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 Facility Modifier None Typical Low $707.95 Median $1,000.00 Typical High $7,762.47 | Facility | None | $707.95 | $1,000.00 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $977.24 Typical High $977.24 | Professional | None | $645.65 | $977.24 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $602.56 Typical High $707.95 | Facility | None | $537.03 | $602.56 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $1,047.13 Typical High $1,230.27 | Professional | None | $758.58 | $1,047.13 | $1,230.27 |
Molina Setting Professional Modifier None Typical Low $144.54 Median $724.44 Typical High $831.76 | Professional | None | $144.54 | $724.44 | $831.76 |
Providence Setting Facility Modifier None Typical Low $602.56 Median $125,892.54 Typical High $251,188.64 | Facility | None | $602.56 | $125,892.54 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $776.25 Median $1,047.13 Typical High $1,202.26 | Professional | None | $776.25 | $1,047.13 | $1,202.26 |
United Setting Facility Modifier None Typical Low $407.38 Median $1,412.54 Typical High $10,471.29 | Facility | None | $407.38 | $1,412.54 | $10,471.29 |
United Setting Professional Modifier None Typical Low $676.08 Median $933.25 Typical High $1,445.44 | Professional | None | $676.08 | $933.25 | $1,445.44 |
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 $489.78 Median $741.31 Typical High $741.31 | Professional | 54 · Surgery only | $489.78 | $741.31 | $741.31 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $691.83 Typical High $691.83 | Professional | 78 · Unplanned return to OR | $457.09 | $691.83 | $691.83 |
Where New Mexico 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.
New Mexico· 28th 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.