How much rates vary
Facilitymedian $933 · 10th to 90th $309 to $3,981Professionalmedian $724 · 10th to 90th $380 to $1,349
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 $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | 54 · Surgery only | $234.42 | $234.42 | $234.42 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | 55 · Aftercare only | $46.77 | $46.77 | $46.77 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | 78 · Unplanned return to OR | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $380.19 | Professional | None | $309.03 | $309.03 | $380.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $234.42 Typical High $288.40 | Professional | 54 · Surgery only | $234.42 | $234.42 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $46.77 Typical High $57.54 | Professional | 55 · Aftercare only | $46.77 | $46.77 | $57.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $218.78 Median $218.78 Typical High $269.15 | Professional | 78 · Unplanned return to OR | $218.78 | $218.78 | $269.15 |
BCBS Setting Facility Modifier None Typical Low $1,778.28 Median $4,677.35 Typical High $10,715.19 | Facility | None | $1,778.28 | $4,677.35 | $10,715.19 |
BCBS Setting Professional Modifier None Typical Low $512.86 Median $691.83 Typical High $1,174.90 | Professional | None | $512.86 | $691.83 | $1,174.90 |
BCBS Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $562.34 Typical High $954.99 | Professional | 54 · Surgery only | $407.38 | $562.34 | $954.99 |
BCBS Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $138.04 Typical High $234.42 | Professional | 55 · Aftercare only | $102.33 | $138.04 | $234.42 |
BCBS Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $588.84 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $426.58 | $588.84 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $851.14 Typical High $1,621.81 | Facility | None | $549.54 | $851.14 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $977.24 Typical High $1,513.56 | Professional | None | $616.60 | $977.24 | $1,513.56 |
Health Partners Setting Facility Modifier None Typical Low $478.63 Median $776.25 Typical High $1,348.96 | Facility | None | $478.63 | $776.25 | $1,348.96 |
Health Partners Setting Professional Modifier None Typical Low $549.54 Median $870.96 Typical High $1,348.96 | Professional | None | $549.54 | $870.96 | $1,348.96 |
Medica Setting Facility Modifier None Typical Low $512.86 Median $1,230.27 Typical High $3,090.30 | Facility | None | $512.86 | $1,230.27 | $3,090.30 |
Medica Setting Professional Modifier None Typical Low $389.05 Median $724.44 Typical High $2,818.38 | Professional | None | $389.05 | $724.44 | $2,818.38 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,513.56 Typical High $4,265.80 | Facility | None | $758.58 | $1,513.56 | $4,265.80 |
United Setting Professional Modifier None Typical Low $380.19 Median $691.83 Typical High $1,288.25 | Professional | None | $380.19 | $691.83 | $1,288.25 |
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 $154.88 Median $154.88 Typical High $154.88 | Facility | 52 · Reduced service | $154.88 | $154.88 | $154.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | 53 · Discontinued | $61.66 | $61.66 | $61.66 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $30.90 Median $30.90 Typical High $30.90 | Facility | 56 · Pre-op care only | $30.90 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $154.88 Median $154.88 Typical High $190.55 | Professional | 52 · Reduced service | $154.88 | $154.88 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $75.86 | Professional | 53 · Discontinued | $61.66 | $61.66 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $30.90 Typical High $38.02 | Professional | 56 · Pre-op care only | $30.90 | $30.90 | $38.02 |
Where Minnesota sits
The same service costs 5.8 times more in Alaska than in Utah. 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· 5th of 51
$759
AK $1,380UT $240
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.