How much rates vary
Facilitymedian $759 · 10th to 90th $355 to $5,888Professionalmedian $575 · 10th to 90th $182 to $1,175
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 $758.58 Median $5,888.44 Typical High $14,125.38 | Facility | None | $758.58 | $5,888.44 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $758.58 Typical High $1,174.90 | Professional | None | $144.54 | $758.58 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $426.58 Typical High $1,318.26 | Facility | None | $257.04 | $426.58 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $245.47 Typical High $660.69 | Professional | None | $158.49 | $245.47 | $660.69 |
Moda Health Setting Facility Modifier None Typical Low $213.80 Median $758.58 Typical High $1,659.59 | Facility | None | $213.80 | $758.58 | $1,659.59 |
Moda Health Setting Professional Modifier None Typical Low $218.78 Median $724.44 Typical High $1,174.90 | Professional | None | $218.78 | $724.44 | $1,174.90 |
Premera BCBS Setting Facility Modifier None Typical Low $338.84 Median $478.63 Typical High $676.08 | Facility | None | $338.84 | $478.63 | $676.08 |
Premera BCBS Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $912.01 | Professional | None | $575.44 | $575.44 | $912.01 |
Providence Setting Facility Modifier None Typical Low $354.81 Median $724.44 Typical High $1,778.28 | Facility | None | $354.81 | $724.44 | $1,778.28 |
Providence Setting Professional Modifier None Typical Low $141.25 Median $316.23 Typical High $660.69 | Professional | None | $141.25 | $316.23 | $660.69 |
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 $151.36 Median $380.19 Typical High $1,047.13 | Professional | None | $151.36 | $380.19 | $1,047.13 |
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 $72.44 Median $380.19 Typical High $588.84 | Professional | 52 · Reduced service | $72.44 | $380.19 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $151.36 Typical High $234.42 | Professional | 53 · Discontinued | $28.84 | $151.36 | $234.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $109.65 Median $562.34 Typical High $870.96 | Professional | 54 · Surgery only | $109.65 | $562.34 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $112.20 Typical High $173.78 | Professional | 55 · Aftercare only | $21.88 | $112.20 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $75.86 Typical High $117.49 | Professional | 56 · Pre-op care only | $14.45 | $75.86 | $117.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $102.33 Median $524.81 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $102.33 | $524.81 | $812.83 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $91.20 Median $380.19 Typical High $588.84 | Professional | 52 · Reduced service | $91.20 | $380.19 | $588.84 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $151.36 Typical High $234.42 | Professional | 53 · Discontinued | $36.31 | $151.36 | $234.42 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $562.34 Typical High $870.96 | Professional | 54 · Surgery only | $134.90 | $562.34 | $870.96 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $112.20 Typical High $173.78 | Professional | 55 · Aftercare only | $27.54 | $112.20 | $173.78 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $75.86 Typical High $117.49 | Professional | 56 · Pre-op care only | $18.20 | $75.86 | $117.49 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $125.89 Median $524.81 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $125.89 | $524.81 | $812.83 |
Where Alaska sits
The same service costs 3.5 times more in Alaska than in New Jersey. 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
$575
AK $575NJ $166
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.