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 $616.60 Median $812.83 Typical High $2,187.76 | Professional | None | $616.60 | $812.83 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | None | $1,258.93 | $1,258.93 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $1,258.93 Typical High $1,258.93 | Professional | None | $851.14 | $1,258.93 | $1,258.93 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $1,202.26 Median $1,230.27 Typical High $1,412.54 | Facility | None | $1,202.26 | $1,230.27 | $1,412.54 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $794.33 Median $1,202.26 Typical High $1,288.25 | Professional | None | $794.33 | $1,202.26 | $1,288.25 |
Providence Setting Facility Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | None | $1,258.93 | $1,258.93 | $1,258.93 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,096.48 Typical High $1,258.93 | Professional | None | $79.43 | $1,096.48 | $1,258.93 |
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 $933.25 Median $1,071.52 Typical High $1,513.56 | Professional | None | $933.25 | $1,071.52 | $1,513.56 |
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 $478.63 Median $602.56 Typical High $1,621.81 | Professional | 54 · Surgery only | $478.63 | $602.56 | $1,621.81 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $562.34 Typical High $1,513.56 | Professional | 78 · Unplanned return to OR | $436.52 | $562.34 | $1,513.56 |
Where Montana sits
The same service costs 7.9 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· 22nd of 51
$1,148
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.