How much rates vary
Facilitymedian $550 · 10th to 90th $288 to $1,445Professionalmedian $692 · 10th to 90th $339 to $1,148
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 $288.40 Median $331.13 Typical High $338.84 | Facility | None | $288.40 | $331.13 | $338.84 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $213.80 Median $257.04 Typical High $257.04 | Facility | 54 · Surgery only | $213.80 | $257.04 | $257.04 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $43.65 Median $51.29 Typical High $51.29 | Facility | 55 · Aftercare only | $43.65 | $51.29 | $51.29 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $199.53 Median $239.88 Typical High $239.88 | Facility | 78 · Unplanned return to OR | $199.53 | $239.88 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $331.13 Typical High $338.84 | Professional | None | $288.40 | $331.13 | $338.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $213.80 Median $245.47 Typical High $257.04 | Professional | 54 · Surgery only | $213.80 | $245.47 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $48.98 Typical High $51.29 | Professional | 55 · Aftercare only | $43.65 | $48.98 | $51.29 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $199.53 Median $229.09 Typical High $239.88 | Professional | 78 · Unplanned return to OR | $199.53 | $229.09 | $239.88 |
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 $512.86 Median $724.44 Typical High $1,023.29 | Professional | None | $512.86 | $724.44 | $1,023.29 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $575.44 Typical High $831.76 | Professional | 54 · Surgery only | $407.38 | $575.44 | $831.76 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $144.54 Typical High $204.17 | Professional | 55 · Aftercare only | $104.71 | $144.54 | $204.17 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $602.56 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $426.58 | $602.56 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $870.96 Typical High $1,659.59 | Facility | None | $562.34 | $870.96 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $831.76 Typical High $1,318.26 | Professional | None | $446.68 | $831.76 | $1,318.26 |
Health Partners Setting Facility Modifier None Typical Low $501.19 Median $812.83 Typical High $1,380.38 | Facility | None | $501.19 | $812.83 | $1,380.38 |
Health Partners Setting Professional Modifier None Typical Low $416.87 Median $758.58 Typical High $1,174.90 | Professional | None | $416.87 | $758.58 | $1,174.90 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $478.63 Typical High $1,148.15 | Facility | None | $125.89 | $478.63 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $346.74 Median $741.31 Typical High $2,454.71 | Professional | None | $346.74 | $741.31 | $2,454.71 |
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 $295.12 Median $537.03 Typical High $1,122.02 | Professional | None | $295.12 | $537.03 | $1,122.02 |
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 $144.54 Median $169.82 Typical High $169.82 | Facility | 52 · Reduced service | $144.54 | $169.82 | $169.82 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $57.54 Median $67.61 Typical High $67.61 | Facility | 53 · Discontinued | $57.54 | $67.61 | $67.61 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $28.84 Median $33.88 Typical High $33.88 | Facility | 56 · Pre-op care only | $28.84 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $144.54 Median $165.96 Typical High $169.82 | Professional | 52 · Reduced service | $144.54 | $165.96 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $66.07 Typical High $67.61 | Professional | 53 · Discontinued | $57.54 | $66.07 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $33.11 Typical High $33.88 | Professional | 56 · Pre-op care only | $28.84 | $33.11 | $33.88 |
Where Minnesota sits
The same service costs 6.7 times more in New York 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
NY $2,828FL $419
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.