How much rates vary
Facilitymedian $1,585 · 10th to 90th $851 to $5,888Professionalmedian $447 · 10th to 90th $141 to $1,122
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 $588.84 Median $5,888.44 Typical High $14,125.38 | Facility | None | $588.84 | $5,888.44 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $588.84 Typical High $1,122.02 | Professional | None | $112.20 | $588.84 | $1,122.02 |
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 $114.82 Median $218.78 Typical High $630.96 | Professional | None | $114.82 | $218.78 | $630.96 |
Moda Health Setting Facility Modifier None Typical Low $177.83 Median $588.84 Typical High $1,584.89 | Facility | None | $177.83 | $588.84 | $1,584.89 |
Moda Health Setting Professional Modifier None Typical Low $181.97 Median $588.84 Typical High $1,122.02 | Professional | None | $181.97 | $588.84 | $1,122.02 |
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 $446.68 Median $446.68 Typical High $891.25 | Professional | None | $446.68 | $446.68 | $891.25 |
Providence Setting Facility Modifier None Typical Low $851.14 Median $1,621.81 Typical High $5,128.61 | Facility | None | $851.14 | $1,621.81 | $5,128.61 |
Providence Setting Professional Modifier None Typical Low $107.15 Median $263.03 Typical High $630.96 | Professional | None | $107.15 | $263.03 | $630.96 |
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 $114.82 Median $302.00 Typical High $831.76 | Professional | None | $114.82 | $302.00 | $831.76 |
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 $56.23 Median $295.12 Typical High $562.34 | Professional | 52 · Reduced service | $56.23 | $295.12 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $117.49 Typical High $223.87 | Professional | 53 · Discontinued | $22.39 | $117.49 | $223.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $85.11 Median $446.68 Typical High $831.76 | Professional | 54 · Surgery only | $85.11 | $446.68 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $89.13 Typical High $165.96 | Professional | 55 · Aftercare only | $16.98 | $89.13 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $58.88 Typical High $112.20 | Professional | 56 · Pre-op care only | $11.22 | $58.88 | $112.20 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $295.12 Typical High $562.34 | Professional | 52 · Reduced service | $70.79 | $295.12 | $562.34 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $117.49 Typical High $223.87 | Professional | 53 · Discontinued | $28.18 | $117.49 | $223.87 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $104.71 Median $446.68 Typical High $831.76 | Professional | 54 · Surgery only | $104.71 | $446.68 | $831.76 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $89.13 Typical High $165.96 | Professional | 55 · Aftercare only | $20.89 | $89.13 | $165.96 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $58.88 Typical High $112.20 | Professional | 56 · Pre-op care only | $14.13 | $58.88 | $112.20 |
Where Alaska sits
The same service costs 3.8 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
$490
AK $490DC $129
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.