How much rates vary
Facilitymedian $3,467 · 10th to 90th $1,905 to $10,715Professionalmedian $1,122 · 10th to 90th $363 to $2,042
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 $2,041.74 Median $10,964.78 Typical High $16,595.87 | Facility | None | $2,041.74 | $10,964.78 | $16,595.87 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $2,041.74 Typical High $2,454.71 | Professional | None | $363.08 | $2,041.74 | $2,454.71 |
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 $380.19 Median $524.81 Typical High $1,122.02 | Professional | None | $380.19 | $524.81 | $1,122.02 |
Moda Health Setting Facility Modifier None Typical Low $588.84 Median $2,041.74 Typical High $4,073.80 | Facility | None | $588.84 | $2,041.74 | $4,073.80 |
Moda Health Setting Professional Modifier None Typical Low $371.54 Median $1,202.26 Typical High $2,041.74 | Professional | None | $371.54 | $1,202.26 | $2,041.74 |
Premera BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $3,630.78 Typical High $5,011.87 | Facility | None | $2,137.96 | $3,630.78 | $5,011.87 |
Premera BCBS Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | None | $1,479.11 | $1,479.11 | $1,479.11 |
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 $60.26 Median $524.81 Typical High $1,122.02 | Professional | None | $60.26 | $524.81 | $1,122.02 |
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 $346.74 Median $1,047.13 Typical High $2,398.83 | Professional | None | $346.74 | $1,047.13 | $2,398.83 |
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 $181.97 Median $1,023.29 Typical High $1,023.29 | Professional | 52 · Reduced service | $181.97 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $407.38 Typical High $407.38 | Professional | 53 · Discontinued | $74.13 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $1,513.56 Typical High $1,513.56 | Professional | 54 · Surgery only | $275.42 | $1,513.56 | $1,513.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $302.00 Typical High $302.00 | Professional | 55 · Aftercare only | $54.95 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $204.17 Typical High $204.17 | Professional | 56 · Pre-op care only | $36.31 | $204.17 | $204.17 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $186.21 Median $1,023.29 Typical High $1,023.29 | Professional | 52 · Reduced service | $186.21 | $1,023.29 | $1,023.29 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $407.38 Typical High $407.38 | Professional | 53 · Discontinued | $75.86 | $407.38 | $407.38 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $1,513.56 Typical High $1,513.56 | Professional | 54 · Surgery only | $281.84 | $1,513.56 | $1,513.56 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $302.00 Typical High $302.00 | Professional | 55 · Aftercare only | $56.23 | $302.00 | $302.00 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $204.17 Typical High $204.17 | Professional | 56 · Pre-op care only | $37.15 | $204.17 | $204.17 |
Where Alaska sits
The same service costs 5.0 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 $5,749MT $1,151
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.