How much rates vary
Facilitymedian $12,023 · 10th to 90th $1,000 to $251,189Professionalmedian $13,183 · 10th to 90th $3,802 to $20,417
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 $9,772.37 Median $14,125.38 Typical High $20,417.38 | Facility | None | $9,772.37 | $14,125.38 | $20,417.38 |
Aetna Setting Professional Modifier None Typical Low $3,715.35 Median $20,417.38 Typical High $20,417.38 | Professional | None | $3,715.35 | $20,417.38 | $20,417.38 |
Cigna Setting Professional Modifier None Typical Low $3,311.31 Median $5,128.61 Typical High $11,481.54 | Professional | None | $3,311.31 | $5,128.61 | $11,481.54 |
Moda Health Setting Facility Modifier None Typical Low $6,025.60 Median $20,417.38 Typical High $29,512.09 | Facility | None | $6,025.60 | $20,417.38 | $29,512.09 |
Moda Health Setting Professional Modifier None Typical Low $4,168.69 Median $15,848.93 Typical High $22,908.68 | Professional | None | $4,168.69 | $15,848.93 | $22,908.68 |
Premera BCBS Setting Professional Modifier None Typical Low $15,848.93 Median $15,848.93 Typical High $15,848.93 | Professional | None | $15,848.93 | $15,848.93 | $15,848.93 |
Providence Setting Facility Modifier None Typical Low $20,417.38 Median $251,188.64 Typical High $346,736.85 | Facility | None | $20,417.38 | $251,188.64 | $346,736.85 |
Providence Setting Professional Modifier None Typical Low $60.26 Median $5,370.32 Typical High $11,481.54 | Professional | None | $60.26 | $5,370.32 | $11,481.54 |
United Setting Facility Modifier None Typical Low $691.83 Median $1,071.52 Typical High $4,265.80 | Facility | None | $691.83 | $1,071.52 | $4,265.80 |
United Setting Professional Modifier None Typical Low $3,630.78 Median $10,471.29 Typical High $23,988.33 | Professional | None | $3,630.78 | $10,471.29 | $23,988.33 |
12 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 $1,862.09 Median $10,232.93 Typical High $10,232.93 | Professional | 52 · Reduced service | $1,862.09 | $10,232.93 | $10,232.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $741.31 Median $4,073.80 Typical High $4,073.80 | Professional | 53 · Discontinued | $741.31 | $4,073.80 | $4,073.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,818.38 Median $15,488.17 Typical High $15,488.17 | Professional | 54 · Surgery only | $2,818.38 | $15,488.17 | $15,488.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $562.34 Median $3,090.30 Typical High $3,090.30 | Professional | 55 · Aftercare only | $562.34 | $3,090.30 | $3,090.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $371.54 Median $2,041.74 Typical High $2,041.74 | Professional | 56 · Pre-op care only | $371.54 | $2,041.74 | $2,041.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,630.27 Median $14,454.40 Typical High $14,454.40 | Professional | 78 · Unplanned return to OR | $2,630.27 | $14,454.40 | $14,454.40 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $2,089.30 Median $10,232.93 Typical High $10,232.93 | Professional | 52 · Reduced service | $2,089.30 | $10,232.93 | $10,232.93 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $831.76 Median $4,073.80 Typical High $4,073.80 | Professional | 53 · Discontinued | $831.76 | $4,073.80 | $4,073.80 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $3,162.28 Median $15,488.17 Typical High $15,488.17 | Professional | 54 · Surgery only | $3,162.28 | $15,488.17 | $15,488.17 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $630.96 Median $3,090.30 Typical High $3,090.30 | Professional | 55 · Aftercare only | $630.96 | $3,090.30 | $3,090.30 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $416.87 Median $2,041.74 Typical High $2,041.74 | Professional | 56 · Pre-op care only | $416.87 | $2,041.74 | $2,041.74 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,951.21 Median $14,454.40 Typical High $14,454.40 | Professional | 78 · Unplanned return to OR | $2,951.21 | $14,454.40 | $14,454.40 |
Where Alaska sits
The same service costs 21.9 times more in Alaska than in Texas. 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
$13,183
AK $13,183TX $603
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.