How much rates vary
Facilitymedian $479 · 10th to 90th $282 to $5,888Professionalmedian $447 · 10th to 90th $110 to $1,622
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 $457.09 Median $5,888.44 Typical High $14,125.38 | Facility | None | $457.09 | $5,888.44 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $457.09 Typical High $1,621.81 | Professional | None | $89.13 | $457.09 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $354.81 Typical High $1,096.48 | Facility | None | $213.80 | $354.81 | $1,096.48 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $281.84 Typical High $724.44 | Professional | None | $93.33 | $281.84 | $724.44 |
Moda Health Setting Facility Modifier None Typical Low $141.25 Median $549.54 Typical High $2,344.23 | Facility | None | $141.25 | $549.54 | $2,344.23 |
Moda Health Setting Professional Modifier None Typical Low $131.83 Median $457.09 Typical High $1,737.80 | Professional | None | $131.83 | $457.09 | $1,737.80 |
Premera BCBS Setting Facility Modifier None Typical Low $245.47 Median $363.08 Typical High $489.78 | Facility | None | $245.47 | $363.08 | $489.78 |
Premera BCBS Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $1,348.96 | Professional | None | $354.81 | $354.81 | $1,348.96 |
Providence Setting Facility Modifier None Typical Low $295.12 Median $478.63 Typical High $2,691.53 | Facility | None | $295.12 | $478.63 | $2,691.53 |
Providence Setting Professional Modifier None Typical Low $83.18 Median $275.42 Typical High $954.99 | Professional | None | $83.18 | $275.42 | $954.99 |
United Setting Facility Modifier None Typical Low $478.63 Median $954.99 Typical High $1,174.90 | Facility | None | $478.63 | $954.99 | $1,174.90 |
United Setting Professional Modifier None Typical Low $85.11 Median $316.23 Typical High $851.14 | Professional | None | $85.11 | $316.23 | $851.14 |
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 $43.65 Median $229.09 Typical High $812.83 | Professional | 52 · Reduced service | $43.65 | $229.09 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $91.20 Typical High $323.59 | Professional | 53 · Discontinued | $17.78 | $91.20 | $323.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $67.61 Median $346.74 Typical High $1,230.27 | Professional | 54 · Surgery only | $67.61 | $346.74 | $1,230.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $69.18 Typical High $245.47 | Professional | 55 · Aftercare only | $13.18 | $69.18 | $245.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $45.71 Typical High $162.18 | Professional | 56 · Pre-op care only | $8.71 | $45.71 | $162.18 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $229.09 Typical High $812.83 | Professional | 52 · Reduced service | $56.23 | $229.09 | $812.83 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $91.20 Typical High $323.59 | Professional | 53 · Discontinued | $22.39 | $91.20 | $323.59 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $83.18 Median $346.74 Typical High $1,230.27 | Professional | 54 · Surgery only | $83.18 | $346.74 | $1,230.27 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $69.18 Typical High $245.47 | Professional | 55 · Aftercare only | $16.60 | $69.18 | $245.47 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $45.71 Typical High $162.18 | Professional | 56 · Pre-op care only | $11.22 | $45.71 | $162.18 |
Where Alaska sits
The same service costs 4.8 times more in Wisconsin than in Washington, DC. 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· 4th of 51
$447
WI $479DC $100
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.