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 $549.54 Median $724.44 Typical High $1,949.84 | Professional | None | $549.54 | $724.44 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | None | $1,122.02 | $1,122.02 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $1,122.02 Typical High $1,122.02 | Professional | None | $812.83 | $1,122.02 | $1,122.02 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,318.26 | Facility | None | $1,122.02 | $1,122.02 | $1,318.26 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $724.44 Median $1,122.02 Typical High $1,202.26 | Professional | None | $724.44 | $1,122.02 | $1,202.26 |
Providence Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | None | $1,122.02 | $1,122.02 | $1,122.02 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $977.24 Typical High $1,122.02 | Professional | None | $79.43 | $977.24 | $1,122.02 |
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 $912.01 Median $1,023.29 Typical High $1,258.93 | Professional | None | $912.01 | $1,023.29 | $1,258.93 |
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 $537.03 Typical High $1,445.44 | Professional | 54 · Surgery only | $416.87 | $537.03 | $1,445.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $501.19 Typical High $1,348.96 | Professional | 78 · Unplanned return to OR | $380.19 | $501.19 | $1,348.96 |
Where Montana sits
The same service costs 8.5 times more in Alaska 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.
Montana· 13th of 51
$1,072
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.