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 $363.08 Median $1,122.02 Typical High $2,754.23 | Professional | None | $363.08 | $1,122.02 | $2,754.23 |
BCBS Montana Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,288.25 Typical High $6,760.83 | Facility | None | $602.56 | $1,288.25 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $870.96 Typical High $1,445.44 | Professional | None | $537.03 | $870.96 | $1,445.44 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $616.60 Median $776.25 Typical High $1,862.09 | Facility | None | $616.60 | $776.25 | $1,862.09 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $398.11 Median $758.58 Typical High $1,698.24 | Professional | None | $398.11 | $758.58 | $1,698.24 |
Providence Setting Facility Modifier None Typical Low $602.56 Median $1,288.25 Typical High $6,760.83 | Facility | None | $602.56 | $1,288.25 | $6,760.83 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $616.60 Typical High $1,513.56 | Professional | None | $79.43 | $616.60 | $1,513.56 |
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 $588.84 Median $1,096.48 Typical High $1,819.70 | Professional | None | $588.84 | $1,096.48 | $1,819.70 |
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 $275.42 Median $831.76 Typical High $2,041.74 | Professional | 54 · Surgery only | $275.42 | $831.76 | $2,041.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $257.04 Median $776.25 Typical High $1,905.46 | Professional | 78 · Unplanned return to OR | $257.04 | $776.25 | $1,905.46 |
Where Montana sits
The same service costs 4.5 times more in North Carolina than in Washington, DC. 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· 36th of 51
$832
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.