How much rates vary
Facilitymedian $1,660 · 10th to 90th $1,023 to $5,888Professionalmedian $912 · 10th to 90th $229 to $1,230
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 $1,230.27 Median $6,606.93 Typical High $16,595.87 | Facility | None | $1,230.27 | $6,606.93 | $16,595.87 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $1,230.27 Typical High $1,230.27 | Professional | None | $223.87 | $1,230.27 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $1,698.24 Typical High $5,128.61 | Facility | None | $1,023.29 | $1,698.24 | $5,128.61 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $323.59 Typical High $758.58 | Professional | None | $234.42 | $323.59 | $758.58 |
Moda Health Setting Facility Modifier None Typical Low $354.81 Median $1,230.27 Typical High $1,778.28 | Facility | None | $354.81 | $1,230.27 | $1,778.28 |
Moda Health Setting Professional Modifier None Typical Low $229.09 Median $933.25 Typical High $1,258.93 | Professional | None | $229.09 | $933.25 | $1,258.93 |
Premera BCBS Setting Facility Modifier None Typical Low $1,023.29 Median $1,412.54 Typical High $2,041.74 | Facility | None | $1,023.29 | $1,412.54 | $2,041.74 |
Premera BCBS Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | None | $912.01 | $912.01 | $912.01 |
Providence Setting Facility Modifier None Typical Low $1,023.29 Median $1,698.24 Typical High $5,128.61 | Facility | None | $1,023.29 | $1,698.24 | $5,128.61 |
Providence Setting Professional Modifier None Typical Low $60.26 Median $331.13 Typical High $676.08 | Professional | None | $60.26 | $331.13 | $676.08 |
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 $213.80 Median $630.96 Typical High $1,479.11 | Professional | None | $213.80 | $630.96 | $1,479.11 |
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 $112.20 Median $616.60 Typical High $616.60 | Professional | 52 · Reduced service | $112.20 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $245.47 Typical High $245.47 | Professional | 53 · Discontinued | $44.67 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $165.96 Median $933.25 Typical High $933.25 | Professional | 54 · Surgery only | $165.96 | $933.25 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $186.21 Typical High $186.21 | Professional | 55 · Aftercare only | $33.88 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $123.03 Typical High $123.03 | Professional | 56 · Pre-op care only | $22.39 | $123.03 | $123.03 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $114.82 Median $616.60 Typical High $616.60 | Professional | 52 · Reduced service | $114.82 | $616.60 | $616.60 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $245.47 Typical High $245.47 | Professional | 53 · Discontinued | $45.71 | $245.47 | $245.47 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $173.78 Median $933.25 Typical High $933.25 | Professional | 54 · Surgery only | $173.78 | $933.25 | $933.25 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $186.21 Typical High $186.21 | Professional | 55 · Aftercare only | $34.67 | $186.21 | $186.21 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $123.03 Typical High $123.03 | Professional | 56 · Pre-op care only | $22.91 | $123.03 | $123.03 |
Where Alaska sits
The same service costs 4.7 times more in Wyoming than in Utah. 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· 2nd of 51
$912
WY $912UT $195
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.