How much rates vary
Facilitymedian $794 · 10th to 90th $269 to $3,020Professionalmedian $676 · 10th to 90th $347 to $1,259
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 $380.19 Typical High $380.19 | Facility | None | $269.15 | $380.19 | $380.19 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $199.53 Median $288.40 Typical High $288.40 | Facility | 54 · Surgery only | $199.53 | $288.40 | $288.40 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $39.81 Median $57.54 Typical High $57.54 | Facility | 55 · Aftercare only | $39.81 | $57.54 | $57.54 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $186.21 Median $269.15 Typical High $269.15 | Facility | 78 · Unplanned return to OR | $186.21 | $269.15 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $346.74 Typical High $380.19 | Professional | None | $269.15 | $346.74 | $380.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $199.53 Median $275.42 Typical High $288.40 | Professional | 54 · Surgery only | $199.53 | $275.42 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $54.95 Typical High $57.54 | Professional | 55 · Aftercare only | $39.81 | $54.95 | $57.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $186.21 Median $257.04 Typical High $269.15 | Professional | 78 · Unplanned return to OR | $186.21 | $257.04 | $269.15 |
BCBS Setting Facility Modifier None Typical Low $1,380.38 Median $2,884.03 Typical High $6,165.95 | Facility | None | $1,380.38 | $2,884.03 | $6,165.95 |
BCBS Setting Professional Modifier None Typical Low $446.68 Median $707.95 Typical High $1,122.02 | Professional | None | $446.68 | $707.95 | $1,122.02 |
BCBS Setting Professional Modifier 54 · Surgery only Typical Low $354.81 Median $575.44 Typical High $891.25 | Professional | 54 · Surgery only | $354.81 | $575.44 | $891.25 |
BCBS Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $141.25 Typical High $223.87 | Professional | 55 · Aftercare only | $91.20 | $141.25 | $223.87 |
BCBS Setting Professional Modifier 78 · Unplanned return to OR Typical Low $371.54 Median $602.56 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $371.54 | $602.56 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $977.24 Typical High $1,862.09 | Facility | None | $630.96 | $977.24 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $831.76 Typical High $1,348.96 | Professional | None | $446.68 | $831.76 | $1,348.96 |
Health Partners Setting Facility Modifier None Typical Low $562.34 Median $891.25 Typical High $1,548.82 | Facility | None | $562.34 | $891.25 | $1,548.82 |
Health Partners Setting Professional Modifier None Typical Low $436.52 Median $758.58 Typical High $1,288.25 | Professional | None | $436.52 | $758.58 | $1,288.25 |
Medica Setting Facility Modifier None Typical Low $446.68 Median $776.25 Typical High $2,818.38 | Facility | None | $446.68 | $776.25 | $2,818.38 |
Medica Setting Professional Modifier None Typical Low $389.05 Median $831.76 Typical High $2,754.23 | Professional | None | $389.05 | $831.76 | $2,754.23 |
United Setting Facility Modifier None Typical Low $549.54 Median $1,000.00 Typical High $3,548.13 | Facility | None | $549.54 | $1,000.00 | $3,548.13 |
United Setting Professional Modifier None Typical Low $295.12 Median $549.54 Typical High $1,148.15 | Professional | None | $295.12 | $549.54 | $1,148.15 |
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 $131.83 Median $190.55 Typical High $190.55 | Facility | 52 · Reduced service | $131.83 | $190.55 | $190.55 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $53.70 Median $75.86 Typical High $75.86 | Facility | 53 · Discontinued | $53.70 | $75.86 | $75.86 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $26.92 Median $38.02 Typical High $38.02 | Facility | 56 · Pre-op care only | $26.92 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $131.83 Median $181.97 Typical High $190.55 | Professional | 52 · Reduced service | $131.83 | $181.97 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $72.44 Typical High $75.86 | Professional | 53 · Discontinued | $53.70 | $72.44 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $36.31 Typical High $38.02 | Professional | 56 · Pre-op care only | $26.92 | $36.31 | $38.02 |
Where Minnesota sits
The same service costs 4.5 times more in Alaska than in Texas. 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.
Minnesota· 4th of 51
$676
AK $1,072TX $240
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.