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 $616.60 Median $1,949.84 Typical High $1,949.84 | Professional | None | $616.60 | $1,949.84 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $1,047.13 Median $6,165.95 Typical High $13,803.84 | Facility | None | $1,047.13 | $6,165.95 | $13,803.84 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $1,047.13 Typical High $1,071.52 | Professional | None | $660.69 | $1,047.13 | $1,071.52 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $912.01 Median $1,047.13 Typical High $1,202.26 | Facility | None | $912.01 | $1,047.13 | $1,202.26 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $676.08 Median $1,047.13 Typical High $1,122.02 | Professional | None | $676.08 | $1,047.13 | $1,122.02 |
Providence Setting Facility Modifier None Typical Low $1,047.13 Median $6,165.95 Typical High $13,803.84 | Facility | None | $1,047.13 | $6,165.95 | $13,803.84 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $977.24 Typical High $1,071.52 | Professional | None | $79.43 | $977.24 | $1,071.52 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $3,981.07 Typical High $7,079.46 | Facility | None | $2,089.30 | $3,981.07 | $7,079.46 |
United Setting Professional Modifier None Typical Low $912.01 Median $1,096.48 Typical High $1,288.25 | Professional | None | $912.01 | $1,096.48 | $1,288.25 |
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 $457.09 Median $1,479.11 Typical High $1,479.11 | Professional | 54 · Surgery only | $457.09 | $1,479.11 | $1,479.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $1,380.38 Typical High $1,380.38 | Professional | 78 · Unplanned return to OR | $426.58 | $1,380.38 | $1,380.38 |
Where Montana sits
The same service costs 24.0 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.
Montana· 15th of 51
$1,047
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.