How much rates vary
Facilitymedian $7,079 · 10th to 90th $3,631 to $19,498Professionalmedian $2,344 · 10th to 90th $708 to $3,631
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 $2,344.23 Median $14,125.38 Typical High $22,387.21 | Facility | None | $2,344.23 | $14,125.38 | $22,387.21 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $3,630.78 Typical High $3,630.78 | Professional | None | $691.83 | $3,630.78 | $3,630.78 |
Cigna Setting Facility Modifier None Typical Low $4,677.35 Median $7,762.47 Typical High $23,988.33 | Facility | None | $4,677.35 | $7,762.47 | $23,988.33 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $912.01 Typical High $2,137.96 | Professional | None | $676.08 | $912.01 | $2,137.96 |
Moda Health Setting Facility Modifier None Typical Low $1,071.52 Median $3,630.78 Typical High $5,248.07 | Facility | None | $1,071.52 | $3,630.78 | $5,248.07 |
Moda Health Setting Professional Modifier None Typical Low $741.31 Median $2,754.23 Typical High $4,073.80 | Professional | None | $741.31 | $2,754.23 | $4,073.80 |
Premera BCBS Setting Facility Modifier None Typical Low $4,570.88 Median $6,456.54 Typical High $8,912.51 | Facility | None | $4,570.88 | $6,456.54 | $8,912.51 |
Premera BCBS Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | None | $2,884.03 | $2,884.03 | $2,884.03 |
Providence Setting Facility Modifier None Typical Low $3,630.78 Median $7,413.10 Typical High $23,988.33 | Facility | None | $3,630.78 | $7,413.10 | $23,988.33 |
Providence Setting Professional Modifier None Typical Low $60.26 Median $1,023.29 Typical High $2,137.96 | Professional | None | $60.26 | $1,023.29 | $2,137.96 |
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 $660.69 Median $1,862.09 Typical High $4,365.16 | Professional | None | $660.69 | $1,862.09 | $4,365.16 |
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 $346.74 Median $1,819.70 Typical High $1,819.70 | Professional | 52 · Reduced service | $346.74 | $1,819.70 | $1,819.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $724.44 Typical High $724.44 | Professional | 53 · Discontinued | $138.04 | $724.44 | $724.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $2,754.23 Typical High $2,754.23 | Professional | 54 · Surgery only | $512.86 | $2,754.23 | $2,754.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $549.54 Typical High $549.54 | Professional | 55 · Aftercare only | $102.33 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $363.08 Typical High $363.08 | Professional | 56 · Pre-op care only | $69.18 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $2,570.40 Typical High $2,570.40 | Professional | 78 · Unplanned return to OR | $478.63 | $2,570.40 | $2,570.40 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $363.08 Median $1,819.70 Typical High $1,819.70 | Professional | 52 · Reduced service | $363.08 | $1,819.70 | $1,819.70 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $724.44 Typical High $724.44 | Professional | 53 · Discontinued | $144.54 | $724.44 | $724.44 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $2,754.23 Typical High $2,754.23 | Professional | 54 · Surgery only | $549.54 | $2,754.23 | $2,754.23 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $549.54 Typical High $549.54 | Professional | 55 · Aftercare only | $109.65 | $549.54 | $549.54 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $363.08 Typical High $363.08 | Professional | 56 · Pre-op care only | $72.44 | $363.08 | $363.08 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $2,570.40 Typical High $2,570.40 | Professional | 78 · Unplanned return to OR | $512.86 | $2,570.40 | $2,570.40 |
Where Alaska sits
The same service costs 6.3 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
$2,884
AK $2,884TX $457
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.