How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $1,584.89 Median $1,584.89 Typical High $1,659.59 | Facility | None | $1,584.89 | $1,584.89 | $1,659.59 |
Aetna Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $2,041.74 | Professional | None | $1,584.89 | $1,584.89 | $2,041.74 |
BCBS Setting Professional Modifier None Typical Low $2,630.27 Median $3,235.94 Typical High $3,981.07 | Professional | None | $2,630.27 | $3,235.94 | $3,981.07 |
BCBS Setting Professional Modifier 54 · Surgery only Typical Low $1,819.70 Median $2,290.87 Typical High $2,818.38 | Professional | 54 · Surgery only | $1,819.70 | $2,290.87 | $2,818.38 |
BCBS Setting Professional Modifier 56 · Pre-op care only Typical Low $263.03 Median $323.59 Typical High $398.11 | Professional | 56 · Pre-op care only | $263.03 | $323.59 | $398.11 |
BCBS Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,949.84 Median $2,454.71 Typical High $3,019.95 | Professional | 78 · Unplanned return to OR | $1,949.84 | $2,454.71 | $3,019.95 |
Cigna Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,884.03 | Facility | None | $2,511.89 | $2,511.89 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $2,137.96 Median $3,162.28 Typical High $4,466.84 | Professional | None | $2,137.96 | $3,162.28 | $4,466.84 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,584.89 Typical High $2,691.53 | Facility | None | $758.58 | $1,584.89 | $2,691.53 |
Medica Setting Professional Modifier None Typical Low $1,698.24 Median $3,388.44 Typical High $3,715.35 | Professional | None | $1,698.24 | $3,388.44 | $3,715.35 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,288.25 Typical High $2,511.89 | Facility | None | $758.58 | $1,288.25 | $2,511.89 |
United Setting Professional Modifier None Typical Low $1,698.24 Median $3,019.95 Typical High $3,715.35 | Professional | None | $1,698.24 | $3,019.95 | $3,715.35 |
2 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 |
|---|---|---|---|---|---|
BCBS Setting Professional Modifier 22 · Increased work Typical Low $3,162.28 Median $3,890.45 Typical High $4,786.30 | Professional | 22 · Increased work | $3,162.28 | $3,890.45 | $4,786.30 |
BCBS Setting Professional Modifier 50 · Both sides Typical Low $3,890.45 Median $4,897.79 Typical High $6,025.60 | Professional | 50 · Both sides | $3,890.45 | $4,897.79 | $6,025.60 |
Where North Dakota sits
The same service costs 5.8 times more in Alaska than in Texas. 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.
North Dakota· 10th of 51
$2,951
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.