How much rates vary
Facilitymedian $1,698 · 10th to 90th $437 to $5,754Professionalmedian $1,148 · 10th to 90th $617 to $2,138
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 $436.52 Median $616.60 Typical High $3,311.31 | Facility | None | $436.52 | $616.60 | $3,311.31 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $323.59 Median $457.09 Typical High $457.09 | Facility | 54 · Surgery only | $323.59 | $457.09 | $457.09 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $64.57 Median $91.20 Typical High $91.20 | Facility | 55 · Aftercare only | $64.57 | $91.20 | $91.20 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $302.00 Median $426.58 Typical High $426.58 | Facility | 78 · Unplanned return to OR | $302.00 | $426.58 | $426.58 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $524.81 Typical High $616.60 | Professional | None | $436.52 | $524.81 | $616.60 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $323.59 Median $398.11 Typical High $457.09 | Professional | 54 · Surgery only | $323.59 | $398.11 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $79.43 Typical High $91.20 | Professional | 55 · Aftercare only | $64.57 | $79.43 | $91.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $302.00 Median $371.54 Typical High $426.58 | Professional | 78 · Unplanned return to OR | $302.00 | $371.54 | $426.58 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,715.35 Median $6,025.60 Typical High $10,715.19 | Facility | None | $3,715.35 | $6,025.60 | $10,715.19 |
BCBS Minnesota Setting Professional Modifier None Typical Low $776.25 Median $1,230.27 Typical High $1,905.46 | Professional | None | $776.25 | $1,230.27 | $1,905.46 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $977.24 Typical High $1,513.56 | Professional | 54 · Surgery only | $616.60 | $977.24 | $1,513.56 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $245.47 Typical High $371.54 | Professional | 55 · Aftercare only | $158.49 | $245.47 | $371.54 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $1,023.29 Typical High $1,584.89 | Professional | 78 · Unplanned return to OR | $645.65 | $1,023.29 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $1,584.89 Typical High $3,019.95 | Facility | None | $1,023.29 | $1,584.89 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $1,318.26 Typical High $2,344.23 | Professional | None | $741.31 | $1,318.26 | $2,344.23 |
Health Partners Setting Facility Modifier None Typical Low $912.01 Median $1,479.11 Typical High $2,570.40 | Facility | None | $912.01 | $1,479.11 | $2,570.40 |
Health Partners Setting Professional Modifier None Typical Low $724.44 Median $1,202.26 Typical High $2,398.83 | Professional | None | $724.44 | $1,202.26 | $2,398.83 |
Medica Setting Facility Modifier None Typical Low $776.25 Median $1,995.26 Typical High $6,760.83 | Facility | None | $776.25 | $1,995.26 | $6,760.83 |
Medica Setting Professional Modifier None Typical Low $724.44 Median $1,412.54 Typical High $4,677.35 | Professional | None | $724.44 | $1,412.54 | $4,677.35 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $7,585.78 | Facility | None | $1,513.56 | $2,511.89 | $7,585.78 |
United Setting Professional Modifier None Typical Low $524.81 Median $891.25 Typical High $1,862.09 | Professional | None | $524.81 | $891.25 | $1,862.09 |
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 $218.78 Median $309.03 Typical High $309.03 | Facility | 52 · Reduced service | $218.78 | $309.03 | $309.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $87.10 Median $123.03 Typical High $123.03 | Facility | 53 · Discontinued | $87.10 | $123.03 | $123.03 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $43.65 Median $61.66 Typical High $61.66 | Facility | 56 · Pre-op care only | $43.65 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $218.78 Median $263.03 Typical High $309.03 | Professional | 52 · Reduced service | $218.78 | $263.03 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $104.71 Typical High $123.03 | Professional | 53 · Discontinued | $87.10 | $104.71 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $52.48 Typical High $61.66 | Professional | 56 · Pre-op care only | $43.65 | $52.48 | $61.66 |
Where Minnesota sits
The same service costs 5.2 times more in Colorado than in West Virginia. 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.
Physician feeFacility fee
CO $6,580WV $1,277
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.