How much rates vary
Facilitymedian $1,259 · 10th to 90th $617 to $5,888Professionalmedian $324 · 10th to 90th $102 to $1,096
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 $426.58 Median $5,888.44 Typical High $14,125.38 | Facility | None | $426.58 | $5,888.44 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $426.58 Typical High $1,096.48 | Professional | None | $81.28 | $426.58 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $1,318.26 Typical High $3,981.07 | Facility | None | $794.33 | $1,318.26 | $3,981.07 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $213.80 Typical High $562.34 | Professional | None | $95.50 | $213.80 | $562.34 |
Moda Health Setting Facility Modifier None Typical Low $128.82 Median $426.58 Typical High $1,584.89 | Facility | None | $128.82 | $426.58 | $1,584.89 |
Moda Health Setting Professional Modifier None Typical Low $109.65 Median $426.58 Typical High $1,096.48 | Professional | None | $109.65 | $426.58 | $1,096.48 |
Premera BCBS Setting Facility Modifier None Typical Low $776.25 Median $1,174.90 Typical High $1,584.89 | Facility | None | $776.25 | $1,174.90 | $1,584.89 |
Premera BCBS Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $912.01 | Professional | None | $323.59 | $323.59 | $912.01 |
Providence Setting Facility Modifier None Typical Low $616.60 Median $1,258.93 Typical High $3,981.07 | Facility | None | $616.60 | $1,258.93 | $3,981.07 |
Providence Setting Professional Modifier None Typical Low $77.62 Median $213.80 Typical High $616.60 | Professional | None | $77.62 | $213.80 | $616.60 |
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 $83.18 Median $213.80 Typical High $676.08 | Professional | None | $83.18 | $213.80 | $676.08 |
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 $40.74 Median $213.80 Typical High $549.54 | Professional | 52 · Reduced service | $40.74 | $213.80 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $85.11 Typical High $218.78 | Professional | 53 · Discontinued | $16.22 | $85.11 | $218.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $61.66 Median $323.59 Typical High $831.76 | Professional | 54 · Surgery only | $61.66 | $323.59 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $64.57 Typical High $165.96 | Professional | 55 · Aftercare only | $12.30 | $64.57 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.13 Median $42.66 Typical High $109.65 | Professional | 56 · Pre-op care only | $8.13 | $42.66 | $109.65 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $213.80 Typical High $549.54 | Professional | 52 · Reduced service | $51.29 | $213.80 | $549.54 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $85.11 Typical High $218.78 | Professional | 53 · Discontinued | $20.42 | $85.11 | $218.78 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $75.86 Median $323.59 Typical High $831.76 | Professional | 54 · Surgery only | $75.86 | $323.59 | $831.76 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $64.57 Typical High $165.96 | Professional | 55 · Aftercare only | $15.14 | $64.57 | $165.96 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $42.66 Typical High $109.65 | Professional | 56 · Pre-op care only | $10.23 | $42.66 | $109.65 |
Where Alaska sits
The same service costs 4.1 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
$398
AK $398DC $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.