How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $1,000.00 Median $2,290.87 Typical High $8,317.64 | Facility | None | $1,000.00 | $2,290.87 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $2,089.30 Median $3,090.30 Typical High $3,090.30 | Professional | None | $2,089.30 | $3,090.30 | $3,090.30 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $13,489.63 Typical High $19,054.61 | Facility | None | $602.56 | $13,489.63 | $19,054.61 |
Cigna Setting Professional Modifier None Typical Low $1,995.26 Median $2,630.27 Typical High $3,715.35 | Professional | None | $1,995.26 | $2,630.27 | $3,715.35 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $3,467.37 Typical High $3,467.37 | Professional | None | $33.11 | $3,467.37 | $3,467.37 |
Providence Setting Facility Modifier None Typical Low $602.56 Median $14,125.38 Typical High $19,498.45 | Facility | None | $602.56 | $14,125.38 | $19,498.45 |
Providence Setting Professional Modifier None Typical Low $1,995.26 Median $2,754.23 Typical High $3,801.89 | Professional | None | $1,995.26 | $2,754.23 | $3,801.89 |
United Setting Facility Modifier None Typical Low $3,981.07 Median $10,232.93 Typical High $27,542.29 | Facility | None | $3,981.07 | $10,232.93 | $27,542.29 |
United Setting Professional Modifier None Typical Low $1,949.84 Median $3,019.95 Typical High $4,265.80 | Professional | None | $1,949.84 | $3,019.95 | $4,265.80 |
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 $1,584.89 Median $2,344.23 Typical High $2,344.23 | Professional | 54 · Surgery only | $1,584.89 | $2,344.23 | $2,344.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,479.11 Median $2,187.76 Typical High $2,187.76 | Professional | 78 · Unplanned return to OR | $1,479.11 | $2,187.76 | $2,187.76 |
Where New Mexico sits
The same service costs 8.1 times more in Alaska 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.
New Mexico· 23rd of 51
$3,090
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.