How much rates vary
Facilitymedian $490 · 10th to 90th $182 to $871Professionalmedian $1,000 · 10th to 90th $513 to $1,349
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 $489.78 Median $501.19 Typical High $501.19 | Facility | None | $489.78 | $501.19 | $501.19 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $371.54 Median $380.19 Typical High $380.19 | Facility | 54 · Surgery only | $371.54 | $380.19 | $380.19 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $48.98 Median $50.12 Typical High $50.12 | Facility | 56 · Pre-op care only | $48.98 | $50.12 | $50.12 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $346.74 Median $354.81 Typical High $354.81 | Facility | 78 · Unplanned return to OR | $346.74 | $354.81 | $354.81 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $501.19 Typical High $512.86 | Professional | None | $436.52 | $501.19 | $512.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $380.19 Typical High $380.19 | Professional | 54 · Surgery only | $371.54 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $48.98 Median $50.12 Typical High $51.29 | Professional | 56 · Pre-op care only | $48.98 | $50.12 | $51.29 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $346.74 Median $354.81 Typical High $354.81 | Professional | 78 · Unplanned return to OR | $346.74 | $354.81 | $354.81 |
BCBS North Dakota Setting Professional Modifier None Typical Low $870.96 Median $1,122.02 Typical High $1,348.96 | Professional | None | $870.96 | $1,122.02 | $1,348.96 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $776.25 Typical High $933.25 | Professional | 54 · Surgery only | $616.60 | $776.25 | $933.25 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $112.20 Typical High $134.90 | Professional | 56 · Pre-op care only | $87.10 | $112.20 | $134.90 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $831.76 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $660.69 | $831.76 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $1,000.00 | Facility | None | $870.96 | $870.96 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $1,047.13 Typical High $1,584.89 | Professional | None | $588.84 | $1,047.13 | $1,584.89 |
Medica Setting Facility Modifier None Typical Low $134.90 Median $489.78 Typical High $870.96 | Facility | None | $134.90 | $489.78 | $870.96 |
Medica Setting Professional Modifier None Typical Low $524.81 Median $954.99 Typical High $3,715.35 | Professional | None | $524.81 | $954.99 | $3,715.35 |
United Setting Facility Modifier None Typical Low $125.89 Median $251.19 Typical High $269.15 | Facility | None | $125.89 | $251.19 | $269.15 |
United Setting Professional Modifier None Typical Low $512.86 Median $933.25 Typical High $1,096.48 | Professional | None | $512.86 | $933.25 | $1,096.48 |
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 $245.47 Median $251.19 Typical High $251.19 | Facility | 52 · Reduced service | $245.47 | $251.19 | $251.19 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | 53 · Discontinued | $100.00 | $100.00 | $100.00 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $74.13 Median $75.86 Typical High $75.86 | Facility | 55 · Aftercare only | $74.13 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $245.47 Median $251.19 Typical High $257.04 | Professional | 52 · Reduced service | $245.47 | $251.19 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $100.00 Typical High $102.33 | Professional | 53 · Discontinued | $100.00 | $100.00 | $102.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $75.86 Typical High $75.86 | Professional | 55 · Aftercare only | $74.13 | $75.86 | $75.86 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $1,047.13 Median $1,348.96 Typical High $1,621.81 | Professional | 22 · Increased work | $1,047.13 | $1,348.96 | $1,621.81 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $1,318.26 Median $1,698.24 Typical High $1,995.26 | Professional | 50 · Both sides | $1,318.26 | $1,698.24 | $1,995.26 |
Where North Dakota 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.