How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $331.13 Median $9,772.37 Typical High $16,595.87 | Facility | None | $331.13 | $9,772.37 | $16,595.87 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $331.13 Typical High $467.74 | Professional | None | $67.61 | $331.13 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $204.17 Typical High $616.60 | Facility | None | $123.03 | $204.17 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $144.54 Typical High $302.00 | Professional | None | $72.44 | $144.54 | $302.00 |
Moda Health Setting Facility Modifier None Typical Low $109.65 Median $331.13 Typical High $660.69 | Facility | None | $109.65 | $331.13 | $660.69 |
Moda Health Setting Professional Modifier None Typical Low $91.20 Median $331.13 Typical High $588.84 | Professional | None | $91.20 | $331.13 | $588.84 |
Premera BCBS Setting Facility Modifier None Typical Low $117.49 Median $165.96 Typical High $251.19 | Facility | None | $117.49 | $165.96 | $251.19 |
Premera BCBS Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $416.87 | Professional | None | $281.84 | $281.84 | $416.87 |
Providence Setting Facility Modifier None Typical Low $169.82 Median $338.84 Typical High $616.60 | Facility | None | $169.82 | $338.84 | $616.60 |
Providence Setting Professional Modifier None Typical Low $66.07 Median $141.25 Typical High $229.09 | Professional | None | $66.07 | $141.25 | $229.09 |
United Setting Facility Modifier None Typical Low $478.63 Median $954.99 Typical High $1,174.90 | Facility | None | $478.63 | $954.99 | $1,174.90 |
United Setting Professional Modifier None Typical Low $91.20 Median $245.47 Typical High $489.78 | Professional | None | $91.20 | $245.47 | $489.78 |
5 more rates 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 52 · Reduced service Typical Low $33.88 Median $165.96 Typical High $234.42 | Professional | 52 · Reduced service | $33.88 | $165.96 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $66.07 Typical High $93.33 | Professional | 53 · Discontinued | $13.49 | $66.07 | $93.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $51.29 Median $251.19 Typical High $346.74 | Professional | 54 · Surgery only | $51.29 | $251.19 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $50.12 Typical High $69.18 | Professional | 55 · Aftercare only | $10.23 | $50.12 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $33.11 Typical High $46.77 | Professional | 56 · Pre-op care only | $6.76 | $33.11 | $46.77 |
Where Alaska sits
The same service costs 3.8 times more in Alaska than in Florida. 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.
Alaska· 1st of 51
$282
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.