How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $549.54 Median $549.54 Typical High $5,011.87 | Facility | None | $549.54 | $549.54 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $549.54 Typical High $602.56 | Professional | None | $478.63 | $549.54 | $602.56 |
BCBS Setting Professional Modifier None Typical Low $954.99 Median $1,230.27 Typical High $1,445.44 | Professional | None | $954.99 | $1,230.27 | $1,445.44 |
BCBS Setting Professional Modifier 54 · Surgery only Typical Low $660.69 Median $870.96 Typical High $1,023.29 | Professional | 54 · Surgery only | $660.69 | $870.96 | $1,023.29 |
BCBS Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $123.03 Typical High $144.54 | Professional | 56 · Pre-op care only | $95.50 | $123.03 | $144.54 |
BCBS Setting Professional Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $933.25 Typical High $1,096.48 | Professional | 78 · Unplanned return to OR | $707.95 | $933.25 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $977.24 Median $977.24 Typical High $1,122.02 | Facility | None | $977.24 | $977.24 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $1,174.90 Typical High $1,737.80 | Professional | None | $660.69 | $1,174.90 | $1,737.80 |
Medica Setting Facility Modifier None Typical Low $549.54 Median $1,995.26 Typical High $3,235.94 | Facility | None | $549.54 | $1,995.26 | $3,235.94 |
Medica Setting Professional Modifier None Typical Low $575.44 Median $1,023.29 Typical High $1,445.44 | Professional | None | $575.44 | $1,023.29 | $1,445.44 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,019.95 Typical High $3,235.94 | Facility | None | $1,995.26 | $3,019.95 | $3,235.94 |
United Setting Professional Modifier None Typical Low $575.44 Median $1,023.29 Typical High $1,096.48 | Professional | None | $575.44 | $1,023.29 | $1,096.48 |
2 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 |
|---|---|---|---|---|---|
BCBS Setting Professional Modifier 22 · Increased work Typical Low $1,148.15 Median $1,479.11 Typical High $1,737.80 | Professional | 22 · Increased work | $1,148.15 | $1,479.11 | $1,737.80 |
BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,412.54 Median $1,862.09 Typical High $2,187.76 | Professional | 50 · Both sides | $1,412.54 | $1,862.09 | $2,187.76 |
Where North Dakota sits
The same service costs 7.6 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.
North Dakota· 9th of 51
$1,096
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.