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 $1,000.00 Median $1,548.82 Typical High $8,709.64 | Facility | None | $1,000.00 | $1,548.82 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,071.52 | $1,659.59 | $1,659.59 |
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 $1,122.02 Median $1,348.96 Typical High $1,819.70 | Professional | None | $1,122.02 | $1,348.96 | $1,819.70 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $323.59 Typical High $1,621.81 | Professional | None | $33.11 | $323.59 | $1,621.81 |
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 $1,148.15 Median $1,380.38 Typical High $1,905.46 | Professional | None | $1,148.15 | $1,380.38 | $1,905.46 |
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 $1,096.48 Median $1,584.89 Typical High $2,187.76 | Professional | None | $1,096.48 | $1,584.89 | $2,187.76 |
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 $741.31 Median $1,148.15 Typical High $1,148.15 | Professional | 78 · Unplanned return to OR | $741.31 | $1,148.15 | $1,148.15 |
Where New Mexico 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.
New Mexico· 23rd of 51
$1,479
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.