How much rates vary
Facilitymedian $2,951 · 10th to 90th $1,096 to $9,772Professionalmedian $1,995 · 10th to 90th $562 to $2,951
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 $2,951.21 Median $12,022.64 Typical High $16,595.87 | Facility | None | $2,951.21 | $12,022.64 | $16,595.87 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $2,951.21 Typical High $2,951.21 | Professional | None | $549.54 | $2,951.21 | $2,951.21 |
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 $524.81 Median $776.25 Typical High $1,698.24 | Professional | None | $524.81 | $776.25 | $1,698.24 |
Moda Health Setting Facility Modifier None Typical Low $891.25 Median $2,951.21 Typical High $4,168.69 | Facility | None | $891.25 | $2,951.21 | $4,168.69 |
Moda Health Setting Professional Modifier None Typical Low $602.56 Median $2,344.23 Typical High $3,467.37 | Professional | None | $602.56 | $2,344.23 | $3,467.37 |
Premera BCBS Setting Facility Modifier None Typical Low $1,288.25 Median $1,348.96 Typical High $1,548.82 | Facility | None | $1,288.25 | $1,348.96 | $1,548.82 |
Premera BCBS Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Professional | None | $2,290.87 | $2,290.87 | $2,290.87 |
Providence Setting Facility Modifier None Typical Low $1,023.29 Median $2,187.76 Typical High $5,248.07 | Facility | None | $1,023.29 | $2,187.76 | $5,248.07 |
Providence Setting Professional Modifier None Typical Low $60.26 Median $776.25 Typical High $1,698.24 | Professional | None | $60.26 | $776.25 | $1,698.24 |
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 $524.81 Median $1,479.11 Typical High $3,388.44 | Professional | None | $524.81 | $1,479.11 | $3,388.44 |
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 $275.42 Median $1,479.11 Typical High $1,479.11 | Professional | 52 · Reduced service | $275.42 | $1,479.11 | $1,479.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $588.84 Typical High $588.84 | Professional | 53 · Discontinued | $109.65 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $2,187.76 Typical High $2,187.76 | Professional | 54 · Surgery only | $416.87 | $2,187.76 | $2,187.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $436.52 Typical High $436.52 | Professional | 55 · Aftercare only | $83.18 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $295.12 Typical High $295.12 | Professional | 56 · Pre-op care only | $54.95 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $389.05 Median $2,041.74 Typical High $2,041.74 | Professional | 78 · Unplanned return to OR | $389.05 | $2,041.74 | $2,041.74 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $302.00 Median $1,479.11 Typical High $1,479.11 | Professional | 52 · Reduced service | $302.00 | $1,479.11 | $1,479.11 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $588.84 Typical High $588.84 | Professional | 53 · Discontinued | $120.23 | $588.84 | $588.84 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $2,187.76 Typical High $2,187.76 | Professional | 54 · Surgery only | $457.09 | $2,187.76 | $2,187.76 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $436.52 Typical High $436.52 | Professional | 55 · Aftercare only | $91.20 | $436.52 | $436.52 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $295.12 Typical High $295.12 | Professional | 56 · Pre-op care only | $60.26 | $295.12 | $295.12 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $2,041.74 Typical High $2,041.74 | Professional | 78 · Unplanned return to OR | $426.58 | $2,041.74 | $2,041.74 |
Where Alaska sits
The same service costs 5.5 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
$2,188
AK $2,188TX $398
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.