How much rates vary
Facilitymedian $3,090 · 10th to 90th $631 to $9,772Professionalmedian $347 · 10th to 90th $107 to $1,000
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 $436.52 Median $5,888.44 Typical High $14,125.38 | Facility | None | $436.52 | $5,888.44 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $436.52 Typical High $1,000.00 | Professional | None | $87.10 | $436.52 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $2,238.72 Median $3,630.78 Typical High $11,220.18 | Facility | None | $2,238.72 | $3,630.78 | $11,220.18 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $190.55 Typical High $562.34 | Professional | None | $85.11 | $190.55 | $562.34 |
Moda Health Setting Facility Modifier None Typical Low $134.90 Median $436.52 Typical High $1,445.44 | Facility | None | $134.90 | $436.52 | $1,445.44 |
Moda Health Setting Professional Modifier None Typical Low $186.21 Median $436.52 Typical High $1,000.00 | Professional | None | $186.21 | $436.52 | $1,000.00 |
Premera BCBS Setting Facility Modifier None Typical Low $1,230.27 Median $3,090.30 Typical High $3,890.45 | Facility | None | $1,230.27 | $3,090.30 | $3,890.45 |
Premera BCBS Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $831.76 | Professional | None | $346.74 | $346.74 | $831.76 |
Providence Setting Facility Modifier None Typical Low $645.65 Median $3,090.30 Typical High $10,964.78 | Facility | None | $645.65 | $3,090.30 | $10,964.78 |
Providence Setting Professional Modifier None Typical Low $81.28 Median $213.80 Typical High $562.34 | Professional | None | $81.28 | $213.80 | $562.34 |
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 $87.10 Median $223.87 Typical High $616.60 | Professional | None | $87.10 | $223.87 | $616.60 |
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 $218.78 Typical High $501.19 | Professional | 52 · Reduced service | $43.65 | $218.78 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $87.10 Typical High $199.53 | Professional | 53 · Discontinued | $17.38 | $87.10 | $199.53 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $64.57 Median $331.13 Typical High $758.58 | Professional | 54 · Surgery only | $64.57 | $331.13 | $758.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.88 Median $66.07 Typical High $151.36 | Professional | 55 · Aftercare only | $12.88 | $66.07 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $43.65 Typical High $100.00 | Professional | 56 · Pre-op care only | $8.71 | $43.65 | $100.00 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $218.78 Typical High $501.19 | Professional | 52 · Reduced service | $54.95 | $218.78 | $501.19 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $87.10 Typical High $199.53 | Professional | 53 · Discontinued | $21.88 | $87.10 | $199.53 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $81.28 Median $331.13 Typical High $758.58 | Professional | 54 · Surgery only | $81.28 | $331.13 | $758.58 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $66.07 Typical High $151.36 | Professional | 55 · Aftercare only | $16.22 | $66.07 | $151.36 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $43.65 Typical High $100.00 | Professional | 56 · Pre-op care only | $10.96 | $43.65 | $100.00 |
Where Alaska sits
The same service costs 4.5 times more in Alaska than in Washington, DC. 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
$437
AK $437DC $97.72
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.