How much rates vary
Facilitymedian $1,660 · 10th to 90th $661 to $6,607Professionalmedian $631 · 10th to 90th $107 to $4,571
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 $87.10 Median $794.33 Typical High $4,570.88 | Professional | None | $87.10 | $794.33 | $4,570.88 |
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 $83.18 Median $288.40 Typical High $2,041.74 | Professional | None | $83.18 | $288.40 | $2,041.74 |
Moda Health Setting Facility Modifier None Typical Low $138.04 Median $645.65 Typical High $6,456.54 | Facility | None | $138.04 | $645.65 | $6,456.54 |
Moda Health Setting Professional Modifier None Typical Low $218.78 Median $588.84 Typical High $4,570.88 | Professional | None | $218.78 | $588.84 | $4,570.88 |
Premera BCBS Setting Facility Modifier None Typical Low $1,023.29 Median $1,412.54 Typical High $1,905.46 | Facility | None | $1,023.29 | $1,412.54 | $1,905.46 |
Premera BCBS Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $3,801.89 | Professional | None | $346.74 | $346.74 | $3,801.89 |
Providence Setting Facility Modifier None Typical Low $660.69 Median $1,698.24 Typical High $7,244.36 | Facility | None | $660.69 | $1,698.24 | $7,244.36 |
Providence Setting Professional Modifier None Typical Low $81.28 Median $275.42 Typical High $2,691.53 | Professional | None | $81.28 | $275.42 | $2,691.53 |
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 $85.11 Median $691.83 Typical High $2,398.83 | Professional | None | $85.11 | $691.83 | $2,398.83 |
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 $354.81 Typical High $2,290.87 | Professional | 52 · Reduced service | $43.65 | $354.81 | $2,290.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $144.54 Typical High $912.01 | Professional | 53 · Discontinued | $17.38 | $144.54 | $912.01 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $66.07 Median $537.03 Typical High $3,388.44 | Professional | 54 · Surgery only | $66.07 | $537.03 | $3,388.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $107.15 Typical High $676.08 | Professional | 55 · Aftercare only | $13.18 | $107.15 | $676.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $72.44 Typical High $457.09 | Professional | 56 · Pre-op care only | $8.71 | $72.44 | $457.09 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $354.81 Typical High $2,290.87 | Professional | 52 · Reduced service | $54.95 | $354.81 | $2,290.87 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $144.54 Typical High $912.01 | Professional | 53 · Discontinued | $21.88 | $144.54 | $912.01 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $81.28 Median $537.03 Typical High $3,388.44 | Professional | 54 · Surgery only | $81.28 | $537.03 | $3,388.44 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $107.15 Typical High $676.08 | Professional | 55 · Aftercare only | $16.22 | $107.15 | $676.08 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $95.50 Typical High $457.09 | Professional | 56 · Pre-op care only | $45.71 | $95.50 | $457.09 |
Where Alaska sits
The same service costs 14.1 times more in Washington than in Kentucky. 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· 19th of 51
$832
WA $1,288KY $91.20
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.