How much rates vary
Facilitymedian $2,239 · 10th to 90th $1,318 to $7,079Professionalmedian $1,318 · 10th to 90th $380 to $2,089
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 $1,949.84 Median $9,549.93 Typical High $16,595.87 | Facility | None | $1,949.84 | $9,549.93 | $16,595.87 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $2,089.30 Typical High $2,089.30 | Professional | None | $371.54 | $2,089.30 | $2,089.30 |
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 $1,148.15 | Professional | None | $380.19 | $524.81 | $1,148.15 |
Moda Health Setting Facility Modifier None Typical Low $602.56 Median $2,089.30 Typical High $2,951.21 | Facility | None | $602.56 | $2,089.30 | $2,951.21 |
Moda Health Setting Professional Modifier None Typical Low $380.19 Median $1,548.82 Typical High $2,089.30 | Professional | None | $380.19 | $1,548.82 | $2,089.30 |
Premera BCBS Setting Facility Modifier None Typical Low $1,318.26 Median $1,905.46 Typical High $2,691.53 | Facility | None | $1,318.26 | $1,905.46 | $2,691.53 |
Premera BCBS Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,513.56 | $1,513.56 | $1,513.56 |
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 $537.03 Typical High $1,148.15 | Professional | None | $60.26 | $537.03 | $1,148.15 |
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 $354.81 Median $1,071.52 Typical High $2,454.71 | Professional | None | $354.81 | $1,071.52 | $2,454.71 |
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 $186.21 Median $1,047.13 Typical High $1,047.13 | Professional | 52 · Reduced service | $186.21 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $416.87 Typical High $416.87 | Professional | 53 · Discontinued | $74.13 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $1,548.82 Typical High $1,548.82 | Professional | 54 · Surgery only | $281.84 | $1,548.82 | $1,548.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $309.03 Typical High $309.03 | Professional | 55 · Aftercare only | $56.23 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $208.93 Typical High $208.93 | Professional | 56 · Pre-op care only | $37.15 | $208.93 | $208.93 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $190.55 Median $1,047.13 Typical High $1,047.13 | Professional | 52 · Reduced service | $190.55 | $1,047.13 | $1,047.13 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $416.87 Typical High $416.87 | Professional | 53 · Discontinued | $77.62 | $416.87 | $416.87 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $288.40 Median $1,548.82 Typical High $1,548.82 | Professional | 54 · Surgery only | $288.40 | $1,548.82 | $1,548.82 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $309.03 Typical High $309.03 | Professional | 55 · Aftercare only | $57.54 | $309.03 | $309.03 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $208.93 Typical High $208.93 | Professional | 56 · Pre-op care only | $38.02 | $208.93 | $208.93 |
Where Alaska sits
The same service costs 3.8 times more in Colorado than in Delaware. 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 $4,403DE $1,156
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.