How much rates vary
Facilitymedian $3,802 · 10th to 90th $2,344 to $12,023Professionalmedian $1,995 · 10th to 90th $603 to $3,236
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 $10,000.00 Typical High $16,982.44 | Facility | None | $2,344.23 | $10,000.00 | $16,982.44 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $3,235.94 Typical High $3,235.94 | Professional | None | $602.56 | $3,235.94 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $2,290.87 Median $3,801.89 Typical High $11,748.98 | Facility | None | $2,290.87 | $3,801.89 | $11,748.98 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $758.58 Typical High $1,862.09 | Professional | None | $588.84 | $758.58 | $1,862.09 |
Moda Health Setting Facility Modifier None Typical Low $912.01 Median $3,235.94 Typical High $4,570.88 | Facility | None | $912.01 | $3,235.94 | $4,570.88 |
Moda Health Setting Professional Modifier None Typical Low $630.96 Median $2,344.23 Typical High $3,388.44 | Professional | None | $630.96 | $2,344.23 | $3,388.44 |
Premera BCBS Setting Facility Modifier None Typical Low $2,041.74 Median $3,162.28 Typical High $6,165.95 | Facility | None | $2,041.74 | $3,162.28 | $6,165.95 |
Premera BCBS Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Professional | None | $2,454.71 | $2,454.71 | $2,454.71 |
Providence Setting Facility Modifier None Typical Low $2,290.87 Median $3,801.89 Typical High $11,748.98 | Facility | None | $2,290.87 | $3,801.89 | $11,748.98 |
Providence Setting Professional Modifier None Typical Low $60.26 Median $891.25 Typical High $1,862.09 | Professional | None | $60.26 | $891.25 | $1,862.09 |
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 $575.44 Median $1,621.81 Typical High $3,715.35 | Professional | None | $575.44 | $1,621.81 | $3,715.35 |
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 $302.00 Median $1,621.81 Typical High $1,621.81 | Professional | 52 · Reduced service | $302.00 | $1,621.81 | $1,621.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $645.65 Typical High $645.65 | Professional | 53 · Discontinued | $120.23 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $2,398.83 Typical High $2,398.83 | Professional | 54 · Surgery only | $446.68 | $2,398.83 | $2,398.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $478.63 Typical High $478.63 | Professional | 55 · Aftercare only | $91.20 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $323.59 Typical High $323.59 | Professional | 56 · Pre-op care only | $60.26 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $2,238.72 Typical High $2,238.72 | Professional | 78 · Unplanned return to OR | $416.87 | $2,238.72 | $2,238.72 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $309.03 Median $1,621.81 Typical High $1,621.81 | Professional | 52 · Reduced service | $309.03 | $1,621.81 | $1,621.81 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $645.65 Typical High $645.65 | Professional | 53 · Discontinued | $125.89 | $645.65 | $645.65 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $2,398.83 Typical High $2,398.83 | Professional | 54 · Surgery only | $467.74 | $2,398.83 | $2,398.83 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $478.63 Typical High $478.63 | Professional | 55 · Aftercare only | $93.33 | $478.63 | $478.63 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $323.59 Typical High $323.59 | Professional | 56 · Pre-op care only | $63.10 | $323.59 | $323.59 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $2,238.72 Typical High $2,238.72 | Professional | 78 · Unplanned return to OR | $436.52 | $2,238.72 | $2,238.72 |
Where Alaska sits
The same service costs 6.5 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
$2,455
AK $2,455TX $380
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.