How much rates vary
Facilitymedian $1,318 · 10th to 90th $776 to $8,913Professionalmedian $1,259 · 10th to 90th $339 to $2,344
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 $1,548.82 Median $9,772.37 Typical High $16,595.87 | Facility | None | $1,548.82 | $9,772.37 | $16,595.87 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $1,548.82 Typical High $2,344.23 | Professional | None | $302.00 | $1,548.82 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $1,023.29 Typical High $3,162.28 | Facility | None | $616.60 | $1,023.29 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $446.68 Typical High $1,380.38 | Professional | None | $269.15 | $446.68 | $1,380.38 |
Moda Health Setting Facility Modifier None Typical Low $478.63 Median $1,548.82 Typical High $3,311.31 | Facility | None | $478.63 | $1,548.82 | $3,311.31 |
Moda Health Setting Professional Modifier None Typical Low $380.19 Median $1,548.82 Typical High $2,344.23 | Professional | None | $380.19 | $1,548.82 | $2,344.23 |
Premera BCBS Setting Facility Modifier None Typical Low $645.65 Median $891.25 Typical High $1,148.15 | Facility | None | $645.65 | $891.25 | $1,148.15 |
Premera BCBS Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,905.46 | Professional | None | $1,258.93 | $1,258.93 | $1,905.46 |
Providence Setting Facility Modifier None Typical Low $851.14 Median $1,621.81 Typical High $3,162.28 | Facility | None | $851.14 | $1,621.81 | $3,162.28 |
Providence Setting Professional Modifier None Typical Low $263.03 Median $660.69 Typical High $1,380.38 | Professional | None | $263.03 | $660.69 | $1,380.38 |
United Setting Facility Modifier None Typical Low $3,388.44 Median $7,585.78 Typical High $19,498.45 | Facility | None | $3,388.44 | $7,585.78 | $19,498.45 |
United Setting Professional Modifier None Typical Low $302.00 Median $758.58 Typical High $1,995.26 | Professional | None | $302.00 | $758.58 | $1,995.26 |
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 $154.88 Median $776.25 Typical High $1,174.90 | Professional | 52 · Reduced service | $154.88 | $776.25 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $309.03 Typical High $467.74 | Professional | 53 · Discontinued | $61.66 | $309.03 | $467.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $1,148.15 Typical High $1,737.80 | Professional | 54 · Surgery only | $234.42 | $1,148.15 | $1,737.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $229.09 Typical High $346.74 | Professional | 55 · Aftercare only | $46.77 | $229.09 | $346.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $154.88 Typical High $234.42 | Professional | 56 · Pre-op care only | $30.90 | $154.88 | $234.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $218.78 Median $1,071.52 Typical High $1,621.81 | Professional | 78 · Unplanned return to OR | $218.78 | $1,071.52 | $1,621.81 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $190.55 Median $776.25 Typical High $1,174.90 | Professional | 52 · Reduced service | $190.55 | $776.25 | $1,174.90 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $309.03 Typical High $467.74 | Professional | 53 · Discontinued | $75.86 | $309.03 | $467.74 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $288.40 Median $1,148.15 Typical High $1,737.80 | Professional | 54 · Surgery only | $288.40 | $1,148.15 | $1,737.80 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $229.09 Typical High $346.74 | Professional | 55 · Aftercare only | $57.54 | $229.09 | $346.74 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $154.88 Typical High $234.42 | Professional | 56 · Pre-op care only | $38.02 | $154.88 | $234.42 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $1,071.52 Typical High $1,621.81 | Professional | 78 · Unplanned return to OR | $269.15 | $1,071.52 | $1,621.81 |
Where Alaska sits
The same service costs 4.3 times more in Alaska than in Kentucky. 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
$1,259
AK $1,259KY $295
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.