How much rates vary
Facilitymedian $2,399 · 10th to 90th $1,380 to $2,570Professionalmedian $2,399 · 10th to 90th $79 to $2,754
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 $1,380.38 Median $4,365.16 Typical High $4,365.16 | Professional | None | $1,380.38 | $4,365.16 | $4,365.16 |
BCBS Montana Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Professional | None | $2,398.83 | $2,398.83 | $2,398.83 |
Cigna Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Facility | None | $2,398.83 | $2,398.83 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $1,621.81 Median $2,398.83 Typical High $2,570.40 | Professional | None | $1,621.81 | $2,398.83 | $2,570.40 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $2,187.76 Median $2,398.83 Typical High $2,754.23 | Facility | None | $2,187.76 | $2,398.83 | $2,754.23 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $1,548.82 Median $2,398.83 Typical High $2,570.40 | Professional | None | $1,548.82 | $2,398.83 | $2,570.40 |
Providence Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Facility | None | $2,398.83 | $2,398.83 | $2,398.83 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $2,187.76 Typical High $2,398.83 | Professional | None | $79.43 | $2,187.76 | $2,398.83 |
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 $2,137.96 Median $2,511.89 Typical High $2,951.21 | Professional | None | $2,137.96 | $2,511.89 | $2,951.21 |
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 $977.24 Median $3,090.30 Typical High $3,090.30 | Professional | 78 · Unplanned return to OR | $977.24 | $3,090.30 | $3,090.30 |
Where Montana sits
The same service costs 6.7 times more in Maine than in Maryland. 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 $14,298MD $2,147
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.