How much rates vary
Facilitymedian $631 · 10th to 90th $302 to $5,888Professionalmedian $331 · 10th to 90th $105 to $955
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 $446.68 Median $5,888.44 Typical High $14,125.38 | Facility | None | $446.68 | $5,888.44 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $446.68 Typical High $954.99 | Professional | None | $85.11 | $446.68 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $363.08 Typical High $1,122.02 | Facility | None | $218.78 | $363.08 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $204.17 Typical High $549.54 | Professional | None | $89.13 | $204.17 | $549.54 |
Moda Health Setting Facility Modifier None Typical Low $123.03 Median $446.68 Typical High $1,380.38 | Facility | None | $123.03 | $446.68 | $1,380.38 |
Moda Health Setting Professional Modifier None Typical Low $177.83 Median $446.68 Typical High $954.99 | Professional | None | $177.83 | $446.68 | $954.99 |
Premera BCBS Setting Facility Modifier None Typical Low $263.03 Median $407.38 Typical High $1,202.26 | Facility | None | $263.03 | $407.38 | $1,202.26 |
Premera BCBS Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $776.25 | Professional | None | $331.13 | $331.13 | $776.25 |
Providence Setting Facility Modifier None Typical Low $302.00 Median $467.74 Typical High $1,479.11 | Facility | None | $302.00 | $467.74 | $1,479.11 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $218.78 Typical High $549.54 | Professional | None | $79.43 | $218.78 | $549.54 |
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 $83.18 Median $229.09 Typical High $630.96 | Professional | None | $83.18 | $229.09 | $630.96 |
10 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 $40.74 Median $223.87 Typical High $478.63 | Professional | 52 · Reduced service | $40.74 | $223.87 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $89.13 Typical High $190.55 | Professional | 53 · Discontinued | $16.22 | $89.13 | $190.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $63.10 Median $331.13 Typical High $724.44 | Professional | 54 · Surgery only | $63.10 | $331.13 | $724.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $66.07 Typical High $144.54 | Professional | 55 · Aftercare only | $12.30 | $66.07 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.13 Median $44.67 Typical High $95.50 | Professional | 56 · Pre-op care only | $8.13 | $44.67 | $95.50 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $223.87 Typical High $478.63 | Professional | 52 · Reduced service | $52.48 | $223.87 | $478.63 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $89.13 Typical High $190.55 | Professional | 53 · Discontinued | $20.89 | $89.13 | $190.55 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $79.43 Median $331.13 Typical High $724.44 | Professional | 54 · Surgery only | $79.43 | $331.13 | $724.44 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $66.07 Typical High $144.54 | Professional | 55 · Aftercare only | $15.85 | $66.07 | $144.54 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $44.67 Typical High $95.50 | Professional | 56 · Pre-op care only | $10.47 | $44.67 | $95.50 |
Where Alaska sits
The same service costs 3.7 times more in Alaska than in Maryland. 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
$355
AK $355MD $95.50
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.