How much rates vary
Facilitymedian $4,266 · 10th to 90th $1,000 to $19,055Professionalmedian $14,454 · 10th to 90th $3,548 to $18,621
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 $18,620.87 | Facility | None | $9,772.37 | $14,125.38 | $18,620.87 |
Aetna Setting Professional Modifier None Typical Low $3,388.44 Median $18,620.87 Typical High $18,620.87 | Professional | None | $3,388.44 | $18,620.87 | $18,620.87 |
Moda Health Setting Facility Modifier None Typical Low $5,623.41 Median $18,620.87 Typical High $26,915.35 | Facility | None | $5,623.41 | $18,620.87 | $26,915.35 |
Moda Health Setting Professional Modifier None Typical Low $3,801.89 Median $14,454.40 Typical High $20,892.96 | Professional | None | $3,801.89 | $14,454.40 | $20,892.96 |
Premera BCBS Setting Professional Modifier None Typical Low $14,454.40 Median $14,454.40 Typical High $14,454.40 | Professional | None | $14,454.40 | $14,454.40 | $14,454.40 |
Providence Setting Facility Modifier None Typical Low $19,054.61 Median $19,054.61 Typical High $26,915.35 | Facility | None | $19,054.61 | $19,054.61 | $26,915.35 |
Providence Setting Professional Modifier None Typical Low $60.26 Median $6,025.60 Typical High $9,120.11 | Professional | None | $60.26 | $6,025.60 | $9,120.11 |
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 $3,311.31 Median $9,549.93 Typical High $21,877.62 | Professional | None | $3,311.31 | $9,549.93 | $21,877.62 |
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 $1,698.24 Median $9,332.54 Typical High $9,332.54 | Professional | 52 · Reduced service | $1,698.24 | $9,332.54 | $9,332.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $676.08 Median $3,715.35 Typical High $3,715.35 | Professional | 53 · Discontinued | $676.08 | $3,715.35 | $3,715.35 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,570.40 Median $14,125.38 Typical High $14,125.38 | Professional | 54 · Surgery only | $2,570.40 | $14,125.38 | $14,125.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $512.86 Median $2,818.38 Typical High $2,818.38 | Professional | 55 · Aftercare only | $512.86 | $2,818.38 | $2,818.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $338.84 Median $1,862.09 Typical High $1,862.09 | Professional | 56 · Pre-op care only | $338.84 | $1,862.09 | $1,862.09 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,398.83 Median $13,182.57 Typical High $13,182.57 | Professional | 78 · Unplanned return to OR | $2,398.83 | $13,182.57 | $13,182.57 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1,905.46 Median $9,332.54 Typical High $9,332.54 | Professional | 52 · Reduced service | $1,905.46 | $9,332.54 | $9,332.54 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $776.25 Median $3,715.35 Typical High $3,715.35 | Professional | 53 · Discontinued | $776.25 | $3,715.35 | $3,715.35 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $2,884.03 Median $14,125.38 Typical High $14,125.38 | Professional | 54 · Surgery only | $2,884.03 | $14,125.38 | $14,125.38 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $575.44 Median $2,818.38 Typical High $2,818.38 | Professional | 55 · Aftercare only | $575.44 | $2,818.38 | $2,818.38 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $380.19 Median $1,862.09 Typical High $1,862.09 | Professional | 56 · Pre-op care only | $380.19 | $1,862.09 | $1,862.09 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,691.53 Median $13,182.57 Typical High $13,182.57 | Professional | 78 · Unplanned return to OR | $2,691.53 | $13,182.57 | $13,182.57 |
Where Alaska sits
The same service costs 27.5 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
$14,454
AK $14,454TX $525
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.