None (both parts) | $831.76 | $1,023.29 | $1,380.38 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $154.88 Typical High $245.47 | Professional | 26 · Professional part | $131.83 | $154.88 | $245.47 |
Providence Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $831.76 Typical High $1,096.48 | Professional | TC · Technical part | $707.95 | $831.76 | $1,096.48 |
United Setting Facility Modifier None Typical Low $2,137.96 Median $5,248.07 Typical High $16,595.87 | Facility | None | $2,137.96 | $5,248.07 | $16,595.87 |
United Setting Professional Modifier None (both parts) Typical Low $645.65 Median $891.25 Typical High $1,348.96 | Professional | None (both parts) | $645.65 | $891.25 | $1,348.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $151.36 Typical High $239.88 | Professional | 26 · Professional part | $109.65 | $151.36 | $239.88 |
United Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $724.44 Typical High $1,096.48 | Professional | TC · Technical part | $537.03 | $724.44 | $1,096.48 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | None (both parts) | $851.14 | $851.14 | $851.14 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | 26 · Professional part | $128.82 | $128.82 | $128.82 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | TC · Technical part | $724.44 | $724.44 | $724.44 |
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 $446.68 Median $549.54 Typical High $707.95 | Professional | 54 · Surgery only | $446.68 | $549.54 | $707.95 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $549.54 Typical High $707.95 | Professional | 54 · Surgery only | $446.68 | $549.54 | $707.95 |
Where Texas sits
The same service costs 4.3 times more in Wisconsin than in New York. 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· 47th of 51
$933
WI $3,467NY $813
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.