How much rates vary
Facilitymedian $1,950 · 10th to 90th $1,096 to $7,079Professionalmedian $891 · 10th to 90th $257 to $1,585
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 $1,202.26 Median $7,079.46 Typical High $14,125.38 | Facility | None | $1,202.26 | $7,079.46 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $1,202.26 Typical High $1,584.89 | Professional | None | $229.09 | $1,202.26 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $1,698.24 Typical High $5,248.07 | Facility | None | $1,023.29 | $1,698.24 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $346.74 Typical High $891.25 | Professional | None | $234.42 | $346.74 | $891.25 |
Moda Health Setting Facility Modifier None Typical Low $346.74 Median $1,202.26 Typical High $2,238.72 | Facility | None | $346.74 | $1,202.26 | $2,238.72 |
Moda Health Setting Professional Modifier None Typical Low $288.40 Median $954.99 Typical High $1,584.89 | Professional | None | $288.40 | $954.99 | $1,584.89 |
Premera BCBS Setting Facility Modifier None Typical Low $1,288.25 Median $1,698.24 Typical High $3,981.07 | Facility | None | $1,288.25 | $1,698.24 | $3,981.07 |
Premera BCBS Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $1,230.27 | Professional | None | $933.25 | $933.25 | $1,230.27 |
Providence Setting Facility Modifier None Typical Low $1,174.90 Median $1,659.59 Typical High $5,248.07 | Facility | None | $1,174.90 | $1,659.59 | $5,248.07 |
Providence Setting Professional Modifier None Typical Low $218.78 Median $446.68 Typical High $891.25 | Professional | None | $218.78 | $446.68 | $891.25 |
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 $234.42 Median $602.56 Typical High $1,659.59 | Professional | None | $234.42 | $602.56 | $1,659.59 |
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 $117.49 Median $602.56 Typical High $794.33 | Professional | 52 · Reduced service | $117.49 | $602.56 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $239.88 Typical High $316.23 | Professional | 53 · Discontinued | $46.77 | $239.88 | $316.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $173.78 Median $912.01 Typical High $1,174.90 | Professional | 54 · Surgery only | $173.78 | $912.01 | $1,174.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $181.97 Typical High $234.42 | Professional | 55 · Aftercare only | $34.67 | $181.97 | $234.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $120.23 Typical High $158.49 | Professional | 56 · Pre-op care only | $23.44 | $120.23 | $158.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $162.18 Median $851.14 Typical High $1,096.48 | Professional | 78 · Unplanned return to OR | $162.18 | $851.14 | $1,096.48 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $144.54 Median $602.56 Typical High $794.33 | Professional | 52 · Reduced service | $144.54 | $602.56 | $794.33 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $239.88 Typical High $316.23 | Professional | 53 · Discontinued | $57.54 | $239.88 | $316.23 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $912.01 Typical High $1,174.90 | Professional | 54 · Surgery only | $218.78 | $912.01 | $1,174.90 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $181.97 Typical High $234.42 | Professional | 55 · Aftercare only | $43.65 | $181.97 | $234.42 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $120.23 Typical High $158.49 | Professional | 56 · Pre-op care only | $28.84 | $120.23 | $158.49 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $204.17 Median $851.14 Typical High $1,096.48 | Professional | 78 · Unplanned return to OR | $204.17 | $851.14 | $1,096.48 |
Where Alaska sits
The same service costs 4.3 times more in Alaska than in Utah. 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
$933
AK $933UT $219
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.