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 $37.15 Median $46.77 Typical High $56.23 | Facility | None | $37.15 | $46.77 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $46.77 Typical High $57.54 | Professional | None | $37.15 | $46.77 | $57.54 |
BCBS Texas Setting Facility Modifier None Typical Low $4,168.69 Median $8,709.64 Typical High $8,709.64 | Facility | None | $4,168.69 | $8,709.64 | $8,709.64 |
BCBS Texas Setting Professional Modifier None Typical Low $47.86 Median $64.57 Typical High $97.72 | Professional | None | $47.86 | $64.57 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $67.61 Typical High $104.71 | Professional | None | $56.23 | $67.61 | $104.71 |
Lucent Health Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $616.60 | Professional | None | $467.74 | $467.74 | $616.60 |
Moda Health Setting Facility Modifier None Typical Low $46.77 Median $52.48 Typical High $67.61 | Facility | None | $46.77 | $52.48 | $67.61 |
Moda Health Setting Professional Modifier None Typical Low $37.15 Median $47.86 Typical High $79.43 | Professional | None | $37.15 | $47.86 | $79.43 |
Molina Setting Professional Modifier None Typical Low $5.25 Median $28.84 Typical High $38.90 | Professional | None | $5.25 | $28.84 | $38.90 |
Providence Setting Facility Modifier None Typical Low $46.77 Median $52.48 Typical High $72.44 | Facility | None | $46.77 | $52.48 | $72.44 |
Providence Setting Professional Modifier None Typical Low $56.23 Median $66.07 Typical High $104.71 | Professional | None | $56.23 | $66.07 | $104.71 |
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 $47.86 Median $67.61 Typical High $100.00 | Professional | None | $47.86 | $67.61 | $100.00 |
Wellpoint Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None | $53.70 | $53.70 | $53.70 |
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 $27.54 Median $35.48 Typical High $42.66 | Professional | 54 · Surgery only | $27.54 | $35.48 | $42.66 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $27.54 Median $35.48 Typical High $42.66 | Professional | 54 · Surgery only | $27.54 | $35.48 | $42.66 |
Where Texas sits
The same service costs 3.5 times more in Wisconsin than in South Carolina. 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· 19th of 51
$95.50
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.