How much rates vary
Facilitymedian $2,455 · 10th to 90th $1,096 to $9,550Professionalmedian $1,072 · 10th to 90th $245 to $4,365
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 $1,071.52 Median $7,079.46 Typical High $14,125.38 | Facility | None | $1,071.52 | $7,079.46 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $1,071.52 Typical High $4,365.16 | Professional | None | $194.98 | $1,071.52 | $4,365.16 |
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 $234.42 Median $707.95 Typical High $1,905.46 | Professional | None | $234.42 | $707.95 | $1,905.46 |
Moda Health Setting Facility Modifier None Typical Low $309.03 Median $1,258.93 Typical High $6,165.95 | Facility | None | $309.03 | $1,258.93 | $6,165.95 |
Moda Health Setting Professional Modifier None Typical Low $269.15 Median $1,071.52 Typical High $4,365.16 | Professional | None | $269.15 | $1,071.52 | $4,365.16 |
Premera BCBS Setting Facility Modifier None Typical Low $1,479.11 Median $1,548.82 Typical High $1,778.28 | Facility | None | $1,479.11 | $1,548.82 | $1,778.28 |
Premera BCBS Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $3,548.13 | Professional | None | $758.58 | $758.58 | $3,548.13 |
Providence Setting Facility Modifier None Typical Low $1,148.15 Median $1,905.46 Typical High $6,165.95 | Facility | None | $1,148.15 | $1,905.46 | $6,165.95 |
Providence Setting Professional Modifier None Typical Low $190.55 Median $691.83 Typical High $2,454.71 | Professional | None | $190.55 | $691.83 | $2,454.71 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $3,162.28 Typical High $4,265.80 | Facility | None | $1,096.48 | $3,162.28 | $4,265.80 |
United Setting Professional Modifier None Typical Low $199.53 Median $851.14 Typical High $2,238.72 | Professional | None | $199.53 | $851.14 | $2,238.72 |
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 $95.50 Median $537.03 Typical High $2,187.76 | Professional | 52 · Reduced service | $95.50 | $537.03 | $2,187.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $213.80 Typical High $870.96 | Professional | 53 · Discontinued | $38.90 | $213.80 | $870.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $144.54 Median $812.83 Typical High $3,235.94 | Professional | 54 · Surgery only | $144.54 | $812.83 | $3,235.94 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $162.18 Typical High $645.65 | Professional | 55 · Aftercare only | $28.84 | $162.18 | $645.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.50 Median $107.15 Typical High $436.52 | Professional | 56 · Pre-op care only | $19.50 | $107.15 | $436.52 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $123.03 Median $537.03 Typical High $2,187.76 | Professional | 52 · Reduced service | $123.03 | $537.03 | $2,187.76 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $213.80 Typical High $870.96 | Professional | 53 · Discontinued | $48.98 | $213.80 | $870.96 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $812.83 Typical High $3,235.94 | Professional | 54 · Surgery only | $186.21 | $812.83 | $3,235.94 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $162.18 Typical High $645.65 | Professional | 55 · Aftercare only | $37.15 | $162.18 | $645.65 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $107.15 Typical High $436.52 | Professional | 56 · Pre-op care only | $24.55 | $107.15 | $436.52 |
Where Alaska sits
The same service costs 5.2 times more in Colorado 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
CO $5,090MD $977
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.