How much rates vary
Facilitymedian $5,129 · 10th to 90th $1,000 to $251,189Professionalmedian $3,311 · 10th to 90th $1,000 to $5,129
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 $5,128.61 Median $12,022.64 Typical High $16,595.87 | Facility | None | $5,128.61 | $12,022.64 | $16,595.87 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $5,128.61 Typical High $5,128.61 | Professional | None | $977.24 | $5,128.61 | $5,128.61 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $1,380.38 Typical High $3,019.95 | Professional | None | $851.14 | $1,380.38 | $3,019.95 |
Moda Health Setting Facility Modifier None Typical Low $1,584.89 Median $5,128.61 Typical High $7,413.10 | Facility | None | $1,584.89 | $5,128.61 | $7,413.10 |
Moda Health Setting Professional Modifier None Typical Low $1,071.52 Median $4,073.80 Typical High $6,165.95 | Professional | None | $1,071.52 | $4,073.80 | $6,165.95 |
Premera BCBS Setting Professional Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $4,073.80 | Professional | None | $4,073.80 | $4,073.80 | $4,073.80 |
Providence Setting Facility Modifier None Typical Low $5,370.32 Median $251,188.64 Typical High $346,736.85 | Facility | None | $5,370.32 | $251,188.64 | $346,736.85 |
Providence Setting Professional Modifier None Typical Low $60.26 Median $1,479.11 Typical High $3,019.95 | Professional | None | $60.26 | $1,479.11 | $3,019.95 |
United Setting Facility Modifier None Typical Low $691.83 Median $1,071.52 Typical High $4,265.80 | Facility | None | $691.83 | $1,071.52 | $4,265.80 |
United Setting Professional Modifier None Typical Low $933.25 Median $2,630.27 Typical High $6,025.60 | Professional | None | $933.25 | $2,630.27 | $6,025.60 |
12 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 $489.78 Median $2,570.40 Typical High $2,570.40 | Professional | 52 · Reduced service | $489.78 | $2,570.40 | $2,570.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $1,023.29 Typical High $1,023.29 | Professional | 53 · Discontinued | $194.98 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $3,890.45 Typical High $3,890.45 | Professional | 54 · Surgery only | $741.31 | $3,890.45 | $3,890.45 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $776.25 Typical High $776.25 | Professional | 55 · Aftercare only | $147.91 | $776.25 | $776.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $512.86 Typical High $512.86 | Professional | 56 · Pre-op care only | $97.72 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $3,630.78 Typical High $3,630.78 | Professional | 78 · Unplanned return to OR | $691.83 | $3,630.78 | $3,630.78 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $537.03 Median $2,570.40 Typical High $2,570.40 | Professional | 52 · Reduced service | $537.03 | $2,570.40 | $2,570.40 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $1,023.29 Typical High $1,023.29 | Professional | 53 · Discontinued | $213.80 | $1,023.29 | $1,023.29 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $794.33 Median $3,890.45 Typical High $3,890.45 | Professional | 54 · Surgery only | $794.33 | $3,890.45 | $3,890.45 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $776.25 Typical High $776.25 | Professional | 55 · Aftercare only | $158.49 | $776.25 | $776.25 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $512.86 Typical High $512.86 | Professional | 56 · Pre-op care only | $107.15 | $512.86 | $512.86 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $3,630.78 Typical High $3,630.78 | Professional | 78 · Unplanned return to OR | $741.31 | $3,630.78 | $3,630.78 |
Where Alaska sits
The same service costs 4.9 times more in Alaska than in Texas. 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· 1st of 51
$3,548
AK $3,548TX $724
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.