How much rates vary
Facilitymedian $3,236 · 10th to 90th $1,549 to $11,749Professionalmedian $617 · 10th to 90th $195 to $1,023
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 $1,023.29 Median $10,000.00 Typical High $16,982.44 | Facility | None | $1,023.29 | $10,000.00 | $16,982.44 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $1,023.29 Typical High $1,023.29 | Professional | None | $190.55 | $1,023.29 | $1,023.29 |
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 $194.98 Median $263.03 Typical High $616.60 | Professional | None | $194.98 | $263.03 | $616.60 |
Moda Health Setting Facility Modifier None Typical Low $302.00 Median $1,023.29 Typical High $8,317.64 | Facility | None | $302.00 | $1,023.29 | $8,317.64 |
Moda Health Setting Professional Modifier None Typical Low $194.98 Median $616.60 Typical High $1,148.15 | Professional | None | $194.98 | $616.60 | $1,148.15 |
Premera BCBS Setting Facility Modifier None Typical Low $2,041.74 Median $2,951.21 Typical High $3,981.07 | Facility | None | $2,041.74 | $2,951.21 | $3,981.07 |
Premera BCBS Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None | $812.83 | $812.83 | $812.83 |
Providence Setting Facility Modifier None Typical Low $1,023.29 Median $3,630.78 Typical High $11,748.98 | Facility | None | $1,023.29 | $3,630.78 | $11,748.98 |
Providence Setting Professional Modifier None Typical Low $60.26 Median $288.40 Typical High $616.60 | Professional | None | $60.26 | $288.40 | $616.60 |
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 $177.83 Median $501.19 Typical High $1,148.15 | Professional | None | $177.83 | $501.19 | $1,148.15 |
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 $97.72 Median $512.86 Typical High $512.86 | Professional | 52 · Reduced service | $97.72 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $208.93 Typical High $208.93 | Professional | 53 · Discontinued | $38.90 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $144.54 Median $776.25 Typical High $776.25 | Professional | 54 · Surgery only | $144.54 | $776.25 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $154.88 Typical High $154.88 | Professional | 55 · Aftercare only | $28.84 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.50 Median $102.33 Typical High $102.33 | Professional | 56 · Pre-op care only | $19.50 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $134.90 Median $724.44 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $134.90 | $724.44 | $724.44 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $102.33 Median $512.86 Typical High $512.86 | Professional | 52 · Reduced service | $102.33 | $512.86 | $512.86 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $208.93 Typical High $208.93 | Professional | 53 · Discontinued | $40.74 | $208.93 | $208.93 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $151.36 Median $776.25 Typical High $776.25 | Professional | 54 · Surgery only | $151.36 | $776.25 | $776.25 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $154.88 Typical High $154.88 | Professional | 55 · Aftercare only | $30.20 | $154.88 | $154.88 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $102.33 Typical High $102.33 | Professional | 56 · Pre-op care only | $20.42 | $102.33 | $102.33 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $141.25 Median $724.44 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $141.25 | $724.44 | $724.44 |
Where Alaska sits
The same service costs 5.9 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
$813
AK $813UT $138
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.