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 $1,862.09 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,862.09 | $1,862.09 | $1,862.09 |
Aetna Setting Professional Modifier None Typical Low $1,819.70 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,819.70 | $1,862.09 | $1,862.09 |
BCBS Setting Professional Modifier None Typical Low $2,884.03 Median $3,715.35 Typical High $4,365.16 | Professional | None | $2,884.03 | $3,715.35 | $4,365.16 |
BCBS Setting Professional Modifier 54 · Surgery only Typical Low $1,995.26 Median $2,570.40 Typical High $3,019.95 | Professional | 54 · Surgery only | $1,995.26 | $2,570.40 | $3,019.95 |
BCBS Setting Professional Modifier 56 · Pre-op care only Typical Low $288.40 Median $371.54 Typical High $436.52 | Professional | 56 · Pre-op care only | $288.40 | $371.54 | $436.52 |
BCBS Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,137.96 Median $2,754.23 Typical High $3,235.94 | Professional | 78 · Unplanned return to OR | $2,137.96 | $2,754.23 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,630.78 | Facility | None | $3,162.28 | $3,162.28 | $3,630.78 |
Cigna Setting Professional Modifier None Typical Low $2,691.53 Median $3,801.89 Typical High $6,165.95 | Professional | None | $2,691.53 | $3,801.89 | $6,165.95 |
Medica Setting Facility Modifier None Typical Low $1,862.09 Median $2,951.21 Typical High $4,570.88 | Facility | None | $1,862.09 | $2,951.21 | $4,570.88 |
Medica Setting Professional Modifier None Typical Low $1,905.46 Median $3,388.44 Typical High $3,981.07 | Professional | None | $1,905.46 | $3,388.44 | $3,981.07 |
United Setting Facility Modifier None Typical Low $2,818.38 Median $4,168.69 Typical High $4,677.35 | Facility | None | $2,818.38 | $4,168.69 | $4,677.35 |
United Setting Professional Modifier None Typical Low $1,819.70 Median $3,388.44 Typical High $3,981.07 | Professional | None | $1,819.70 | $3,388.44 | $3,981.07 |
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 $3,467.37 Median $4,466.84 Typical High $5,248.07 | Professional | 22 · Increased work | $3,467.37 | $4,466.84 | $5,248.07 |
BCBS Setting Professional Modifier 50 · Both sides Typical Low $4,265.80 Median $5,495.41 Typical High $6,456.54 | Professional | 50 · Both sides | $4,265.80 | $5,495.41 | $6,456.54 |
Where North Dakota sits
The same service costs 6.9 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
$3,388
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.