How much rates vary
Facilitymedian $1,380 · 10th to 90th $646 to $10,715Professionalmedian $1,072 · 10th to 90th $309 to $2,188
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 $1,380.38 Median $10,715.19 Typical High $14,125.38 | Facility | None | $1,380.38 | $10,715.19 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $1,380.38 Typical High $2,187.76 | Professional | None | $269.15 | $1,380.38 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $776.25 Typical High $2,398.83 | Facility | None | $467.74 | $776.25 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $436.52 Typical High $1,258.93 | Professional | None | $269.15 | $436.52 | $1,258.93 |
Moda Health Setting Facility Modifier None Typical Low $398.11 Median $1,380.38 Typical High $3,090.30 | Facility | None | $398.11 | $1,380.38 | $3,090.30 |
Moda Health Setting Professional Modifier None Typical Low $346.74 Median $1,230.27 Typical High $2,187.76 | Professional | None | $346.74 | $1,230.27 | $2,187.76 |
Premera BCBS Setting Facility Modifier None Typical Low $562.34 Median $794.33 Typical High $1,071.52 | Facility | None | $562.34 | $794.33 | $1,071.52 |
Premera BCBS Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,778.28 | Professional | None | $1,071.52 | $1,071.52 | $1,778.28 |
Providence Setting Facility Modifier None Typical Low $645.65 Median $1,348.96 Typical High $3,235.94 | Facility | None | $645.65 | $1,348.96 | $3,235.94 |
Providence Setting Professional Modifier None Typical Low $257.04 Median $575.44 Typical High $1,258.93 | Professional | None | $257.04 | $575.44 | $1,258.93 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $6,165.95 Typical High $8,912.51 | Facility | None | $1,905.46 | $6,165.95 | $8,912.51 |
United Setting Professional Modifier None Typical Low $263.03 Median $676.08 Typical High $1,862.09 | Professional | None | $263.03 | $676.08 | $1,862.09 |
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 $134.90 Median $691.83 Typical High $1,096.48 | Professional | 52 · Reduced service | $134.90 | $691.83 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $275.42 Typical High $436.52 | Professional | 53 · Discontinued | $53.70 | $275.42 | $436.52 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $199.53 Median $1,023.29 Typical High $1,621.81 | Professional | 54 · Surgery only | $199.53 | $1,023.29 | $1,621.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $208.93 Typical High $331.13 | Professional | 55 · Aftercare only | $39.81 | $208.93 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $138.04 Typical High $218.78 | Professional | 56 · Pre-op care only | $26.92 | $138.04 | $218.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $186.21 Median $954.99 Typical High $1,513.56 | Professional | 78 · Unplanned return to OR | $186.21 | $954.99 | $1,513.56 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $165.96 Median $691.83 Typical High $1,096.48 | Professional | 52 · Reduced service | $165.96 | $691.83 | $1,096.48 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $275.42 Typical High $436.52 | Professional | 53 · Discontinued | $66.07 | $275.42 | $436.52 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $251.19 Median $1,023.29 Typical High $1,621.81 | Professional | 54 · Surgery only | $251.19 | $1,023.29 | $1,621.81 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $208.93 Typical High $331.13 | Professional | 55 · Aftercare only | $50.12 | $208.93 | $331.13 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $138.04 Typical High $218.78 | Professional | 56 · Pre-op care only | $33.11 | $138.04 | $218.78 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $234.42 Median $954.99 Typical High $1,513.56 | Professional | 78 · Unplanned return to OR | $234.42 | $954.99 | $1,513.56 |
Where Alaska sits
The same service costs 6.0 times more in Colorado 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.
Physician feeFacility fee
CO $4,822KY $810
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.