How much rates vary
Facilitymedian $741 · 10th to 90th $269 to $2,188Professionalmedian $759 · 10th to 90th $427 to $1,445
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $269.15 Median $426.58 Typical High $426.58 | Facility | None | $269.15 | $426.58 | $426.58 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $204.17 Median $316.23 Typical High $316.23 | Facility | 54 · Surgery only | $204.17 | $316.23 | $316.23 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $40.74 Median $64.57 Typical High $64.57 | Facility | 55 · Aftercare only | $40.74 | $64.57 | $64.57 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $190.55 Median $295.12 Typical High $295.12 | Facility | 78 · Unplanned return to OR | $190.55 | $295.12 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $363.08 Typical High $426.58 | Professional | None | $269.15 | $363.08 | $426.58 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $275.42 Typical High $316.23 | Professional | 54 · Surgery only | $204.17 | $275.42 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $54.95 Typical High $64.57 | Professional | 55 · Aftercare only | $40.74 | $54.95 | $64.57 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $190.55 Median $257.04 Typical High $295.12 | Professional | 78 · Unplanned return to OR | $190.55 | $257.04 | $295.12 |
BCBS Minnesota Setting Facility Modifier None Typical Low $812.83 Median $2,041.74 Typical High $3,235.94 | Facility | None | $812.83 | $2,041.74 | $3,235.94 |
BCBS Minnesota Setting Professional Modifier None Typical Low $489.78 Median $812.83 Typical High $1,288.25 | Professional | None | $489.78 | $812.83 | $1,288.25 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $645.65 Typical High $1,047.13 | Professional | 54 · Surgery only | $389.05 | $645.65 | $1,047.13 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $162.18 Typical High $257.04 | Professional | 55 · Aftercare only | $97.72 | $162.18 | $257.04 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $407.38 Median $691.83 Typical High $1,096.48 | Professional | 78 · Unplanned return to OR | $407.38 | $691.83 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,096.48 Typical High $2,137.96 | Facility | None | $707.95 | $1,096.48 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $891.25 Typical High $1,548.82 | Professional | None | $457.09 | $891.25 | $1,548.82 |
Health Partners Setting Facility Modifier None Typical Low $630.96 Median $1,023.29 Typical High $1,778.28 | Facility | None | $630.96 | $1,023.29 | $1,778.28 |
Health Partners Setting Professional Modifier None Typical Low $457.09 Median $758.58 Typical High $1,659.59 | Professional | None | $457.09 | $758.58 | $1,659.59 |
Medica Setting Facility Modifier None Typical Low $131.83 Median $524.81 Typical High $1,737.80 | Facility | None | $131.83 | $524.81 | $1,737.80 |
Medica Setting Professional Modifier None Typical Low $524.81 Median $1,000.00 Typical High $3,162.28 | Professional | None | $524.81 | $1,000.00 | $3,162.28 |
United Setting Facility Modifier None Typical Low $125.89 Median $426.58 Typical High $1,995.26 | Facility | None | $125.89 | $426.58 | $1,995.26 |
United Setting Professional Modifier None Typical Low $346.74 Median $630.96 Typical High $1,318.26 | Professional | None | $346.74 | $630.96 | $1,318.26 |
6 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 Facility Modifier 52 · Reduced service Typical Low $134.90 Median $213.80 Typical High $213.80 | Facility | 52 · Reduced service | $134.90 | $213.80 | $213.80 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $53.70 Median $85.11 Typical High $85.11 | Facility | 53 · Discontinued | $53.70 | $85.11 | $85.11 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $26.92 Median $42.66 Typical High $42.66 | Facility | 56 · Pre-op care only | $26.92 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $134.90 Median $181.97 Typical High $213.80 | Professional | 52 · Reduced service | $134.90 | $181.97 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $72.44 Typical High $85.11 | Professional | 53 · Discontinued | $53.70 | $72.44 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $36.31 Typical High $42.66 | Professional | 56 · Pre-op care only | $26.92 | $36.31 | $42.66 |
Where Minnesota sits
The same service costs 4.1 times more in New York 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
NY $3,010MD $740
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.