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 $223.87 Median $1,000.00 Typical High $7,762.47 | Facility | None | $223.87 | $1,000.00 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $281.84 Typical High $389.05 | Professional | None | $223.87 | $281.84 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $295.12 Typical High $602.56 | Facility | None | $213.80 | $295.12 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $371.54 Typical High $512.86 | Professional | None | $245.47 | $371.54 | $512.86 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $263.03 Typical High $436.52 | Professional | None | $33.11 | $263.03 | $436.52 |
Providence Setting Facility Modifier None Typical Low $218.78 Median $371.54 Typical High $602.56 | Facility | None | $218.78 | $371.54 | $602.56 |
Providence Setting Professional Modifier None Typical Low $257.04 Median $371.54 Typical High $549.54 | Professional | None | $257.04 | $371.54 | $549.54 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $3,162.28 Typical High $9,549.93 | Facility | None | $1,230.27 | $3,162.28 | $9,549.93 |
United Setting Professional Modifier None Typical Low $245.47 Median $363.08 Typical High $562.34 | Professional | None | $245.47 | $363.08 | $562.34 |
1 more rate 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 78 · Unplanned return to OR Typical Low $158.49 Median $194.98 Typical High $275.42 | Professional | 78 · Unplanned return to OR | $158.49 | $194.98 | $275.42 |
Where New Mexico sits
The same service costs 5.0 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· 26th of 51
$355
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.