How much rates vary
Facilitymedian $741 · 10th to 90th $324 to $2,089Professionalmedian $1,148 · 10th to 90th $525 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 $478.63 Median $524.81 Typical High $524.81 | Facility | None | $478.63 | $524.81 | $524.81 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $363.08 Median $398.11 Typical High $398.11 | Facility | 54 · Surgery only | $363.08 | $398.11 | $398.11 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $72.44 Median $79.43 Typical High $79.43 | Facility | 55 · Aftercare only | $72.44 | $79.43 | $79.43 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $338.84 Median $371.54 Typical High $371.54 | Facility | 78 · Unplanned return to OR | $338.84 | $371.54 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $524.81 Typical High $524.81 | Professional | None | $478.63 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $363.08 Median $389.05 Typical High $398.11 | Professional | 54 · Surgery only | $363.08 | $389.05 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $77.62 Typical High $79.43 | Professional | 55 · Aftercare only | $72.44 | $77.62 | $79.43 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $338.84 Median $363.08 Typical High $371.54 | Professional | 78 · Unplanned return to OR | $338.84 | $363.08 | $371.54 |
BCBS Minnesota Setting Facility Modifier None Typical Low $363.08 Median $870.96 Typical High $2,344.23 | Facility | None | $363.08 | $870.96 | $2,344.23 |
BCBS Minnesota Setting Professional Modifier None Typical Low $891.25 Median $1,230.27 Typical High $1,737.80 | Professional | None | $891.25 | $1,230.27 | $1,737.80 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $977.24 Typical High $1,380.38 | Professional | 54 · Surgery only | $707.95 | $977.24 | $1,380.38 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $251.19 Typical High $338.84 | Professional | 55 · Aftercare only | $177.83 | $251.19 | $338.84 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $1,023.29 Typical High $1,445.44 | Professional | 78 · Unplanned return to OR | $741.31 | $1,023.29 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $1,348.96 Typical High $2,570.40 | Facility | None | $870.96 | $1,348.96 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $1,318.26 Typical High $2,089.30 | Professional | None | $741.31 | $1,318.26 | $2,089.30 |
Health Partners Setting Facility Modifier None Typical Low $758.58 Median $1,230.27 Typical High $2,137.96 | Facility | None | $758.58 | $1,230.27 | $2,137.96 |
Health Partners Setting Professional Modifier None Typical Low $645.65 Median $1,230.27 Typical High $1,949.84 | Professional | None | $645.65 | $1,230.27 | $1,949.84 |
Medica Setting Facility Modifier None Typical Low $131.83 Median $645.65 Typical High $1,445.44 | Facility | None | $131.83 | $645.65 | $1,445.44 |
Medica Setting Professional Modifier None Typical Low $562.34 Median $1,174.90 Typical High $3,890.45 | Professional | None | $562.34 | $1,174.90 | $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 $501.19 Median $891.25 Typical High $1,862.09 | Professional | None | $501.19 | $891.25 | $1,862.09 |
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 $239.88 Median $263.03 Typical High $263.03 | Facility | 52 · Reduced service | $239.88 | $263.03 | $263.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $95.50 Median $104.71 Typical High $104.71 | Facility | 53 · Discontinued | $95.50 | $104.71 | $104.71 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $47.86 Median $52.48 Typical High $52.48 | Facility | 56 · Pre-op care only | $47.86 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $239.88 Median $257.04 Typical High $263.03 | Professional | 52 · Reduced service | $239.88 | $257.04 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $102.33 Typical High $104.71 | Professional | 53 · Discontinued | $95.50 | $102.33 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $51.29 Typical High $52.48 | Professional | 56 · Pre-op care only | $47.86 | $51.29 | $52.48 |
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 $1,318.26 Median $1,819.70 Typical High $2,630.27 | Professional | 50 · Both sides | $1,318.26 | $1,819.70 | $2,630.27 |
Where Minnesota sits
The same service costs 5.2 times more in Connecticut than in Delaware. 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 $3,468DE $666
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.