How much rates vary
Facilitymedian $661 · 10th to 90th $389 to $5,888Professionalmedian $372 · 10th to 90th $126 to $708
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 $707.95 Median $6,606.93 Typical High $16,595.87 | Facility | None | $707.95 | $6,606.93 | $16,595.87 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $707.95 Typical High $954.99 | Professional | None | $128.82 | $707.95 | $954.99 |
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 $120.23 Median $165.96 Typical High $407.38 | Professional | None | $120.23 | $165.96 | $407.38 |
Moda Health Setting Facility Modifier None Typical Low $194.98 Median $707.95 Typical High $1,000.00 | Facility | None | $194.98 | $707.95 | $1,000.00 |
Moda Health Setting Professional Modifier None Typical Low $141.25 Median $398.11 Typical High $707.95 | Professional | None | $141.25 | $398.11 | $707.95 |
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 $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
Providence Setting Facility Modifier None Typical Low $380.19 Median $691.83 Typical High $1,905.46 | Facility | None | $380.19 | $691.83 | $1,905.46 |
Providence Setting Professional Modifier None Typical Low $60.26 Median $173.78 Typical High $363.08 | Professional | None | $60.26 | $173.78 | $363.08 |
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 $114.82 Median $346.74 Typical High $398.11 | Professional | None | $114.82 | $346.74 | $398.11 |
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 $67.61 Median $346.74 Typical High $346.74 | Professional | 52 · Reduced service | $67.61 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $141.25 Typical High $141.25 | Professional | 53 · Discontinued | $26.92 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $102.33 Median $524.81 Typical High $524.81 | Professional | 54 · Surgery only | $102.33 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $104.71 Typical High $104.71 | Professional | 55 · Aftercare only | $20.42 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.49 Median $70.79 Typical High $70.79 | Professional | 56 · Pre-op care only | $13.49 | $70.79 | $70.79 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $346.74 Typical High $346.74 | Professional | 52 · Reduced service | $69.18 | $346.74 | $346.74 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $141.25 Typical High $141.25 | Professional | 53 · Discontinued | $28.18 | $141.25 | $141.25 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $104.71 Median $524.81 Typical High $524.81 | Professional | 54 · Surgery only | $104.71 | $524.81 | $524.81 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $104.71 Typical High $104.71 | Professional | 55 · Aftercare only | $20.89 | $104.71 | $104.71 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $70.79 Typical High $70.79 | Professional | 56 · Pre-op care only | $14.13 | $70.79 | $70.79 |
Where Alaska sits
The same service costs 5.1 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
$501
AK $501UT $97.72
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.