How much rates vary
Facilitymedian $1,660 · 10th to 90th $646 to $5,888Professionalmedian $479 · 10th to 90th $151 to $1,479
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 $645.65 Median $5,888.44 Typical High $14,125.38 | Facility | None | $645.65 | $5,888.44 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $645.65 Typical High $1,479.11 | Professional | None | $125.89 | $645.65 | $1,479.11 |
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 $128.82 Median $316.23 Typical High $851.14 | Professional | None | $128.82 | $316.23 | $851.14 |
Moda Health Setting Facility Modifier None Typical Low $190.55 Median $912.01 Typical High $3,090.30 | Facility | None | $190.55 | $912.01 | $3,090.30 |
Moda Health Setting Professional Modifier None Typical Low $165.96 Median $645.65 Typical High $1,621.81 | Professional | None | $165.96 | $645.65 | $1,621.81 |
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 $478.63 Median $478.63 Typical High $1,202.26 | Professional | None | $478.63 | $478.63 | $1,202.26 |
Providence Setting Facility Modifier None Typical Low $912.01 Median $1,698.24 Typical High $5,128.61 | Facility | None | $912.01 | $1,698.24 | $5,128.61 |
Providence Setting Professional Modifier None Typical Low $120.23 Median $316.23 Typical High $851.14 | Professional | None | $120.23 | $316.23 | $851.14 |
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 $125.89 Median $331.13 Typical High $977.24 | Professional | None | $125.89 | $331.13 | $977.24 |
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 $60.26 Median $323.59 Typical High $741.31 | Professional | 52 · Reduced service | $60.26 | $323.59 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $128.82 Typical High $295.12 | Professional | 53 · Discontinued | $23.99 | $128.82 | $295.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $91.20 Median $478.63 Typical High $1,122.02 | Professional | 54 · Surgery only | $91.20 | $478.63 | $1,122.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $95.50 Typical High $223.87 | Professional | 55 · Aftercare only | $18.20 | $95.50 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $64.57 Typical High $147.91 | Professional | 56 · Pre-op care only | $12.02 | $64.57 | $147.91 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $323.59 Typical High $741.31 | Professional | 52 · Reduced service | $75.86 | $323.59 | $741.31 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $128.82 Typical High $295.12 | Professional | 53 · Discontinued | $30.20 | $128.82 | $295.12 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $114.82 Median $478.63 Typical High $1,122.02 | Professional | 54 · Surgery only | $114.82 | $478.63 | $1,122.02 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $95.50 Typical High $223.87 | Professional | 55 · Aftercare only | $22.91 | $95.50 | $223.87 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $64.57 Typical High $147.91 | Professional | 56 · Pre-op care only | $15.14 | $64.57 | $147.91 |
Where Alaska sits
The same service costs 6.9 times more in Colorado than in North Dakota. 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.
Physician feeFacility fee
CO $4,090ND $590
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.