How much rates vary
Facilitymedian $2,455 · 10th to 90th $2,239 to $8,318Professionalmedian $2,399 · 10th to 90th $501 to $2,818
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 $1,412.54 Median $1,584.89 Typical High $4,365.16 | Professional | None | $1,412.54 | $1,584.89 | $4,365.16 |
BCBS Montana Setting Facility Modifier None Typical Low $8,128.31 Median $8,128.31 Typical High $8,128.31 | Facility | None | $8,128.31 | $8,128.31 | $8,128.31 |
BCBS Montana Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Professional | None | $2,398.83 | $2,398.83 | $2,398.83 |
Cigna Setting Facility Modifier None Typical Low $2,398.83 Median $8,317.64 Typical High $23,442.29 | Facility | None | $2,398.83 | $8,317.64 | $23,442.29 |
Cigna Setting Professional Modifier None Typical Low $1,659.59 Median $2,398.83 Typical High $2,630.27 | Professional | None | $1,659.59 | $2,398.83 | $2,630.27 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $2,238.72 Median $2,454.71 Typical High $2,818.38 | Facility | None | $2,238.72 | $2,454.71 | $2,818.38 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $1,584.89 Median $2,454.71 Typical High $2,630.27 | Professional | None | $1,584.89 | $2,454.71 | $2,630.27 |
Providence Setting Facility Modifier None Typical Low $2,398.83 Median $8,317.64 Typical High $23,442.29 | Facility | None | $2,398.83 | $8,317.64 | $23,442.29 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $2,238.72 Typical High $2,454.71 | Professional | None | $79.43 | $2,238.72 | $2,454.71 |
United Setting Facility Modifier None Typical Low $2,691.53 Median $3,311.31 Typical High $9,120.11 | Facility | None | $2,691.53 | $3,311.31 | $9,120.11 |
United Setting Professional Modifier None Typical Low $2,187.76 Median $2,570.40 Typical High $3,019.95 | Professional | None | $2,187.76 | $2,570.40 | $3,019.95 |
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 $1,047.13 Median $3,311.31 Typical High $3,311.31 | Professional | 54 · Surgery only | $1,047.13 | $3,311.31 | $3,311.31 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,000.00 Median $3,090.30 Typical High $3,090.30 | Professional | 78 · Unplanned return to OR | $1,000.00 | $3,090.30 | $3,090.30 |
Where Montana sits
The same service costs 3.9 times more in Colorado than in Florida. 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.
Physician feeFacility fee
CO $16,496FL $4,250
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.