How much rates vary
Facilitymedian $1,905 · 10th to 90th $794 to $9,550Professionalmedian $933 · 10th to 90th $151 to $6,026
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 $645.65 Median $7,079.46 Typical High $14,125.38 | Facility | None | $645.65 | $7,079.46 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $1,000.00 Typical High $6,025.60 | Professional | None | $117.49 | $1,000.00 | $6,025.60 |
Cigna Setting Facility Modifier None Typical Low $1,148.15 Median $1,905.46 Typical High $5,888.44 | Facility | None | $1,148.15 | $1,905.46 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $812.83 Typical High $2,691.53 | Professional | None | $138.04 | $812.83 | $2,691.53 |
Moda Health Setting Facility Modifier None Typical Low $190.55 Median $1,778.28 Typical High $8,709.64 | Facility | None | $190.55 | $1,778.28 | $8,709.64 |
Moda Health Setting Professional Modifier None Typical Low $165.96 Median $977.24 Typical High $6,025.60 | Professional | None | $165.96 | $977.24 | $6,025.60 |
Premera BCBS Setting Facility Modifier None Typical Low $794.33 Median $831.76 Typical High $933.25 | Facility | None | $794.33 | $831.76 | $933.25 |
Premera BCBS Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $5,011.87 | Professional | None | $467.74 | $467.74 | $5,011.87 |
Providence Setting Facility Modifier None Typical Low $912.01 Median $1,905.46 Typical High $8,511.38 | Facility | None | $912.01 | $1,905.46 | $8,511.38 |
Providence Setting Professional Modifier None Typical Low $114.82 Median $426.58 Typical High $3,548.13 | Professional | None | $114.82 | $426.58 | $3,548.13 |
United Setting Facility Modifier None Typical Low $831.76 Median $1,778.28 Typical High $2,951.21 | Facility | None | $831.76 | $1,778.28 | $2,951.21 |
United Setting Professional Modifier None Typical Low $120.23 Median $954.99 Typical High $2,818.38 | Professional | None | $120.23 | $954.99 | $2,818.38 |
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 $58.88 Median $398.11 Typical High $3,019.95 | Professional | 52 · Reduced service | $58.88 | $398.11 | $3,019.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $158.49 Typical High $1,202.26 | Professional | 53 · Discontinued | $23.99 | $158.49 | $1,202.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $89.13 Median $645.65 Typical High $4,570.88 | Professional | 54 · Surgery only | $89.13 | $645.65 | $4,570.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.78 Median $117.49 Typical High $912.01 | Professional | 55 · Aftercare only | $17.78 | $117.49 | $912.01 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $79.43 Typical High $602.56 | Professional | 56 · Pre-op care only | $11.75 | $79.43 | $602.56 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $524.81 Typical High $3,019.95 | Professional | 52 · Reduced service | $75.86 | $524.81 | $3,019.95 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $208.93 Typical High $1,202.26 | Professional | 53 · Discontinued | $30.20 | $208.93 | $1,202.26 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $112.20 Median $776.25 Typical High $4,570.88 | Professional | 54 · Surgery only | $112.20 | $776.25 | $4,570.88 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $158.49 Typical High $912.01 | Professional | 55 · Aftercare only | $22.39 | $158.49 | $912.01 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $104.71 Typical High $602.56 | Professional | 56 · Pre-op care only | $15.14 | $104.71 | $602.56 |
Where Alaska sits
The same service costs 5.5 times more in Hawaii than in Maryland. 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.
Physician feeFacility fee
HI $4,440MD $808
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.