How much rates vary
Facilitymedian $661 · 10th to 90th $389 to $5,888Professionalmedian $550 · 10th to 90th $166 to $1,000
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 $1,000.00 Median $6,606.93 Typical High $16,595.87 | Facility | None | $1,000.00 | $6,606.93 | $16,595.87 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $1,000.00 Typical High $1,000.00 | Professional | None | $186.21 | $1,000.00 | $1,000.00 |
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 $125.89 Median $213.80 Typical High $588.84 | Professional | None | $125.89 | $213.80 | $588.84 |
Moda Health Setting Facility Modifier None Typical Low $269.15 Median $1,000.00 Typical High $1,445.44 | Facility | None | $269.15 | $1,000.00 | $1,445.44 |
Moda Health Setting Professional Modifier None Typical Low $186.21 Median $602.56 Typical High $1,000.00 | Professional | None | $186.21 | $602.56 | $1,000.00 |
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 $676.08 Median $676.08 Typical High $676.08 | Professional | None | $676.08 | $676.08 | $676.08 |
Providence Setting Facility Modifier None Typical Low $380.19 Median $812.83 Typical High $1,905.46 | Facility | None | $380.19 | $812.83 | $1,905.46 |
Providence Setting Professional Modifier None Typical Low $60.26 Median $239.88 Typical High $512.86 | Professional | None | $60.26 | $239.88 | $512.86 |
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 $151.36 Median $489.78 Typical High $537.03 | Professional | None | $151.36 | $489.78 | $537.03 |
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 $93.33 Median $501.19 Typical High $501.19 | Professional | 52 · Reduced service | $93.33 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $199.53 Typical High $199.53 | Professional | 53 · Discontinued | $37.15 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $138.04 Median $758.58 Typical High $758.58 | Professional | 54 · Surgery only | $138.04 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $151.36 Typical High $151.36 | Professional | 55 · Aftercare only | $27.54 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $100.00 Typical High $100.00 | Professional | 56 · Pre-op care only | $18.62 | $100.00 | $100.00 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $93.33 Median $501.19 Typical High $501.19 | Professional | 52 · Reduced service | $93.33 | $501.19 | $501.19 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $199.53 Typical High $199.53 | Professional | 53 · Discontinued | $37.15 | $199.53 | $199.53 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $141.25 Median $758.58 Typical High $758.58 | Professional | 54 · Surgery only | $141.25 | $758.58 | $758.58 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $151.36 Typical High $151.36 | Professional | 55 · Aftercare only | $28.18 | $151.36 | $151.36 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $100.00 Typical High $100.00 | Professional | 56 · Pre-op care only | $18.62 | $100.00 | $100.00 |
Where Alaska sits
The same service costs 4.6 times more in Alaska than in Utah. 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
$603
AK $603UT $132
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.