How much rates vary
Facilitymedian $661 · 10th to 90th $389 to $7,079Professionalmedian $331 · 10th to 90th $110 to $617
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 $616.60 Median $9,549.93 Typical High $16,595.87 | Facility | None | $616.60 | $9,549.93 | $16,595.87 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $616.60 Typical High $776.25 | Professional | None | $114.82 | $616.60 | $776.25 |
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 $89.13 Median $144.54 Typical High $354.81 | Professional | None | $89.13 | $144.54 | $354.81 |
Moda Health Setting Facility Modifier None Typical Low $162.18 Median $616.60 Typical High $870.96 | Facility | None | $162.18 | $616.60 | $870.96 |
Moda Health Setting Professional Modifier None Typical Low $114.82 Median $354.81 Typical High $616.60 | Professional | None | $114.82 | $354.81 | $616.60 |
Premera BCBS Setting Facility Modifier None Typical Low $389.05 Median $602.56 Typical High $1,778.28 | Facility | None | $389.05 | $602.56 | $1,778.28 |
Premera BCBS Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None | $426.58 | $426.58 | $426.58 |
Providence 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 |
Providence Setting Professional Modifier None Typical Low $60.26 Median $154.88 Typical High $316.23 | Professional | None | $60.26 | $154.88 | $316.23 |
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 $97.72 Median $302.00 Typical High $331.13 | Professional | None | $97.72 | $302.00 | $331.13 |
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 $57.54 Median $309.03 Typical High $309.03 | Professional | 52 · Reduced service | $57.54 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $123.03 Typical High $123.03 | Professional | 53 · Discontinued | $22.91 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $87.10 Median $457.09 Typical High $457.09 | Professional | 54 · Surgery only | $87.10 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $91.20 Typical High $91.20 | Professional | 55 · Aftercare only | $17.38 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $61.66 Typical High $61.66 | Professional | 56 · Pre-op care only | $11.48 | $61.66 | $61.66 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $309.03 Typical High $309.03 | Professional | 52 · Reduced service | $57.54 | $309.03 | $309.03 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $123.03 Typical High $123.03 | Professional | 53 · Discontinued | $23.44 | $123.03 | $123.03 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $87.10 Median $457.09 Typical High $457.09 | Professional | 54 · Surgery only | $87.10 | $457.09 | $457.09 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $91.20 Typical High $91.20 | Professional | 55 · Aftercare only | $17.38 | $91.20 | $91.20 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $61.66 Typical High $61.66 | Professional | 56 · Pre-op care only | $11.48 | $61.66 | $61.66 |
Where Alaska sits
The same service costs 4.8 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
$427
AK $427FL $89.13
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.