How much rates vary
Facilitymedian $603 · 10th to 90th $302 to $1,479Professionalmedian $676 · 10th to 90th $324 to $1,175
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 $302.00 Median $331.13 Typical High $1,479.11 | Facility | None | $302.00 | $331.13 | $1,479.11 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $223.87 Median $245.47 Typical High $245.47 | Facility | 54 · Surgery only | $223.87 | $245.47 | $245.47 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $45.71 Median $48.98 Typical High $48.98 | Facility | 55 · Aftercare only | $45.71 | $48.98 | $48.98 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $208.93 Median $229.09 Typical High $229.09 | Facility | 78 · Unplanned return to OR | $208.93 | $229.09 | $229.09 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $316.23 Typical High $354.81 | Professional | None | $295.12 | $316.23 | $354.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $223.87 Median $239.88 Typical High $245.47 | Professional | 54 · Surgery only | $223.87 | $239.88 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $47.86 Typical High $48.98 | Professional | 55 · Aftercare only | $45.71 | $47.86 | $48.98 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $208.93 Median $223.87 Typical High $229.09 | Professional | 78 · Unplanned return to OR | $208.93 | $223.87 | $229.09 |
BCBS Minnesota 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 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 None Typical Low $501.19 Median $724.44 Typical High $1,047.13 | Professional | None | $501.19 | $724.44 | $1,047.13 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $758.58 Median $1,096.48 Typical High $1,584.89 | Professional | 50 · Both sides | $758.58 | $1,096.48 | $1,584.89 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $588.84 Typical High $831.76 | Professional | 54 · Surgery only | $407.38 | $588.84 | $831.76 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $151.36 Typical High $208.93 | Professional | 55 · Aftercare only | $102.33 | $151.36 | $208.93 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $616.60 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $426.58 | $616.60 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $831.76 Typical High $1,584.89 | Facility | None | $537.03 | $831.76 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $831.76 Typical High $1,318.26 | Professional | None | $467.74 | $831.76 | $1,318.26 |
Health Partners Setting Facility Modifier None Typical Low $478.63 Median $794.33 Typical High $1,348.96 | Facility | None | $478.63 | $794.33 | $1,348.96 |
Health Partners Setting Professional Modifier None Typical Low $407.38 Median $758.58 Typical High $1,202.26 | Professional | None | $407.38 | $758.58 | $1,202.26 |
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 $331.13 Median $707.95 Typical High $2,398.83 | Professional | None | $331.13 | $707.95 | $2,398.83 |
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 $288.40 Median $537.03 Typical High $1,096.48 | Professional | None | $288.40 | $537.03 | $1,096.48 |
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 $151.36 Median $165.96 Typical High $165.96 | Facility | 52 · Reduced service | $151.36 | $165.96 | $165.96 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $60.26 Median $66.07 Typical High $66.07 | Facility | 53 · Discontinued | $60.26 | $66.07 | $66.07 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $30.20 Median $33.11 Typical High $33.11 | Facility | 56 · Pre-op care only | $30.20 | $33.11 | $33.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $151.36 Median $158.49 Typical High $165.96 | Professional | 52 · Reduced service | $151.36 | $158.49 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $63.10 Typical High $66.07 | Professional | 53 · Discontinued | $60.26 | $63.10 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $31.62 Typical High $33.11 | Professional | 56 · Pre-op care only | $30.20 | $31.62 | $33.11 |
Where Minnesota sits
The same service costs 6.5 times more in Connecticut than in Maryland. 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 $3,149MD $483
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.