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 $2,089.30 Typical High $8,709.64 | Facility | None | $1,000.00 | $2,089.30 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $2,089.30 Median $3,311.31 Typical High $3,311.31 | Professional | None | $2,089.30 | $3,311.31 | $3,311.31 |
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 $2,137.96 Median $2,691.53 Typical High $3,630.78 | Professional | None | $2,137.96 | $2,691.53 | $3,630.78 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $645.65 Typical High $3,235.94 | Professional | None | $33.11 | $645.65 | $3,235.94 |
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 $2,290.87 Median $2,754.23 Typical High $3,715.35 | Professional | None | $2,290.87 | $2,754.23 | $3,715.35 |
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 $2,187.76 Median $3,090.30 Typical High $4,365.16 | Professional | None | $2,187.76 | $3,090.30 | $4,365.16 |
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 $1,479.11 Median $2,344.23 Typical High $2,344.23 | Professional | 78 · Unplanned return to OR | $1,479.11 | $2,344.23 | $2,344.23 |
Where New Mexico sits
The same service costs 21.9 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· 25th of 51
$2,818
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.