How much rates vary
Facilitymedian $724 · 10th to 90th $324 to $1,995Professionalmedian $1,047 · 10th to 90th $501 to $1,820
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 $467.74 Median $501.19 Typical High $501.19 | Facility | None | $467.74 | $501.19 | $501.19 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $346.74 Median $380.19 Typical High $380.19 | Facility | 54 · Surgery only | $346.74 | $380.19 | $380.19 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $69.18 Median $75.86 Typical High $75.86 | Facility | 55 · Aftercare only | $69.18 | $75.86 | $75.86 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $354.81 Typical High $354.81 | Facility | 78 · Unplanned return to OR | $323.59 | $354.81 | $354.81 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $489.78 Typical High $512.86 | Professional | None | $467.74 | $489.78 | $512.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $363.08 Typical High $380.19 | Professional | 54 · Surgery only | $346.74 | $363.08 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $72.44 Typical High $75.86 | Professional | 55 · Aftercare only | $69.18 | $72.44 | $75.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $338.84 Typical High $354.81 | Professional | 78 · Unplanned return to OR | $323.59 | $338.84 | $354.81 |
BCBS Minnesota Setting Facility Modifier None Typical Low $338.84 Median $870.96 Typical High $2,344.23 | Facility | None | $338.84 | $870.96 | $2,344.23 |
BCBS Minnesota Setting Professional Modifier None Typical Low $758.58 Median $1,122.02 Typical High $1,621.81 | Professional | None | $758.58 | $1,122.02 | $1,621.81 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $912.01 Typical High $1,318.26 | Professional | 54 · Surgery only | $616.60 | $912.01 | $1,318.26 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $229.09 Typical High $323.59 | Professional | 55 · Aftercare only | $154.88 | $229.09 | $323.59 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $954.99 Typical High $1,380.38 | Professional | 78 · Unplanned return to OR | $645.65 | $954.99 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $1,288.25 Typical High $2,454.71 | Facility | None | $831.76 | $1,288.25 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $1,288.25 Typical High $2,041.74 | Professional | None | $724.44 | $1,288.25 | $2,041.74 |
Health Partners Setting Facility Modifier None Typical Low $724.44 Median $1,174.90 Typical High $2,041.74 | Facility | None | $724.44 | $1,174.90 | $2,041.74 |
Health Partners Setting Professional Modifier None Typical Low $616.60 Median $1,174.90 Typical High $1,862.09 | Professional | None | $616.60 | $1,174.90 | $1,862.09 |
Medica Setting Facility Modifier None Typical Low $131.83 Median $630.96 Typical High $1,445.44 | Facility | None | $131.83 | $630.96 | $1,445.44 |
Medica Setting Professional Modifier None Typical Low $524.81 Median $1,096.48 Typical High $3,630.78 | Professional | None | $524.81 | $1,096.48 | $3,630.78 |
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 $478.63 Median $831.76 Typical High $1,698.24 | Professional | None | $478.63 | $831.76 | $1,698.24 |
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 $234.42 Median $251.19 Typical High $251.19 | Facility | 52 · Reduced service | $234.42 | $251.19 | $251.19 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $93.33 Median $100.00 Typical High $100.00 | Facility | 53 · Discontinued | $93.33 | $100.00 | $100.00 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $46.77 Median $50.12 Typical High $50.12 | Facility | 56 · Pre-op care only | $46.77 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $234.42 Median $245.47 Typical High $251.19 | Professional | 52 · Reduced service | $234.42 | $245.47 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $97.72 Typical High $100.00 | Professional | 53 · Discontinued | $93.33 | $97.72 | $100.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $48.98 Typical High $50.12 | Professional | 56 · Pre-op care only | $46.77 | $48.98 | $50.12 |
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 $1,148.15 Median $1,698.24 Typical High $2,454.71 | Professional | 50 · Both sides | $1,148.15 | $1,698.24 | $2,454.71 |
Where Minnesota sits
The same service costs 4.9 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 $3,107FL $640
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.