How much rates vary
Facilitymedian $2,818 · 10th to 90th $355 to $7,413Professionalmedian $1,660 · 10th to 90th $537 to $4,786
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 $354.81 Median $1,621.81 Typical High $1,621.81 | Facility | None | $354.81 | $1,621.81 | $1,621.81 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $269.15 Median $1,202.26 Typical High $1,202.26 | Facility | 54 · Surgery only | $269.15 | $1,202.26 | $1,202.26 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $53.70 Median $239.88 Typical High $239.88 | Facility | 55 · Aftercare only | $53.70 | $239.88 | $239.88 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $251.19 Median $1,122.02 Typical High $1,122.02 | Facility | 78 · Unplanned return to OR | $251.19 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $1,621.81 Typical High $1,621.81 | Professional | None | $354.81 | $1,621.81 | $1,621.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $269.15 Median $1,122.02 Typical High $1,202.26 | Professional | 54 · Surgery only | $269.15 | $1,122.02 | $1,202.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $223.87 Typical High $239.88 | Professional | 55 · Aftercare only | $53.70 | $223.87 | $239.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $251.19 Median $1,047.13 Typical High $1,122.02 | Professional | 78 · Unplanned return to OR | $251.19 | $1,047.13 | $1,122.02 |
BCBS Setting Facility Modifier None Typical Low $4,168.69 Median $7,079.46 Typical High $13,803.84 | Facility | None | $4,168.69 | $7,079.46 | $13,803.84 |
BCBS Setting Professional Modifier None Typical Low $602.56 Median $2,041.74 Typical High $4,168.69 | Professional | None | $602.56 | $2,041.74 | $4,168.69 |
BCBS Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $1,621.81 Typical High $3,311.31 | Professional | 54 · Surgery only | $489.78 | $1,621.81 | $3,311.31 |
BCBS Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $436.52 Typical High $851.14 | Professional | 55 · Aftercare only | $123.03 | $436.52 | $851.14 |
BCBS Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $1,698.24 Typical High $3,467.37 | Professional | 78 · Unplanned return to OR | $512.86 | $1,698.24 | $3,467.37 |
Cigna Setting Facility Modifier None Typical Low $2,344.23 Median $3,630.78 Typical High $6,918.31 | Facility | None | $2,344.23 | $3,630.78 | $6,918.31 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $2,187.76 Typical High $5,888.44 | Professional | None | $691.83 | $2,187.76 | $5,888.44 |
Health Partners Setting Facility Modifier None Typical Low $2,089.30 Median $3,311.31 Typical High $5,754.40 | Facility | None | $2,089.30 | $3,311.31 | $5,754.40 |
Health Partners Setting Professional Modifier None Typical Low $660.69 Median $2,089.30 Typical High $4,786.30 | Professional | None | $660.69 | $2,089.30 | $4,786.30 |
Medica Setting Facility Modifier None Typical Low $630.96 Median $2,754.23 Typical High $6,606.93 | Facility | None | $630.96 | $2,754.23 | $6,606.93 |
Medica Setting Professional Modifier None Typical Low $1,621.81 Median $3,162.28 Typical High $6,309.57 | Professional | None | $1,621.81 | $3,162.28 | $6,309.57 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $8,128.31 | Facility | None | $1,995.26 | $3,090.30 | $8,128.31 |
United Setting Professional Modifier None Typical Low $457.09 Median $1,380.38 Typical High $5,248.07 | Professional | None | $457.09 | $1,380.38 | $5,248.07 |
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 $177.83 Median $794.33 Typical High $794.33 | Facility | 52 · Reduced service | $177.83 | $794.33 | $794.33 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $70.79 Median $323.59 Typical High $323.59 | Facility | 53 · Discontinued | $70.79 | $323.59 | $323.59 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $35.48 Median $162.18 Typical High $162.18 | Facility | 56 · Pre-op care only | $35.48 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $177.83 Median $758.58 Typical High $794.33 | Professional | 52 · Reduced service | $177.83 | $758.58 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $302.00 Typical High $323.59 | Professional | 53 · Discontinued | $70.79 | $302.00 | $323.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $151.36 Typical High $162.18 | Professional | 56 · Pre-op care only | $35.48 | $151.36 | $162.18 |
BCBS Setting Facility Modifier 50 · Both sides Typical Low $6,309.57 Median $11,748.98 Typical High $20,892.96 | Facility | 50 · Both sides | $6,309.57 | $11,748.98 | $20,892.96 |
BCBS Setting Professional Modifier 50 · Both sides Typical Low $912.01 Median $3,019.95 Typical High $6,309.57 | Professional | 50 · Both sides | $912.01 | $3,019.95 | $6,309.57 |
Where Minnesota sits
The same service costs 5.8 times more in Alaska than in Nebraska. 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· 8th of 51
$2,089
AK $3,548NE $617
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.