How much rates vary
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 $323.59 Median $5,888.44 Typical High $14,125.38 | Facility | None | $323.59 | $5,888.44 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $323.59 Typical High $524.81 | Professional | None | $69.18 | $323.59 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $181.97 Typical High $380.19 | Professional | None | $72.44 | $181.97 | $380.19 |
Moda Health Setting Facility Modifier None Typical Low $9.77 Median $524.81 Typical High $3,090.30 | Facility | None | $9.77 | $524.81 | $3,090.30 |
Moda Health Setting Professional Modifier None Typical Low $95.50 Median $302.00 Typical High $524.81 | Professional | None | $95.50 | $302.00 | $524.81 |
Premera BCBS Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $478.63 | Professional | None | $281.84 | $281.84 | $478.63 |
Providence Setting Facility Modifier None Typical Low $323.59 Median $467.74 Typical High $794.33 | Facility | None | $323.59 | $467.74 | $794.33 |
Providence Setting Professional Modifier None Typical Low $95.50 Median $199.53 Typical High $323.59 | Professional | None | $95.50 | $199.53 | $323.59 |
United Setting Professional Modifier None Typical Low $114.82 Median $194.98 Typical High $316.23 | Professional | None | $114.82 | $194.98 | $316.23 |
5 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 $34.67 Median $162.18 Typical High $263.03 | Professional | 52 · Reduced service | $34.67 | $162.18 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $64.57 Typical High $104.71 | Professional | 53 · Discontinued | $13.80 | $64.57 | $104.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $52.48 Median $245.47 Typical High $398.11 | Professional | 54 · Surgery only | $52.48 | $245.47 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $48.98 Typical High $79.43 | Professional | 55 · Aftercare only | $10.47 | $48.98 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $32.36 Typical High $52.48 | Professional | 56 · Pre-op care only | $6.92 | $32.36 | $52.48 |
Where Alaska sits
The same service costs 3.2 times more in Alaska than in Florida. 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
$282
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.