How much rates vary
Facilitymedian $562 · 10th to 90th $316 to $1,585Professionalmedian $708 · 10th to 90th $347 to $1,230
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 $316.23 Median $346.74 Typical High $346.74 | Facility | None | $316.23 | $346.74 | $346.74 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $239.88 Median $257.04 Typical High $257.04 | Facility | 54 · Surgery only | $239.88 | $257.04 | $257.04 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $47.86 Median $51.29 Typical High $51.29 | Facility | 55 · Aftercare only | $47.86 | $51.29 | $51.29 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $223.87 Median $239.88 Typical High $239.88 | Facility | 78 · Unplanned return to OR | $223.87 | $239.88 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $331.13 Typical High $363.08 | Professional | None | $316.23 | $331.13 | $363.08 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $239.88 Median $251.19 Typical High $257.04 | Professional | 54 · Surgery only | $239.88 | $251.19 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $50.12 Typical High $51.29 | Professional | 55 · Aftercare only | $47.86 | $50.12 | $51.29 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $223.87 Median $234.42 Typical High $239.88 | Professional | 78 · Unplanned return to OR | $223.87 | $234.42 | $239.88 |
BCBS Setting Facility Modifier None Typical Low $323.59 Median $870.96 Typical High $2,344.23 | Facility | None | $323.59 | $870.96 | $2,344.23 |
BCBS 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 Setting Professional Modifier None Typical Low $524.81 Median $776.25 Typical High $1,122.02 | Professional | None | $524.81 | $776.25 | $1,122.02 |
BCBS Setting Professional Modifier 50 · Both sides Typical Low $794.33 Median $1,174.90 Typical High $1,659.59 | Professional | 50 · Both sides | $794.33 | $1,174.90 | $1,659.59 |
BCBS Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $616.60 Typical High $891.25 | Professional | 54 · Surgery only | $426.58 | $616.60 | $891.25 |
BCBS Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $158.49 Typical High $218.78 | Professional | 55 · Aftercare only | $104.71 | $158.49 | $218.78 |
BCBS Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $645.65 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $446.68 | $645.65 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $870.96 Typical High $1,698.24 | Facility | None | $562.34 | $870.96 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $891.25 Typical High $1,380.38 | Professional | None | $501.19 | $891.25 | $1,380.38 |
Health Partners Setting Facility Modifier None Typical Low $501.19 Median $831.76 Typical High $1,412.54 | Facility | None | $501.19 | $831.76 | $1,412.54 |
Health Partners Setting Professional Modifier None Typical Low $446.68 Median $794.33 Typical High $1,258.93 | Professional | None | $446.68 | $794.33 | $1,258.93 |
Medica Setting Facility Modifier None Typical Low $131.83 Median $501.19 Typical High $1,445.44 | Facility | None | $131.83 | $501.19 | $1,445.44 |
Medica Setting Professional Modifier None Typical Low $354.81 Median $758.58 Typical High $2,511.89 | Professional | None | $354.81 | $758.58 | $2,511.89 |
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 $309.03 Median $562.34 Typical High $1,148.15 | Professional | None | $309.03 | $562.34 | $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 $158.49 Median $173.78 Typical High $173.78 | Facility | 52 · Reduced service | $158.49 | $173.78 | $173.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $63.10 Median $69.18 Typical High $69.18 | Facility | 53 · Discontinued | $63.10 | $69.18 | $69.18 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $31.62 Median $34.67 Typical High $34.67 | Facility | 56 · Pre-op care only | $31.62 | $34.67 | $34.67 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $158.49 Median $165.96 Typical High $173.78 | Professional | 52 · Reduced service | $158.49 | $165.96 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $66.07 Typical High $69.18 | Professional | 53 · Discontinued | $63.10 | $66.07 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $33.11 Typical High $34.67 | Professional | 56 · Pre-op care only | $31.62 | $33.11 | $34.67 |
Where Minnesota sits
The same service costs 5.8 times more in Alaska than in Utah. 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.
Minnesota· 3rd of 51
$708
AK $1,259UT $219
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.