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 $416.87 Median $616.60 Typical High $1,659.59 | Professional | None | $416.87 | $616.60 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $8,317.64 Typical High $23,442.29 | Facility | None | $912.01 | $8,317.64 | $23,442.29 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $912.01 Typical High $912.01 | Professional | None | $691.83 | $912.01 | $912.01 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $870.96 Median $891.25 Typical High $1,023.29 | Facility | None | $870.96 | $891.25 | $1,023.29 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $562.34 Median $870.96 Typical High $933.25 | Professional | None | $562.34 | $870.96 | $933.25 |
Providence Setting Facility Modifier None Typical Low $912.01 Median $8,317.64 Typical High $23,442.29 | Facility | None | $912.01 | $8,317.64 | $23,442.29 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $831.76 Typical High $933.25 | Professional | None | $79.43 | $831.76 | $933.25 |
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 $676.08 Median $794.33 Typical High $1,479.11 | Professional | None | $676.08 | $794.33 | $1,479.11 |
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 $346.74 Median $467.74 Typical High $1,258.93 | Professional | 54 · Surgery only | $346.74 | $467.74 | $1,258.93 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $436.52 Typical High $1,174.90 | Professional | 78 · Unplanned return to OR | $288.40 | $436.52 | $1,174.90 |
Where Montana sits
The same service costs 5.9 times more in Alaska than in Hawaii. 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· 17th of 51
$871
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.