How much rates vary
Facilitymedian $1,175 · 10th to 90th $363 to $4,365Professionalmedian $813 · 10th to 90th $417 to $1,479
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 $363.08 Median $467.74 Typical High $467.74 | Facility | None | $363.08 | $467.74 | $467.74 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $275.42 Median $354.81 Typical High $354.81 | Facility | 54 · Surgery only | $275.42 | $354.81 | $354.81 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $54.95 Median $70.79 Typical High $70.79 | Facility | 55 · Aftercare only | $54.95 | $70.79 | $70.79 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $257.04 Median $331.13 Typical High $331.13 | Facility | 78 · Unplanned return to OR | $257.04 | $331.13 | $331.13 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $416.87 Typical High $501.19 | Professional | None | $363.08 | $416.87 | $501.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $354.81 Typical High $354.81 | Professional | 54 · Surgery only | $275.42 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $70.79 Typical High $70.79 | Professional | 55 · Aftercare only | $54.95 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $257.04 Median $331.13 Typical High $331.13 | Professional | 78 · Unplanned return to OR | $257.04 | $331.13 | $331.13 |
BCBS Setting Facility Modifier None Typical Low $1,819.70 Median $4,073.80 Typical High $8,912.51 | Facility | None | $1,819.70 | $4,073.80 | $8,912.51 |
BCBS Setting Facility Modifier 50 · Both sides Typical Low $4,677.35 Median $8,511.38 Typical High $15,488.17 | Facility | 50 · Both sides | $4,677.35 | $8,511.38 | $15,488.17 |
BCBS Setting Professional Modifier None Typical Low $562.34 Median $851.14 Typical High $1,348.96 | Professional | None | $562.34 | $851.14 | $1,348.96 |
BCBS Setting Professional Modifier 50 · Both sides Typical Low $851.14 Median $1,288.25 Typical High $1,995.26 | Professional | 50 · Both sides | $851.14 | $1,288.25 | $1,995.26 |
BCBS Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $676.08 Typical High $1,071.52 | Professional | 54 · Surgery only | $457.09 | $676.08 | $1,071.52 |
BCBS Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $169.82 Typical High $257.04 | Professional | 55 · Aftercare only | $114.82 | $169.82 | $257.04 |
BCBS Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $707.95 Typical High $1,122.02 | Professional | 78 · Unplanned return to OR | $478.63 | $707.95 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $1,122.02 Typical High $2,187.76 | Facility | None | $724.44 | $1,122.02 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $977.24 Typical High $1,737.80 | Professional | None | $575.44 | $977.24 | $1,737.80 |
Health Partners Setting Facility Modifier None Typical Low $645.65 Median $1,071.52 Typical High $1,819.70 | Facility | None | $645.65 | $1,071.52 | $1,819.70 |
Health Partners Setting Professional Modifier None Typical Low $575.44 Median $933.25 Typical High $1,548.82 | Professional | None | $575.44 | $933.25 | $1,548.82 |
Medica Setting Facility Modifier None Typical Low $524.81 Median $1,621.81 Typical High $4,365.16 | Facility | None | $524.81 | $1,621.81 | $4,365.16 |
Medica Setting Professional Modifier None Typical Low $467.74 Median $831.76 Typical High $3,235.94 | Professional | None | $467.74 | $831.76 | $3,235.94 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $6,456.54 | Facility | None | $1,513.56 | $2,511.89 | $6,456.54 |
United Setting Professional Modifier None Typical Low $398.11 Median $660.69 Typical High $1,412.54 | Professional | None | $398.11 | $660.69 | $1,412.54 |
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 $181.97 Median $234.42 Typical High $234.42 | Facility | 52 · Reduced service | $181.97 | $234.42 | $234.42 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $74.13 Median $93.33 Typical High $93.33 | Facility | 53 · Discontinued | $74.13 | $93.33 | $93.33 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $36.31 Median $46.77 Typical High $46.77 | Facility | 56 · Pre-op care only | $36.31 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $181.97 Median $234.42 Typical High $234.42 | Professional | 52 · Reduced service | $181.97 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $93.33 Typical High $93.33 | Professional | 53 · Discontinued | $74.13 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $46.77 Typical High $46.77 | Professional | 56 · Pre-op care only | $36.31 | $46.77 | $46.77 |
Where Minnesota sits
The same service costs 5.0 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· 4th of 51
$832
AK $1,380UT $275
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.