How much rates vary
Facilitymedian $3,236 · 10th to 90th $1,585 to $12,023Professionalmedian $891 · 10th to 90th $269 to $1,905
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 $1,122.02 Median $12,022.64 Typical High $20,892.96 | Facility | None | $1,122.02 | $12,022.64 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $1,122.02 Typical High $1,905.46 | Professional | None | $218.78 | $1,122.02 | $1,905.46 |
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 $229.09 Median $371.54 Typical High $1,071.52 | Professional | None | $229.09 | $371.54 | $1,071.52 |
Moda Health Setting Facility Modifier None Typical Low $323.59 Median $1,122.02 Typical High $2,691.53 | Facility | None | $323.59 | $1,122.02 | $2,691.53 |
Moda Health Setting Professional Modifier None Typical Low $371.54 Median $1,122.02 Typical High $1,905.46 | Professional | None | $371.54 | $1,122.02 | $1,905.46 |
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 $891.25 Median $891.25 Typical High $1,548.82 | Professional | None | $891.25 | $891.25 | $1,548.82 |
Providence Setting Facility Modifier None Typical Low $1,584.89 Median $3,162.28 Typical High $11,748.98 | Facility | None | $1,584.89 | $3,162.28 | $11,748.98 |
Providence Setting Professional Modifier None Typical Low $208.93 Median $478.63 Typical High $1,071.52 | Professional | None | $208.93 | $478.63 | $1,071.52 |
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 $213.80 Median $537.03 Typical High $1,513.56 | Professional | None | $213.80 | $537.03 | $1,513.56 |
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 $109.65 Median $562.34 Typical High $933.25 | Professional | 52 · Reduced service | $109.65 | $562.34 | $933.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $223.87 Typical High $380.19 | Professional | 53 · Discontinued | $44.67 | $223.87 | $380.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $165.96 Median $851.14 Typical High $1,412.54 | Professional | 54 · Surgery only | $165.96 | $851.14 | $1,412.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $169.82 Typical High $281.84 | Professional | 55 · Aftercare only | $33.11 | $169.82 | $281.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $112.20 Typical High $190.55 | Professional | 56 · Pre-op care only | $21.88 | $112.20 | $190.55 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $154.88 Median $794.33 Typical High $1,318.26 | Professional | 78 · Unplanned return to OR | $154.88 | $794.33 | $1,318.26 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $562.34 Typical High $933.25 | Professional | 52 · Reduced service | $138.04 | $562.34 | $933.25 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $223.87 Typical High $380.19 | Professional | 53 · Discontinued | $54.95 | $223.87 | $380.19 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $851.14 Typical High $1,412.54 | Professional | 54 · Surgery only | $204.17 | $851.14 | $1,412.54 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $169.82 Typical High $281.84 | Professional | 55 · Aftercare only | $40.74 | $169.82 | $281.84 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $112.20 Typical High $190.55 | Professional | 56 · Pre-op care only | $27.54 | $112.20 | $190.55 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $190.55 Median $794.33 Typical High $1,318.26 | Professional | 78 · Unplanned return to OR | $190.55 | $794.33 | $1,318.26 |
Where Alaska sits
The same service costs 3.7 times more in Wyoming 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· 2nd of 51
$891
WY $891TX $240
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.