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 |
|---|---|---|---|---|---|
Cigna Setting Facility Modifier 26 · Professional part Typical Low $436.52 Median $436.52 Typical High $524.81 | Facility | 26 · Professional part | $436.52 | $436.52 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | 26 · Professional part | $436.52 | $436.52 | $436.52 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $489.78 Median $501.19 Typical High $562.34 | Facility | None | $489.78 | $501.19 | $562.34 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $316.23 Median $323.59 Typical High $524.81 | Professional | None (both parts) | $316.23 | $323.59 | $524.81 |
Providence Setting Facility Modifier 26 · Professional part Typical Low $436.52 Median $436.52 Typical High $524.81 | Facility | 26 · Professional part | $436.52 | $436.52 | $524.81 |
Providence Setting Professional Modifier None (both parts) Typical Low $281.84 Median $398.11 Typical High $467.74 | Professional | None (both parts) | $281.84 | $398.11 | $467.74 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $426.58 Typical High $467.74 | Professional | 26 · Professional part | $281.84 | $426.58 | $467.74 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $3,981.07 Typical High $7,079.46 | Facility | None | $2,089.30 | $3,981.07 | $7,079.46 |
United Setting Professional Modifier None (both parts) Typical Low $457.09 Median $501.19 Typical High $562.34 | Professional | None (both parts) | $457.09 | $501.19 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $457.09 Median $501.19 Typical High $562.34 | Professional | 26 · Professional part | $457.09 | $501.19 | $562.34 |
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 54 · Surgery only Typical Low $263.03 Median $263.03 Typical High $309.03 | Professional | 54 · Surgery only | $263.03 | $263.03 | $309.03 |
Where Montana sits
The same service costs 23.4 times more in Colorado than in Kentucky. 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· 45th of 51
$468
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.