How much rates vary
Facilitymedian $3,162 · 10th to 90th $1,950 to $9,772Professionalmedian $1,514 · 10th to 90th $437 to $2,291
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 $2,290.87 Median $6,606.93 Typical High $16,595.87 | Facility | None | $2,290.87 | $6,606.93 | $16,595.87 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $2,290.87 Typical High $2,290.87 | Professional | None | $436.52 | $2,290.87 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $2,290.87 Median $3,801.89 Typical High $11,748.98 | Facility | None | $2,290.87 | $3,801.89 | $11,748.98 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $562.34 Typical High $1,412.54 | Professional | None | $371.54 | $562.34 | $1,412.54 |
Moda Health Setting Facility Modifier None Typical Low $676.08 Median $2,290.87 Typical High $3,235.94 | Facility | None | $676.08 | $2,290.87 | $3,235.94 |
Moda Health Setting Professional Modifier None Typical Low $467.74 Median $1,737.80 Typical High $2,691.53 | Professional | None | $467.74 | $1,737.80 | $2,691.53 |
Premera BCBS Setting Facility Modifier None Typical Low $1,949.84 Median $2,951.21 Typical High $3,388.44 | Facility | None | $1,949.84 | $2,951.21 | $3,388.44 |
Premera BCBS Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,862.09 | $1,862.09 | $1,862.09 |
Providence Setting Facility Modifier None Typical Low $2,290.87 Median $3,630.78 Typical High $10,964.78 | Facility | None | $2,290.87 | $3,630.78 | $10,964.78 |
Providence Setting Professional Modifier None Typical Low $60.26 Median $645.65 Typical High $1,412.54 | Professional | None | $60.26 | $645.65 | $1,412.54 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $3,162.28 Typical High $4,265.80 | Facility | None | $1,096.48 | $3,162.28 | $4,265.80 |
United Setting Professional Modifier None Typical Low $407.38 Median $1,122.02 Typical High $2,630.27 | Professional | None | $407.38 | $1,122.02 | $2,630.27 |
12 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 $218.78 Median $1,148.15 Typical High $1,148.15 | Professional | 52 · Reduced service | $218.78 | $1,148.15 | $1,148.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $457.09 Typical High $457.09 | Professional | 53 · Discontinued | $87.10 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $323.59 Median $1,698.24 Typical High $1,698.24 | Professional | 54 · Surgery only | $323.59 | $1,698.24 | $1,698.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $346.74 Typical High $346.74 | Professional | 55 · Aftercare only | $66.07 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $229.09 Typical High $229.09 | Professional | 56 · Pre-op care only | $43.65 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $302.00 Median $1,584.89 Typical High $1,584.89 | Professional | 78 · Unplanned return to OR | $302.00 | $1,584.89 | $1,584.89 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $229.09 Median $1,148.15 Typical High $1,148.15 | Professional | 52 · Reduced service | $229.09 | $1,148.15 | $1,148.15 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $457.09 Typical High $457.09 | Professional | 53 · Discontinued | $91.20 | $457.09 | $457.09 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $1,698.24 Typical High $1,698.24 | Professional | 54 · Surgery only | $346.74 | $1,698.24 | $1,698.24 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $346.74 Typical High $346.74 | Professional | 55 · Aftercare only | $69.18 | $346.74 | $346.74 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $229.09 Typical High $229.09 | Professional | 56 · Pre-op care only | $45.71 | $229.09 | $229.09 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $1,584.89 Typical High $1,584.89 | Professional | 78 · Unplanned return to OR | $323.59 | $1,584.89 | $1,584.89 |
Where Alaska sits
The same service costs 6.2 times more in Alaska than in Texas. 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
$1,862
AK $1,862TX $302
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.