How much rates vary
Facilitymedian $3,311 · 10th to 90th $692 to $9,772Professionalmedian $363 · 10th to 90th $123 to $891
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 $478.63 Median $7,079.46 Typical High $14,125.38 | Facility | None | $478.63 | $7,079.46 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $478.63 Typical High $891.25 | Professional | None | $91.20 | $478.63 | $891.25 |
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 $109.65 Median $173.78 Typical High $512.86 | Professional | None | $109.65 | $173.78 | $512.86 |
Moda Health Setting Facility Modifier None Typical Low $144.54 Median $478.63 Typical High $1,288.25 | Facility | None | $144.54 | $478.63 | $1,288.25 |
Moda Health Setting Professional Modifier None Typical Low $144.54 Median $478.63 Typical High $891.25 | Professional | None | $144.54 | $478.63 | $891.25 |
Premera BCBS Setting Facility Modifier None Typical Low $2,290.87 Median $3,090.30 Typical High $4,073.80 | Facility | None | $2,290.87 | $3,090.30 | $4,073.80 |
Premera BCBS Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $724.44 | Professional | None | $363.08 | $363.08 | $724.44 |
Providence Setting Facility Modifier None Typical Low $691.83 Median $3,090.30 Typical High $11,220.18 | Facility | None | $691.83 | $3,090.30 | $11,220.18 |
Providence Setting Professional Modifier None Typical Low $87.10 Median $204.17 Typical High $512.86 | Professional | None | $87.10 | $204.17 | $512.86 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $6,165.95 Typical High $8,912.51 | Facility | None | $1,905.46 | $6,165.95 | $8,912.51 |
United Setting Professional Modifier None Typical Low $95.50 Median $245.47 Typical High $676.08 | Professional | None | $95.50 | $245.47 | $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 $45.71 Median $239.88 Typical High $446.68 | Professional | 52 · Reduced service | $45.71 | $239.88 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $97.72 Typical High $177.83 | Professional | 53 · Discontinued | $18.20 | $97.72 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $69.18 Median $363.08 Typical High $676.08 | Professional | 54 · Surgery only | $69.18 | $363.08 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $72.44 Typical High $134.90 | Professional | 55 · Aftercare only | $13.80 | $72.44 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $47.86 Typical High $89.13 | Professional | 56 · Pre-op care only | $9.12 | $47.86 | $89.13 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $239.88 Typical High $446.68 | Professional | 52 · Reduced service | $57.54 | $239.88 | $446.68 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $97.72 Typical High $177.83 | Professional | 53 · Discontinued | $22.91 | $97.72 | $177.83 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $85.11 Median $363.08 Typical High $676.08 | Professional | 54 · Surgery only | $85.11 | $363.08 | $676.08 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $72.44 Typical High $134.90 | Professional | 55 · Aftercare only | $16.98 | $72.44 | $134.90 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $47.86 Typical High $89.13 | Professional | 56 · Pre-op care only | $11.48 | $47.86 | $89.13 |
Where Alaska sits
The same service costs 3.6 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
$407
AK $407DC $112
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.