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 Professional Modifier None Typical Low $457.09 Median $1,445.44 Typical High $1,445.44 | Professional | None | $457.09 | $1,445.44 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $4,897.79 Typical High $13,803.84 | Facility | None | $758.58 | $4,897.79 | $13,803.84 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $758.58 Typical High $776.25 | Professional | None | $478.63 | $758.58 | $776.25 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $645.65 Median $691.83 Typical High $794.33 | Facility | None | $645.65 | $691.83 | $794.33 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $446.68 Median $691.83 Typical High $741.31 | Professional | None | $446.68 | $691.83 | $741.31 |
Providence Setting Facility Modifier None Typical Low $758.58 Median $4,897.79 Typical High $13,803.84 | Facility | None | $758.58 | $4,897.79 | $13,803.84 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $691.83 Typical High $758.58 | Professional | None | $79.43 | $691.83 | $758.58 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $2,238.72 Typical High $3,162.28 | Facility | None | $1,445.44 | $2,238.72 | $3,162.28 |
United Setting Professional Modifier None Typical Low $676.08 Median $794.33 Typical High $933.25 | Professional | None | $676.08 | $794.33 | $933.25 |
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 54 · Surgery only Typical Low $346.74 Median $1,071.52 Typical High $1,071.52 | Professional | 54 · Surgery only | $346.74 | $1,071.52 | $1,071.52 |
Where Montana sits
The same service costs 4.6 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.
Montana· 13th of 51
$759
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.