How much rates vary
Facilitymedian $7,244 · 10th to 90th $2,630 to $16,596Professionalmedian $1,479 · 10th to 90th $468 to $2,630
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 $2,630.27 Median $10,964.78 Typical High $16,595.87 | Facility | None | $2,630.27 | $10,964.78 | $16,595.87 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $2,630.27 Typical High $3,162.28 | Professional | None | $467.74 | $2,630.27 | $3,162.28 |
Cigna Setting Facility Modifier None Typical Low $5,754.40 Median $9,549.93 Typical High $29,512.09 | Facility | None | $5,754.40 | $9,549.93 | $29,512.09 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $645.65 Typical High $1,412.54 | Professional | None | $489.78 | $645.65 | $1,412.54 |
Moda Health Setting Facility Modifier None Typical Low $741.31 Median $3,715.35 Typical High $27,542.29 | Facility | None | $741.31 | $3,715.35 | $27,542.29 |
Moda Health Setting Professional Modifier None Typical Low $467.74 Median $1,513.56 Typical High $2,630.27 | Professional | None | $467.74 | $1,513.56 | $2,630.27 |
Premera BCBS Setting Facility Modifier None Typical Low $3,467.37 Median $5,495.41 Typical High $7,943.28 | Facility | None | $3,467.37 | $5,495.41 | $7,943.28 |
Premera BCBS Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,905.46 | $1,905.46 | $1,905.46 |
Providence Setting Facility Modifier None Typical Low $2,511.89 Median $9,120.11 Typical High $29,512.09 | Facility | None | $2,511.89 | $9,120.11 | $29,512.09 |
Providence Setting Professional Modifier None Typical Low $60.26 Median $676.08 Typical High $1,412.54 | Professional | None | $60.26 | $676.08 | $1,412.54 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $6,165.95 Typical High $8,912.51 | Facility | None | $1,905.46 | $6,165.95 | $8,912.51 |
United Setting Professional Modifier None Typical Low $446.68 Median $1,348.96 Typical High $3,090.30 | Professional | None | $446.68 | $1,348.96 | $3,090.30 |
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 $234.42 Median $1,288.25 Typical High $1,288.25 | Professional | 52 · Reduced service | $234.42 | $1,288.25 | $1,288.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $524.81 Typical High $524.81 | Professional | 53 · Discontinued | $93.33 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $354.81 Median $1,949.84 Typical High $1,949.84 | Professional | 54 · Surgery only | $354.81 | $1,949.84 | $1,949.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $389.05 Typical High $389.05 | Professional | 55 · Aftercare only | $70.79 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $263.03 Typical High $263.03 | Professional | 56 · Pre-op care only | $46.77 | $263.03 | $263.03 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $239.88 Median $1,288.25 Typical High $1,288.25 | Professional | 52 · Reduced service | $239.88 | $1,288.25 | $1,288.25 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $524.81 Typical High $524.81 | Professional | 53 · Discontinued | $95.50 | $524.81 | $524.81 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $363.08 Median $1,949.84 Typical High $1,949.84 | Professional | 54 · Surgery only | $363.08 | $1,949.84 | $1,949.84 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $389.05 Typical High $389.05 | Professional | 55 · Aftercare only | $72.44 | $389.05 | $389.05 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $263.03 Typical High $263.03 | Professional | 56 · Pre-op care only | $47.86 | $263.03 | $263.03 |
Where Alaska sits
The same service costs 5.9 times more in Alaska 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
AK $8,723MT $1,483
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.