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 $1,862.09 Median $8,912.51 Typical High $14,125.38 | Facility | None | $1,862.09 | $8,912.51 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $1,995.26 Typical High $8,912.51 | Professional | None | $354.81 | $1,995.26 | $8,912.51 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $1,122.02 Typical High $5,370.32 | Professional | None | $398.11 | $1,122.02 | $5,370.32 |
Moda Health Setting Facility Modifier None Typical Low $1,862.09 Median $2,630.27 Typical High $12,882.50 | Facility | None | $1,862.09 | $2,630.27 | $12,882.50 |
Moda Health Setting Professional Modifier None Typical Low $380.19 Median $2,041.74 Typical High $8,912.51 | Professional | None | $380.19 | $2,041.74 | $8,912.51 |
Premera BCBS Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $7,244.36 | Professional | None | $1,318.26 | $1,318.26 | $7,244.36 |
Providence Setting Facility Modifier None Typical Low $1,819.70 Median $2,570.40 Typical High $14,454.40 | Facility | None | $1,819.70 | $2,570.40 | $14,454.40 |
Providence Setting Professional Modifier None Typical Low $446.68 Median $1,819.70 Typical High $4,897.79 | Professional | None | $446.68 | $1,819.70 | $4,897.79 |
United Setting Professional Modifier None Typical Low $891.25 Median $1,949.84 Typical High $4,786.30 | Professional | None | $891.25 | $1,949.84 | $4,786.30 |
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 $190.55 Median $912.01 Typical High $4,466.84 | Professional | 52 · Reduced service | $190.55 | $912.01 | $4,466.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $371.54 Typical High $1,778.28 | Professional | 53 · Discontinued | $75.86 | $371.54 | $1,778.28 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $1,380.38 Typical High $6,760.83 | Professional | 54 · Surgery only | $281.84 | $1,380.38 | $6,760.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $275.42 Typical High $1,348.96 | Professional | 55 · Aftercare only | $56.23 | $275.42 | $1,348.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $186.21 Typical High $891.25 | Professional | 56 · Pre-op care only | $38.02 | $186.21 | $891.25 |
Where Alaska sits
The same service costs 5.5 times more in Washington 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.
Alaska· 8th of 51
$1,995
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.