How much rates vary
Facilitymedian $550 · 10th to 90th $468 to $2,239Professionalmedian $1,122 · 10th to 90th $550 to $1,479
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 $512.86 Median $537.03 Typical High $3,630.78 | Facility | None | $512.86 | $537.03 | $3,630.78 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $380.19 Median $389.05 Typical High $407.38 | Facility | 54 · Surgery only | $380.19 | $389.05 | $407.38 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $51.29 Median $52.48 Typical High $53.70 | Facility | 56 · Pre-op care only | $51.29 | $52.48 | $53.70 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $354.81 Median $363.08 Typical High $380.19 | Facility | 78 · Unplanned return to OR | $354.81 | $363.08 | $380.19 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $562.34 Typical High $891.25 | Professional | None | $512.86 | $562.34 | $891.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $380.19 Median $407.38 Typical High $426.58 | Professional | 54 · Surgery only | $380.19 | $407.38 | $426.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $53.70 Typical High $56.23 | Professional | 56 · Pre-op care only | $51.29 | $53.70 | $56.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $354.81 Median $380.19 Typical High $398.11 | Professional | 78 · Unplanned return to OR | $354.81 | $380.19 | $398.11 |
BCBS North Dakota Setting Facility Modifier None Typical Low $190.55 Median $2,041.74 Typical High $3,715.35 | Facility | None | $190.55 | $2,041.74 | $3,715.35 |
BCBS North Dakota Setting Professional Modifier None Typical Low $1,000.00 Median $1,258.93 Typical High $1,513.56 | Professional | None | $1,000.00 | $1,258.93 | $1,513.56 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $1,202.26 Median $1,513.56 Typical High $1,819.70 | Professional | 22 · Increased work | $1,202.26 | $1,513.56 | $1,819.70 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $1,513.56 Median $1,905.46 Typical High $2,290.87 | Professional | 50 · Both sides | $1,513.56 | $1,905.46 | $2,290.87 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $891.25 Typical High $1,071.52 | Professional | 54 · Surgery only | $707.95 | $891.25 | $1,071.52 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $125.89 Typical High $151.36 | Professional | 56 · Pre-op care only | $100.00 | $125.89 | $151.36 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $954.99 Typical High $1,148.15 | Professional | 78 · Unplanned return to OR | $758.58 | $954.99 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $1,096.48 | Facility | None | $954.99 | $954.99 | $1,096.48 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $1,122.02 Typical High $1,621.81 | Professional | None | $549.54 | $1,122.02 | $1,621.81 |
Medica Setting Facility Modifier None Typical Low $512.86 Median $562.34 Typical High $1,513.56 | Facility | None | $512.86 | $562.34 | $1,513.56 |
Medica Setting Professional Modifier None Typical Low $562.34 Median $1,023.29 Typical High $3,890.45 | Professional | None | $562.34 | $1,023.29 | $3,890.45 |
United Setting Facility Modifier None Typical Low $446.68 Median $616.60 Typical High $758.58 | Facility | None | $446.68 | $616.60 | $758.58 |
United Setting Professional Modifier None Typical Low $537.03 Median $954.99 Typical High $1,148.15 | Professional | None | $537.03 | $954.99 | $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 $257.04 Median $263.03 Typical High $269.15 | Facility | 52 · Reduced service | $257.04 | $263.03 | $269.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $102.33 Median $104.71 Typical High $107.15 | Facility | 53 · Discontinued | $102.33 | $104.71 | $107.15 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $75.86 Median $77.62 Typical High $81.28 | Facility | 55 · Aftercare only | $75.86 | $77.62 | $81.28 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $257.04 Median $269.15 Typical High $281.84 | Professional | 52 · Reduced service | $257.04 | $269.15 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $107.15 Typical High $112.20 | Professional | 53 · Discontinued | $102.33 | $107.15 | $112.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $81.28 Typical High $85.11 | Professional | 55 · Aftercare only | $75.86 | $81.28 | $85.11 |
Where North Dakota sits
The same service costs 4.0 times more in Colorado than in Florida. 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
CO $4,440FL $1,118
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.