How much rates vary
Facilitymedian $1,585 · 10th to 90th $955 to $5,888Professionalmedian $501 · 10th to 90th $170 to $1,072
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 $676.08 Median $5,888.44 Typical High $14,125.38 | Facility | None | $676.08 | $5,888.44 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $676.08 Typical High $1,071.52 | Professional | None | $125.89 | $676.08 | $1,071.52 |
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 $151.36 Median $229.09 Typical High $630.96 | Professional | None | $151.36 | $229.09 | $630.96 |
Moda Health Setting Facility Modifier None Typical Low $199.53 Median $676.08 Typical High $1,513.56 | Facility | None | $199.53 | $676.08 | $1,513.56 |
Moda Health Setting Professional Modifier None Typical Low $199.53 Median $676.08 Typical High $1,148.15 | Professional | None | $199.53 | $676.08 | $1,148.15 |
Premera BCBS Setting Facility Modifier None Typical Low $1,023.29 Median $1,412.54 Typical High $2,089.30 | Facility | None | $1,023.29 | $1,412.54 | $2,089.30 |
Premera BCBS Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $831.76 | Professional | None | $501.19 | $501.19 | $831.76 |
Providence Setting Facility Modifier None Typical Low $954.99 Median $1,621.81 Typical High $5,128.61 | Facility | None | $954.99 | $1,621.81 | $5,128.61 |
Providence Setting Professional Modifier None Typical Low $128.82 Median $275.42 Typical High $602.56 | Professional | None | $128.82 | $275.42 | $602.56 |
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 $128.82 Median $346.74 Typical High $954.99 | Professional | None | $128.82 | $346.74 | $954.99 |
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 $63.10 Median $338.84 Typical High $537.03 | Professional | 52 · Reduced service | $63.10 | $338.84 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $134.90 Typical High $213.80 | Professional | 53 · Discontinued | $25.12 | $134.90 | $213.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $95.50 Median $501.19 Typical High $794.33 | Professional | 54 · Surgery only | $95.50 | $501.19 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $100.00 Typical High $158.49 | Professional | 55 · Aftercare only | $19.05 | $100.00 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.59 Median $67.61 Typical High $107.15 | Professional | 56 · Pre-op care only | $12.59 | $67.61 | $107.15 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $338.84 Typical High $537.03 | Professional | 52 · Reduced service | $79.43 | $338.84 | $537.03 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $134.90 Typical High $213.80 | Professional | 53 · Discontinued | $31.62 | $134.90 | $213.80 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $120.23 Median $501.19 Typical High $794.33 | Professional | 54 · Surgery only | $120.23 | $501.19 | $794.33 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $23.99 Median $100.00 Typical High $158.49 | Professional | 55 · Aftercare only | $23.99 | $100.00 | $158.49 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $67.61 Typical High $107.15 | Professional | 56 · Pre-op care only | $15.85 | $67.61 | $107.15 |
Where Alaska sits
The same service costs 9.2 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 $4,600ND $499
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.