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 $1,023.29 Median $3,162.28 Typical High $3,162.28 | Professional | None | $1,023.29 | $3,162.28 | $3,162.28 |
Cigna Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,737.80 Typical High $1,778.28 | Professional | None | $1,148.15 | $1,737.80 | $1,778.28 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $1,548.82 Median $1,819.70 Typical High $2,089.30 | Facility | None | $1,548.82 | $1,819.70 | $2,089.30 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $1,174.90 Median $1,819.70 Typical High $1,949.84 | Professional | None | $1,174.90 | $1,819.70 | $1,949.84 |
Providence Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,621.81 Typical High $1,778.28 | Professional | None | $79.43 | $1,621.81 | $1,778.28 |
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 $1,548.82 Median $1,819.70 Typical High $2,089.30 | Professional | None | $1,548.82 | $1,819.70 | $2,089.30 |
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 $724.44 Median $2,238.72 Typical High $2,238.72 | Professional | 78 · Unplanned return to OR | $724.44 | $2,238.72 | $2,238.72 |
Where Montana sits
The same service costs 5.8 times more in Alaska than in Texas. 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
$1,738
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.