How much rates vary
Facilitymedian $708 · 10th to 90th $316 to $1,445Professionalmedian $776 · 10th to 90th $339 to $1,230
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 $316.23 Median $602.56 Typical High $1,258.93 | Facility | None | $316.23 | $602.56 | $1,258.93 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $234.42 Median $263.03 Typical High $263.03 | Facility | 54 · Surgery only | $234.42 | $263.03 | $263.03 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $46.77 Median $52.48 Typical High $52.48 | Facility | 55 · Aftercare only | $46.77 | $52.48 | $52.48 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $218.78 Median $245.47 Typical High $245.47 | Facility | 78 · Unplanned return to OR | $218.78 | $245.47 | $245.47 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $346.74 Typical High $446.68 | Professional | None | $316.23 | $346.74 | $446.68 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $257.04 Typical High $263.03 | Professional | 54 · Surgery only | $234.42 | $257.04 | $263.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $51.29 Typical High $52.48 | Professional | 55 · Aftercare only | $46.77 | $51.29 | $52.48 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $218.78 Median $239.88 Typical High $245.47 | Professional | 78 · Unplanned return to OR | $218.78 | $239.88 | $245.47 |
BCBS Minnesota Setting Facility Modifier None Typical Low $323.59 Median $870.96 Typical High $2,187.76 | Facility | None | $323.59 | $870.96 | $2,187.76 |
BCBS Minnesota Setting Professional Modifier None Typical Low $602.56 Median $831.76 Typical High $1,148.15 | Professional | None | $602.56 | $831.76 | $1,148.15 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $676.08 Typical High $912.01 | Professional | 54 · Surgery only | $478.63 | $676.08 | $912.01 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $169.82 Typical High $229.09 | Professional | 55 · Aftercare only | $125.89 | $169.82 | $229.09 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $501.19 Median $707.95 Typical High $954.99 | Professional | 78 · Unplanned return to OR | $501.19 | $707.95 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $891.25 Typical High $1,698.24 | Facility | None | $575.44 | $891.25 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $870.96 Typical High $1,348.96 | Professional | None | $489.78 | $870.96 | $1,348.96 |
Health Partners Setting Facility Modifier None Typical Low $512.86 Median $831.76 Typical High $1,445.44 | Facility | None | $512.86 | $831.76 | $1,445.44 |
Health Partners Setting Professional Modifier None Typical Low $436.52 Median $812.83 Typical High $1,258.93 | Professional | None | $436.52 | $812.83 | $1,258.93 |
Medica Setting Facility Modifier None Typical Low $177.83 Median $524.81 Typical High $1,174.90 | Facility | None | $177.83 | $524.81 | $1,174.90 |
Medica Setting Professional Modifier None Typical Low $338.84 Median $741.31 Typical High $2,570.40 | Professional | None | $338.84 | $741.31 | $2,570.40 |
United Setting Facility Modifier None Typical Low $125.89 Median $426.58 Typical High $1,778.28 | Facility | None | $125.89 | $426.58 | $1,778.28 |
United Setting Professional Modifier None Typical Low $302.00 Median $549.54 Typical High $1,148.15 | Professional | None | $302.00 | $549.54 | $1,148.15 |
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 Facility Modifier 52 · Reduced service Typical Low $154.88 Median $173.78 Typical High $173.78 | Facility | 52 · Reduced service | $154.88 | $173.78 | $173.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $63.10 Median $69.18 Typical High $69.18 | Facility | 53 · Discontinued | $63.10 | $69.18 | $69.18 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $31.62 Median $34.67 Typical High $34.67 | Facility | 56 · Pre-op care only | $31.62 | $34.67 | $34.67 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $154.88 Median $169.82 Typical High $173.78 | Professional | 52 · Reduced service | $154.88 | $169.82 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $67.61 Typical High $69.18 | Professional | 53 · Discontinued | $63.10 | $67.61 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $33.88 Typical High $34.67 | Professional | 56 · Pre-op care only | $31.62 | $33.88 | $34.67 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $478.63 Median $851.14 Typical High $1,584.89 | Facility | 50 · Both sides | $478.63 | $851.14 | $1,584.89 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $891.25 Median $1,258.93 Typical High $1,737.80 | Professional | 50 · Both sides | $891.25 | $1,258.93 | $1,737.80 |
Where Minnesota sits
The same service costs 6.3 times more in Connecticut 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
CT $3,109MD $497
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.