How much rates vary
Facilitymedian $245 · 10th to 90th $229 to $631Professionalmedian $245 · 10th to 90th $79 to $288
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 $147.91 Median $446.68 Typical High $446.68 | Professional | None | $147.91 | $446.68 | $446.68 |
BCBS Montana Setting Professional Modifier None Typical Low $208.93 Median $245.47 Typical High $245.47 | Professional | None | $208.93 | $245.47 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $245.47 Typical High $269.15 | Professional | None | $208.93 | $245.47 | $269.15 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $229.09 Median $239.88 Typical High $275.42 | Facility | None | $229.09 | $239.88 | $275.42 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $158.49 Median $239.88 Typical High $257.04 | Professional | None | $158.49 | $239.88 | $257.04 |
Providence Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $229.09 Typical High $251.19 | Professional | None | $79.43 | $229.09 | $251.19 |
United Setting Facility Modifier None Typical Low $602.56 Median $954.99 Typical High $1,862.09 | Facility | None | $602.56 | $954.99 | $1,862.09 |
United Setting Professional Modifier None Typical Low $229.09 Median $269.15 Typical High $316.23 | Professional | None | $229.09 | $269.15 | $316.23 |
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 $107.15 Median $338.84 Typical High $338.84 | Professional | 54 · Surgery only | $107.15 | $338.84 | $338.84 |
Where Montana sits
The same service costs 29.9 times more in Colorado 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.
Physician feeFacility fee
CO $14,663TX $490
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.