How much rates vary
Facilitymedian $1,995 · 10th to 90th $1,738 to $2,818Professionalmedian $3,020 · 10th to 90th $1,000 to $3,890
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 $1,995.26 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,995.26 | $1,995.26 | $1,995.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,148.15 Typical High $1,995.26 | Professional | None (both parts) | $891.25 | $1,148.15 | $1,995.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $239.88 Typical High $467.74 | Professional | 26 · Professional part | $181.97 | $239.88 | $467.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $912.01 Typical High $1,513.56 | Professional | TC · Technical part | $707.95 | $912.01 | $1,513.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,862.09 Typical High $3,162.28 | Professional | None (both parts) | $1,288.25 | $1,862.09 | $3,162.28 |
Moda Health Setting Facility Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $2,818.38 | Facility | None | $1,995.26 | $1,995.26 | $2,818.38 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,445.44 Typical High $1,995.26 | Professional | None (both parts) | $912.01 | $1,445.44 | $1,995.26 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $467.74 Typical High $691.83 | Professional | 26 · Professional part | $194.98 | $467.74 | $691.83 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $1,148.15 Typical High $1,513.56 | Professional | TC · Technical part | $724.44 | $1,148.15 | $1,513.56 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Professional | None (both parts) | $3,890.45 | $3,890.45 | $3,890.45 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | 26 · Professional part | $794.33 | $794.33 | $794.33 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Professional | TC · Technical part | $3,162.28 | $3,162.28 | $3,162.28 |
Providence Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $2,454.71 | Facility | None | $1,737.80 | $1,737.80 | $2,454.71 |
Providence Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,819,700.86 Typical High $2,570,395.78 | Professional | None (both parts) | $1,288.25 | $1,819,700.86 | $2,570,395.78 |
United Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $3,548.13 Typical High $6,165.95 | Professional | None (both parts) | $1,071.52 | $3,548.13 | $6,165.95 |
8 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 $446.68 Median $575.44 Typical High $1,000.00 | Professional | 52 · Reduced service | $446.68 | $575.44 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $229.09 Typical High $398.11 | Professional | 53 · Discontinued | $177.83 | $229.09 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $169.82 Typical High $295.12 | Professional | 55 · Aftercare only | $134.90 | $169.82 | $295.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $114.82 Typical High $199.53 | Professional | 56 · Pre-op care only | $89.13 | $114.82 | $199.53 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $446.68 Median $1,000.00 Typical High $1,000.00 | Professional | 52 · Reduced service | $446.68 | $1,000.00 | $1,000.00 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $398.11 Typical High $398.11 | Professional | 53 · Discontinued | $177.83 | $398.11 | $398.11 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $295.12 Typical High $295.12 | Professional | 55 · Aftercare only | $134.90 | $295.12 | $295.12 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $199.53 Typical High $199.53 | Professional | 56 · Pre-op care only | $89.13 | $199.53 | $199.53 |
Where Alaska sits
The same service costs 11.2 times more in Alaska than in Kentucky. 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
$3,020
AK $3,020KY $269
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.