How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 Facility Modifier None Typical Low $616.60 Median $1,548.82 Typical High $8,709.64 | Facility | None | $616.60 | $1,548.82 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $851.14 Typical High $851.14 | Professional | None | $562.34 | $851.14 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $1,412.54 Median $5,888.44 Typical High $8,317.64 | Facility | None | $1,412.54 | $5,888.44 | $8,317.64 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $851.14 Typical High $1,047.13 | Professional | None | $630.96 | $851.14 | $1,047.13 |
Molina Setting Professional Modifier None Typical Low $114.82 Median $575.44 Typical High $660.69 | Professional | None | $114.82 | $575.44 | $660.69 |
Providence Setting Facility Modifier None Typical Low $1,412.54 Median $6,165.95 Typical High $8,511.38 | Facility | None | $1,412.54 | $6,165.95 | $8,511.38 |
Providence Setting Professional Modifier None Typical Low $630.96 Median $851.14 Typical High $1,047.13 | Professional | None | $630.96 | $851.14 | $1,047.13 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $4,786.30 Typical High $19,054.61 | Facility | None | $1,348.96 | $4,786.30 | $19,054.61 |
United Setting Professional Modifier None Typical Low $478.63 Median $676.08 Typical High $1,548.82 | Professional | None | $478.63 | $676.08 | $1,548.82 |
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 $416.87 Median $630.96 Typical High $630.96 | Professional | 54 · Surgery only | $416.87 | $630.96 | $630.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $389.05 Median $588.84 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $389.05 | $588.84 | $588.84 |
Where New Mexico 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.
New Mexico· 31st of 51
$661
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.