How much rates vary
Facilitymedian $4,074 · 10th to 90th $2,291 to $10,471Professionalmedian $3,802 · 10th to 90th $1,072 to $5,888
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 $1,949.84 Median $9,549.93 Typical High $16,595.87 | Facility | None | $1,949.84 | $9,549.93 | $16,595.87 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $5,888.44 Typical High $5,888.44 | Professional | None | $1,071.52 | $5,888.44 | $5,888.44 |
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 $891.25 Median $1,513.56 Typical High $3,311.31 | Professional | None | $891.25 | $1,513.56 | $3,311.31 |
Moda Health Setting Facility Modifier None Typical Low $1,778.28 Median $5,888.44 Typical High $8,511.38 | Facility | None | $1,778.28 | $5,888.44 | $8,511.38 |
Moda Health Setting Professional Modifier None Typical Low $1,122.02 Median $4,677.35 Typical High $6,606.93 | Professional | None | $1,122.02 | $4,677.35 | $6,606.93 |
Premera BCBS Setting Facility Modifier None Typical Low $2,290.87 Median $3,467.37 Typical High $4,677.35 | Facility | None | $2,290.87 | $3,467.37 | $4,677.35 |
Premera BCBS Setting Professional Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $4,466.84 | Professional | None | $4,466.84 | $4,466.84 | $4,466.84 |
Providence Setting Facility Modifier None Typical Low $2,238.72 Median $4,786.30 Typical High $11,220.18 | Facility | None | $2,238.72 | $4,786.30 | $11,220.18 |
Providence Setting Professional Modifier None Typical Low $60.26 Median $1,621.81 Typical High $3,311.31 | Professional | None | $60.26 | $1,621.81 | $3,311.31 |
United Setting Facility Modifier None Typical Low $2,570.40 Median $7,079.46 Typical High $10,471.29 | Facility | None | $2,570.40 | $7,079.46 | $10,471.29 |
United Setting Professional Modifier None Typical Low $1,023.29 Median $2,951.21 Typical High $6,760.83 | Professional | None | $1,023.29 | $2,951.21 | $6,760.83 |
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 $537.03 Median $2,951.21 Typical High $2,951.21 | Professional | 52 · Reduced service | $537.03 | $2,951.21 | $2,951.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $1,174.90 Typical High $1,174.90 | Professional | 53 · Discontinued | $218.78 | $1,174.90 | $1,174.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $812.83 Median $4,466.84 Typical High $4,466.84 | Professional | 54 · Surgery only | $812.83 | $4,466.84 | $4,466.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $891.25 Typical High $891.25 | Professional | 55 · Aftercare only | $162.18 | $891.25 | $891.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $588.84 Typical High $588.84 | Professional | 56 · Pre-op care only | $107.15 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $4,168.69 Typical High $4,168.69 | Professional | 78 · Unplanned return to OR | $758.58 | $4,168.69 | $4,168.69 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $562.34 Median $2,951.21 Typical High $2,951.21 | Professional | 52 · Reduced service | $562.34 | $2,951.21 | $2,951.21 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $1,174.90 Typical High $1,174.90 | Professional | 53 · Discontinued | $223.87 | $1,174.90 | $1,174.90 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $851.14 Median $4,466.84 Typical High $4,466.84 | Professional | 54 · Surgery only | $851.14 | $4,466.84 | $4,466.84 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $891.25 Typical High $891.25 | Professional | 55 · Aftercare only | $169.82 | $891.25 | $891.25 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $588.84 Typical High $588.84 | Professional | 56 · Pre-op care only | $112.20 | $588.84 | $588.84 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $4,168.69 Typical High $4,168.69 | Professional | 78 · Unplanned return to OR | $794.33 | $4,168.69 | $4,168.69 |
Where Alaska sits
The same service costs 5.2 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
$3,981
AK $3,981TX $759
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.