How much rates vary
Facilitymedian $4,074 · 10th to 90th $2,399 to $10,471Professionalmedian $741 · 10th to 90th $224 to $1,175
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 $1,174.90 Median $6,606.93 Typical High $16,595.87 | Facility | None | $1,174.90 | $6,606.93 | $16,595.87 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $1,071.52 Typical High $1,174.90 | Professional | None | $218.78 | $1,071.52 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $2,511.89 Median $4,168.69 Typical High $12,882.50 | Facility | None | $2,511.89 | $4,168.69 | $12,882.50 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $426.58 Typical High $645.65 | Professional | None | $229.09 | $426.58 | $645.65 |
Moda Health Setting Facility Modifier None Typical Low $346.74 Median $1,174.90 Typical High $9,332.54 | Facility | None | $346.74 | $1,174.90 | $9,332.54 |
Moda Health Setting Professional Modifier None Typical Low $239.88 Median $758.58 Typical High $1,258.93 | Professional | None | $239.88 | $758.58 | $1,258.93 |
Premera BCBS Setting Facility Modifier None Typical Low $2,570.40 Median $3,715.35 Typical High $4,466.84 | Facility | None | $2,570.40 | $3,715.35 | $4,466.84 |
Premera BCBS Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | None | $891.25 | $891.25 | $891.25 |
Providence Setting Facility Modifier None Typical Low $1,174.90 Median $3,981.07 Typical High $10,964.78 | Facility | None | $1,174.90 | $3,981.07 | $10,964.78 |
Providence Setting Professional Modifier None Typical Low $60.26 Median $436.52 Typical High $645.65 | Professional | None | $60.26 | $436.52 | $645.65 |
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 $208.93 Median $602.56 Typical High $1,659.59 | Professional | None | $208.93 | $602.56 | $1,659.59 |
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 $109.65 Median $588.84 Typical High $588.84 | Professional | 52 · Reduced service | $109.65 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $234.42 Typical High $234.42 | Professional | 53 · Discontinued | $43.65 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $162.18 Median $870.96 Typical High $870.96 | Professional | 54 · Surgery only | $162.18 | $870.96 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $177.83 Typical High $177.83 | Professional | 55 · Aftercare only | $33.11 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $117.49 Typical High $117.49 | Professional | 56 · Pre-op care only | $21.88 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $151.36 Median $831.76 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $151.36 | $831.76 | $831.76 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $117.49 Median $588.84 Typical High $588.84 | Professional | 52 · Reduced service | $117.49 | $588.84 | $588.84 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $234.42 Typical High $234.42 | Professional | 53 · Discontinued | $46.77 | $234.42 | $234.42 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $870.96 Typical High $870.96 | Professional | 54 · Surgery only | $177.83 | $870.96 | $870.96 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $177.83 Typical High $177.83 | Professional | 55 · Aftercare only | $35.48 | $177.83 | $177.83 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $117.49 Typical High $117.49 | Professional | 56 · Pre-op care only | $23.44 | $117.49 | $117.49 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $165.96 Median $831.76 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $165.96 | $831.76 | $831.76 |
Where Alaska sits
The same service costs 4.6 times more in Alaska than in Utah. 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
$891
AK $891UT $195
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.