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 $309.03 Median $954.99 Typical High $954.99 | Professional | None | $309.03 | $954.99 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $1,819.70 Typical High $5,128.61 | Facility | None | $537.03 | $1,819.70 | $5,128.61 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $537.03 Typical High $549.54 | Professional | None | $346.74 | $537.03 | $549.54 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $457.09 Median $575.44 Typical High $660.69 | Facility | None | $457.09 | $575.44 | $660.69 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $371.54 Median $575.44 Typical High $616.60 | Professional | None | $371.54 | $575.44 | $616.60 |
Providence Setting Facility Modifier None Typical Low $537.03 Median $1,819.70 Typical High $5,128.61 | Facility | None | $537.03 | $1,819.70 | $5,128.61 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $478.63 Typical High $537.03 | Professional | None | $79.43 | $478.63 | $537.03 |
United Setting Facility Modifier None Typical Low $602.56 Median $1,000.00 Typical High $1,862.09 | Facility | None | $602.56 | $1,000.00 | $1,862.09 |
United Setting Professional Modifier None Typical Low $467.74 Median $537.03 Typical High $630.96 | Professional | None | $467.74 | $537.03 | $630.96 |
1 more rate 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 78 · Unplanned return to OR Typical Low $218.78 Median $660.69 Typical High $660.69 | Professional | 78 · Unplanned return to OR | $218.78 | $660.69 | $660.69 |
Where Montana sits
The same service costs 5.2 times more in Alaska than in Utah. 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· 15th of 51
$537
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.