How much rates vary
Facilitymedian $501 · 10th to 90th $347 to $1,585Professionalmedian $851 · 10th to 90th $389 to $1,413
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 $354.81 Median $389.05 Typical High $501.19 | Facility | None | $354.81 | $389.05 | $501.19 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $263.03 Median $295.12 Typical High $295.12 | Facility | 54 · Surgery only | $263.03 | $295.12 | $295.12 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $52.48 Median $58.88 Typical High $58.88 | Facility | 55 · Aftercare only | $52.48 | $58.88 | $58.88 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $245.47 Median $275.42 Typical High $275.42 | Facility | 78 · Unplanned return to OR | $245.47 | $275.42 | $275.42 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $380.19 Typical High $467.74 | Professional | None | $354.81 | $380.19 | $467.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $263.03 Median $288.40 Typical High $295.12 | Professional | 54 · Surgery only | $263.03 | $288.40 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $57.54 Typical High $58.88 | Professional | 55 · Aftercare only | $52.48 | $57.54 | $58.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $245.47 Median $269.15 Typical High $275.42 | Professional | 78 · Unplanned return to OR | $245.47 | $269.15 | $275.42 |
BCBS Setting Facility Modifier None Typical Low $338.84 Median $870.96 Typical High $2,344.23 | Facility | None | $338.84 | $870.96 | $2,344.23 |
BCBS 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 Setting Professional Modifier None Typical Low $660.69 Median $933.25 Typical High $1,288.25 | Professional | None | $660.69 | $933.25 | $1,288.25 |
BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,000.00 Median $1,380.38 Typical High $1,949.84 | Professional | 50 · Both sides | $1,000.00 | $1,380.38 | $1,949.84 |
BCBS Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $741.31 Typical High $1,023.29 | Professional | 54 · Surgery only | $537.03 | $741.31 | $1,023.29 |
BCBS Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $194.98 Typical High $257.04 | Professional | 55 · Aftercare only | $138.04 | $194.98 | $257.04 |
BCBS Setting Professional Modifier 78 · Unplanned return to OR Typical Low $549.54 Median $776.25 Typical High $1,071.52 | Professional | 78 · Unplanned return to OR | $549.54 | $776.25 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,000.00 Typical High $1,905.46 | Facility | None | $645.65 | $1,000.00 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $977.24 Typical High $1,548.82 | Professional | None | $549.54 | $977.24 | $1,548.82 |
Health Partners Setting Facility Modifier None Typical Low $575.44 Median $933.25 Typical High $1,621.81 | Facility | None | $575.44 | $933.25 | $1,621.81 |
Health Partners Setting Professional Modifier None Typical Low $478.63 Median $912.01 Typical High $1,412.54 | Professional | None | $478.63 | $912.01 | $1,412.54 |
Medica Setting Facility Modifier None Typical Low $131.83 Median $562.34 Typical High $1,445.44 | Facility | None | $131.83 | $562.34 | $1,445.44 |
Medica Setting Professional Modifier None Typical Low $407.38 Median $851.14 Typical High $2,884.03 | Professional | None | $407.38 | $851.14 | $2,884.03 |
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 $363.08 Median $630.96 Typical High $1,318.26 | Professional | None | $363.08 | $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 $177.83 Median $194.98 Typical High $194.98 | Facility | 52 · Reduced service | $177.83 | $194.98 | $194.98 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $70.79 Median $77.62 Typical High $77.62 | Facility | 53 · Discontinued | $70.79 | $77.62 | $77.62 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $35.48 Median $38.90 Typical High $38.90 | Facility | 56 · Pre-op care only | $35.48 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $177.83 Median $190.55 Typical High $194.98 | Professional | 52 · Reduced service | $177.83 | $190.55 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $75.86 Typical High $77.62 | Professional | 53 · Discontinued | $70.79 | $75.86 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $38.02 Typical High $38.90 | Professional | 56 · Pre-op care only | $35.48 | $38.02 | $38.90 |
Where Minnesota sits
The same service costs 5.9 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 $3,206MD $545
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.