How much rates vary
Facilitymedian $2,239 · 10th to 90th $933 to $7,079Professionalmedian $933 · 10th to 90th $240 to $2,455
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 $1,047.13 Median $7,079.46 Typical High $14,125.38 | Facility | None | $1,047.13 | $7,079.46 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $1,047.13 Typical High $2,630.27 | Professional | None | $194.98 | $1,047.13 | $2,630.27 |
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 $204.17 Median $467.74 Typical High $1,445.44 | Professional | None | $204.17 | $467.74 | $1,445.44 |
Moda Health Setting Facility Modifier None Typical Low $416.87 Median $1,513.56 Typical High $4,265.80 | Facility | None | $416.87 | $1,513.56 | $4,265.80 |
Moda Health Setting Professional Modifier None Typical Low $275.42 Median $1,047.13 Typical High $2,691.53 | Professional | None | $275.42 | $1,047.13 | $2,691.53 |
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 $776.25 Median $776.25 Typical High $1,995.26 | Professional | None | $776.25 | $776.25 | $1,995.26 |
Providence 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 |
Providence Setting Professional Modifier None Typical Low $190.55 Median $524.81 Typical High $1,380.38 | Professional | None | $190.55 | $524.81 | $1,380.38 |
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 $199.53 Median $537.03 Typical High $1,659.59 | Professional | None | $199.53 | $537.03 | $1,659.59 |
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 $97.72 Median $524.81 Typical High $1,230.27 | Professional | 52 · Reduced service | $97.72 | $524.81 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $208.93 Typical High $489.78 | Professional | 53 · Discontinued | $38.90 | $208.93 | $489.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $147.91 Median $794.33 Typical High $1,862.09 | Professional | 54 · Surgery only | $147.91 | $794.33 | $1,862.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $158.49 Typical High $371.54 | Professional | 55 · Aftercare only | $29.51 | $158.49 | $371.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.50 Median $104.71 Typical High $245.47 | Professional | 56 · Pre-op care only | $19.50 | $104.71 | $245.47 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $123.03 Median $524.81 Typical High $1,230.27 | Professional | 52 · Reduced service | $123.03 | $524.81 | $1,230.27 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $208.93 Typical High $489.78 | Professional | 53 · Discontinued | $48.98 | $208.93 | $489.78 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $794.33 Typical High $1,862.09 | Professional | 54 · Surgery only | $186.21 | $794.33 | $1,862.09 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $158.49 Typical High $371.54 | Professional | 55 · Aftercare only | $37.15 | $158.49 | $371.54 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $104.71 Typical High $245.47 | Professional | 56 · Pre-op care only | $24.55 | $104.71 | $245.47 |
Where Alaska sits
The same service costs 4.1 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 $4,142MT $1,002
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.