How much rates vary
Facilitymedian $6,607 · 10th to 90th $2,399 to $16,596Professionalmedian $1,413 · 10th to 90th $407 to $2,188
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 $2,187.76 Median $10,000.00 Typical High $20,417.38 | Facility | None | $2,187.76 | $10,000.00 | $20,417.38 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $2,187.76 Typical High $2,187.76 | Professional | None | $398.11 | $2,187.76 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $7,079.46 Median $11,748.98 Typical High $36,307.81 | Facility | None | $7,079.46 | $11,748.98 | $36,307.81 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $549.54 Typical High $1,230.27 | Professional | None | $407.38 | $549.54 | $1,230.27 |
Moda Health Setting Facility Modifier None Typical Low $630.96 Median $2,187.76 Typical High $3,162.28 | Facility | None | $630.96 | $2,187.76 | $3,162.28 |
Moda Health Setting Professional Modifier None Typical Low $407.38 Median $1,659.59 Typical High $2,238.72 | Professional | None | $407.38 | $1,659.59 | $2,238.72 |
Premera BCBS Setting Facility Modifier None Typical Low $3,630.78 Median $5,495.41 Typical High $6,606.93 | Facility | None | $3,630.78 | $5,495.41 | $6,606.93 |
Premera BCBS Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,621.81 | $1,621.81 | $1,621.81 |
Providence Setting Facility Modifier None Typical Low $2,137.96 Median $11,220.18 Typical High $35,481.34 | Facility | None | $2,137.96 | $11,220.18 | $35,481.34 |
Providence Setting Professional Modifier None Typical Low $60.26 Median $575.44 Typical High $1,230.27 | Professional | None | $60.26 | $575.44 | $1,230.27 |
United Setting Facility Modifier None Typical Low $2,570.40 Median $7,079.46 Typical High $10,471.29 | Facility | None | $2,570.40 | $7,079.46 | $10,471.29 |
United Setting Professional Modifier None Typical Low $380.19 Median $1,122.02 Typical High $2,630.27 | Professional | None | $380.19 | $1,122.02 | $2,630.27 |
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 $199.53 Median $1,096.48 Typical High $1,096.48 | Professional | 52 · Reduced service | $199.53 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $436.52 Typical High $436.52 | Professional | 53 · Discontinued | $79.43 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $302.00 Median $1,659.59 Typical High $1,659.59 | Professional | 54 · Surgery only | $302.00 | $1,659.59 | $1,659.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $331.13 Typical High $331.13 | Professional | 55 · Aftercare only | $60.26 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $218.78 Typical High $218.78 | Professional | 56 · Pre-op care only | $39.81 | $218.78 | $218.78 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $204.17 Median $1,096.48 Typical High $1,096.48 | Professional | 52 · Reduced service | $204.17 | $1,096.48 | $1,096.48 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $436.52 Typical High $436.52 | Professional | 53 · Discontinued | $81.28 | $436.52 | $436.52 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $309.03 Median $1,659.59 Typical High $1,659.59 | Professional | 54 · Surgery only | $309.03 | $1,659.59 | $1,659.59 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $331.13 Typical High $331.13 | Professional | 55 · Aftercare only | $61.66 | $331.13 | $331.13 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $218.78 Typical High $218.78 | Professional | 56 · Pre-op care only | $40.74 | $218.78 | $218.78 |
Where Alaska sits
The same service costs 4.5 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
$1,622
AK $1,622TX $363
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.