How much rates vary
Facilitymedian $603 · 10th to 90th $380 to $5,888Professionalmedian $162 · 10th to 90th $54 to $295
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 $295.12 Median $6,606.93 Typical High $16,595.87 | Facility | None | $295.12 | $6,606.93 | $16,595.87 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $295.12 Typical High $446.68 | Professional | None | $54.95 | $295.12 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $630.96 Typical High $1,905.46 | Facility | None | $380.19 | $630.96 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $69.18 Typical High $173.78 | Professional | None | $47.86 | $69.18 | $173.78 |
Moda Health Setting Facility Modifier None Typical Low $79.43 Median $295.12 Typical High $426.58 | Facility | None | $79.43 | $295.12 | $426.58 |
Moda Health Setting Professional Modifier None Typical Low $60.26 Median $173.78 Typical High $295.12 | Professional | None | $60.26 | $173.78 | $295.12 |
Premera BCBS Setting Facility Modifier None Typical Low $389.05 Median $549.54 Typical High $691.83 | Facility | None | $389.05 | $549.54 | $691.83 |
Premera BCBS Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None | $199.53 | $199.53 | $199.53 |
Providence Setting Facility Modifier None Typical Low $275.42 Median $602.56 Typical High $1,905.46 | Facility | None | $275.42 | $602.56 | $1,905.46 |
Providence Setting Professional Modifier None Typical Low $52.48 Median $72.44 Typical High $151.36 | Professional | None | $52.48 | $72.44 | $151.36 |
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 $44.67 Median $144.54 Typical High $169.82 | Professional | None | $44.67 | $144.54 | $169.82 |
10 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 $26.92 Median $147.91 Typical High $147.91 | Professional | 52 · Reduced service | $26.92 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $58.88 Typical High $58.88 | Professional | 53 · Discontinued | $10.72 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $41.69 Median $223.87 Typical High $223.87 | Professional | 54 · Surgery only | $41.69 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $44.67 Typical High $44.67 | Professional | 55 · Aftercare only | $8.13 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $29.51 Typical High $29.51 | Professional | 56 · Pre-op care only | $5.37 | $29.51 | $29.51 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $27.54 Median $147.91 Typical High $147.91 | Professional | 52 · Reduced service | $27.54 | $147.91 | $147.91 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $58.88 Typical High $58.88 | Professional | 53 · Discontinued | $10.96 | $58.88 | $58.88 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $41.69 Median $223.87 Typical High $223.87 | Professional | 54 · Surgery only | $41.69 | $223.87 | $223.87 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $44.67 Typical High $44.67 | Professional | 55 · Aftercare only | $8.32 | $44.67 | $44.67 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $5.50 Median $29.51 Typical High $29.51 | Professional | 56 · Pre-op care only | $5.50 | $29.51 | $29.51 |
Where Alaska sits
The same service costs 4.2 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
$200
AK $200FL $47.86
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.