How much rates vary
Facilitymedian $741 · 10th to 90th $324 to $1,995Professionalmedian $1,096 · 10th to 90th $513 to $1,950
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 $501.19 Median $512.86 Typical High $512.86 | Facility | None | $501.19 | $512.86 | $512.86 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | 54 · Surgery only | $380.19 | $380.19 | $380.19 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | 55 · Aftercare only | $75.86 | $75.86 | $75.86 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | 78 · Unplanned return to OR | $354.81 | $354.81 | $354.81 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $512.86 Typical High $512.86 | Professional | None | $501.19 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | 54 · Surgery only | $380.19 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | 55 · Aftercare only | $75.86 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | 78 · Unplanned return to OR | $354.81 | $354.81 | $354.81 |
BCBS Minnesota Setting Facility Modifier None Typical Low $346.74 Median $870.96 Typical High $2,344.23 | Facility | None | $346.74 | $870.96 | $2,344.23 |
BCBS Minnesota Setting Professional Modifier None Typical Low $812.83 Median $1,174.90 Typical High $1,737.80 | Professional | None | $812.83 | $1,174.90 | $1,737.80 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $933.25 Typical High $1,380.38 | Professional | 54 · Surgery only | $645.65 | $933.25 | $1,380.38 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $234.42 Typical High $346.74 | Professional | 55 · Aftercare only | $162.18 | $234.42 | $346.74 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $977.24 Typical High $1,445.44 | Professional | 78 · Unplanned return to OR | $691.83 | $977.24 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $1,288.25 Typical High $2,511.89 | Facility | None | $831.76 | $1,288.25 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $1,348.96 Typical High $2,137.96 | Professional | None | $794.33 | $1,348.96 | $2,137.96 |
Health Partners Setting Facility Modifier None Typical Low $741.31 Median $1,230.27 Typical High $2,089.30 | Facility | None | $741.31 | $1,230.27 | $2,089.30 |
Health Partners Setting Professional Modifier None Typical Low $630.96 Median $1,258.93 Typical High $1,995.26 | Professional | None | $630.96 | $1,258.93 | $1,995.26 |
Medica Setting Facility Modifier None Typical Low $131.83 Median $660.69 Typical High $1,445.44 | Facility | None | $131.83 | $660.69 | $1,445.44 |
Medica Setting Professional Modifier None Typical Low $562.34 Median $1,148.15 Typical High $3,890.45 | Professional | None | $562.34 | $1,148.15 | $3,890.45 |
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 $512.86 Median $891.25 Typical High $1,819.70 | Professional | None | $512.86 | $891.25 | $1,819.70 |
8 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 $251.19 Median $257.04 Typical High $257.04 | Facility | 52 · Reduced service | $251.19 | $257.04 | $257.04 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $100.00 Median $102.33 Typical High $102.33 | Facility | 53 · Discontinued | $100.00 | $102.33 | $102.33 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $50.12 Median $51.29 Typical High $51.29 | Facility | 56 · Pre-op care only | $50.12 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $251.19 Median $257.04 Typical High $257.04 | Professional | 52 · Reduced service | $251.19 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $102.33 Typical High $102.33 | Professional | 53 · Discontinued | $100.00 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $51.29 Typical High $51.29 | Professional | 56 · Pre-op care only | $50.12 | $51.29 | $51.29 |
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 50 · Both sides Typical Low $1,230.27 Median $1,737.80 Typical High $2,630.27 | Professional | 50 · Both sides | $1,230.27 | $1,737.80 | $2,630.27 |
Where Minnesota sits
The same service costs 5.2 times more in Connecticut 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
CT $3,486FL $668
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.