How much rates vary
Facilitymedian $575 · 10th to 90th $309 to $1,585Professionalmedian $741 · 10th to 90th $347 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 $309.03 Median $354.81 Typical High $354.81 | Facility | None | $309.03 | $354.81 | $354.81 |
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 $309.03 Median $338.84 Typical High $371.54 | Professional | None | $309.03 | $338.84 | $371.54 |
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 $2,344.23 | Facility | None | $323.59 | $870.96 | $2,344.23 |
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 None Typical Low $549.54 Median $776.25 Typical High $1,122.02 | Professional | None | $549.54 | $776.25 | $1,122.02 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $812.83 Median $1,174.90 Typical High $1,698.24 | Professional | 50 · Both sides | $812.83 | $1,174.90 | $1,698.24 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $616.60 Typical High $891.25 | Professional | 54 · Surgery only | $436.52 | $616.60 | $891.25 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $162.18 Typical High $223.87 | Professional | 55 · Aftercare only | $109.65 | $162.18 | $223.87 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $660.69 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $457.09 | $660.69 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $891.25 Typical High $1,737.80 | Facility | None | $575.44 | $891.25 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $870.96 Typical High $1,380.38 | Professional | None | $489.78 | $870.96 | $1,380.38 |
Health Partners Setting Facility Modifier None Typical Low $512.86 Median $851.14 Typical High $1,445.44 | Facility | None | $512.86 | $851.14 | $1,445.44 |
Health Partners Setting Professional Modifier None Typical Low $436.52 Median $812.83 Typical High $1,230.27 | Professional | None | $436.52 | $812.83 | $1,230.27 |
Medica Setting Facility Modifier None Typical Low $131.83 Median $501.19 Typical High $1,445.44 | Facility | None | $131.83 | $501.19 | $1,445.44 |
Medica Setting Professional Modifier None Typical Low $346.74 Median $758.58 Typical High $2,570.40 | Professional | None | $346.74 | $758.58 | $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 $309.03 Median $562.34 Typical High $1,174.90 | Professional | None | $309.03 | $562.34 | $1,174.90 |
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 $154.88 Median $177.83 Typical High $177.83 | Facility | 52 · Reduced service | $154.88 | $177.83 | $177.83 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $61.66 Median $70.79 Typical High $70.79 | Facility | 53 · Discontinued | $61.66 | $70.79 | $70.79 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $30.90 Median $35.48 Typical High $35.48 | Facility | 56 · Pre-op care only | $30.90 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $154.88 Median $169.82 Typical High $177.83 | Professional | 52 · Reduced service | $154.88 | $169.82 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $67.61 Typical High $70.79 | Professional | 53 · Discontinued | $61.66 | $67.61 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $33.88 Typical High $35.48 | Professional | 56 · Pre-op care only | $30.90 | $33.88 | $35.48 |
Where Minnesota sits
The same service costs 6.3 times more in Connecticut than in Delaware. 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 $3,109DE $493
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.