How much rates vary
Facilitymedian $1,738 · 10th to 90th $1,698 to $2,818Professionalmedian $1,738 · 10th to 90th $794 to $2,042
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 $1,000.00 Median $1,174.90 Typical High $3,162.28 | Professional | None | $1,000.00 | $1,174.90 | $3,162.28 |
BCBS Montana Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,737.80 | $1,737.80 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,737.80 Typical High $1,905.46 | Professional | None | $1,288.25 | $1,737.80 | $1,905.46 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $1,698.24 Median $1,737.80 Typical High $1,949.84 | Facility | None | $1,698.24 | $1,737.80 | $1,949.84 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $1,096.48 Median $1,698.24 Typical High $1,819.70 | Professional | None | $1,096.48 | $1,698.24 | $1,819.70 |
Providence Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,584.89 Typical High $1,778.28 | Professional | None | $79.43 | $1,584.89 | $1,778.28 |
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 $1,621.81 Median $1,905.46 Typical High $2,290.87 | Professional | None | $1,621.81 | $1,905.46 | $2,290.87 |
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 $758.58 Median $2,398.83 Typical High $2,398.83 | Professional | 54 · Surgery only | $758.58 | $2,398.83 | $2,398.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $2,238.72 Typical High $2,238.72 | Professional | 78 · Unplanned return to OR | $758.58 | $2,238.72 | $2,238.72 |
Where Montana sits
The same service costs 8.7 times more in Maine than in Kentucky. 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
ME $27,149KY $3,127
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.