How much rates vary
Facilitymedian $2,239 · 10th to 90th $1,349 to $8,318Professionalmedian $832 · 10th to 90th $263 to $1,413
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 $1,412.54 Median $9,549.93 Typical High $16,595.87 | Facility | None | $1,412.54 | $9,549.93 | $16,595.87 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $1,412.54 Typical High $1,412.54 | Professional | None | $257.04 | $1,412.54 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $2,290.87 Typical High $7,079.46 | Facility | None | $1,380.38 | $2,290.87 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $389.05 Typical High $776.25 | Professional | None | $269.15 | $389.05 | $776.25 |
Moda Health Setting Facility Modifier None Typical Low $407.38 Median $5,248.07 Typical High $8,317.64 | Facility | None | $407.38 | $5,248.07 | $8,317.64 |
Moda Health Setting Professional Modifier None Typical Low $275.42 Median $831.76 Typical High $1,445.44 | Professional | None | $275.42 | $831.76 | $1,445.44 |
Premera BCBS Setting Facility Modifier None Typical Low $1,258.93 Median $1,862.09 Typical High $2,454.71 | Facility | None | $1,258.93 | $1,862.09 | $2,454.71 |
Premera BCBS Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | None | $1,047.13 | $1,047.13 | $1,047.13 |
Providence Setting Facility Modifier None Typical Low $1,380.38 Median $2,238.72 Typical High $7,079.46 | Facility | None | $1,380.38 | $2,238.72 | $7,079.46 |
Providence Setting Professional Modifier None Typical Low $60.26 Median $436.52 Typical High $776.25 | Professional | None | $60.26 | $436.52 | $776.25 |
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 $239.88 Median $724.44 Typical High $1,698.24 | Professional | None | $239.88 | $724.44 | $1,698.24 |
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 $128.82 Median $707.95 Typical High $707.95 | Professional | 52 · Reduced service | $128.82 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $281.84 Typical High $281.84 | Professional | 53 · Discontinued | $51.29 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $190.55 Median $1,071.52 Typical High $1,071.52 | Professional | 54 · Surgery only | $190.55 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $213.80 Typical High $213.80 | Professional | 55 · Aftercare only | $38.02 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.70 Median $141.25 Typical High $141.25 | Professional | 56 · Pre-op care only | $25.70 | $141.25 | $141.25 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $131.83 Median $707.95 Typical High $707.95 | Professional | 52 · Reduced service | $131.83 | $707.95 | $707.95 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $281.84 Typical High $281.84 | Professional | 53 · Discontinued | $52.48 | $281.84 | $281.84 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $199.53 Median $1,071.52 Typical High $1,071.52 | Professional | 54 · Surgery only | $199.53 | $1,071.52 | $1,071.52 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $213.80 Typical High $213.80 | Professional | 55 · Aftercare only | $39.81 | $213.80 | $213.80 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $26.30 Median $141.25 Typical High $141.25 | Professional | 56 · Pre-op care only | $26.30 | $141.25 | $141.25 |
Where Alaska sits
The same service costs 5.1 times more in Colorado than in Montana. 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.
Physician feeFacility fee
CO $4,182MT $815
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.