How much rates vary
Facilitymedian $3,020 · 10th to 90th $776 to $4,677Professionalmedian $1,585 · 10th to 90th $851 to $3,020
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 $776.25 Median $3,890.45 Typical High $4,677.35 | Facility | None | $776.25 | $3,890.45 | $4,677.35 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $575.44 Median $575.44 Typical High $575.44 | Facility | 54 · Surgery only | $575.44 | $575.44 | $575.44 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $114.82 Median $114.82 Typical High $114.82 | Facility | 55 · Aftercare only | $114.82 | $114.82 | $114.82 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $537.03 Typical High $537.03 | Facility | 78 · Unplanned return to OR | $537.03 | $537.03 | $537.03 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $912.01 | Professional | None | $776.25 | $776.25 | $912.01 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | 54 · Surgery only | $575.44 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 55 · Aftercare only | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $537.03 | $537.03 | $537.03 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,454.71 Median $4,786.30 Typical High $8,709.64 | Facility | None | $2,454.71 | $4,786.30 | $8,709.64 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,258.93 Median $1,584.89 Typical High $2,691.53 | Professional | None | $1,258.93 | $1,584.89 | $2,691.53 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,000.00 Median $1,258.93 Typical High $2,137.96 | Professional | 54 · Surgery only | $1,000.00 | $1,258.93 | $2,137.96 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $251.19 Median $316.23 Typical High $524.81 | Professional | 55 · Aftercare only | $251.19 | $316.23 | $524.81 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,047.13 Median $1,318.26 Typical High $2,238.72 | Professional | 78 · Unplanned return to OR | $1,047.13 | $1,318.26 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $1,995.26 Typical High $3,801.89 | Facility | None | $1,288.25 | $1,995.26 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $1,862.09 Typical High $3,388.44 | Professional | None | $1,318.26 | $1,862.09 | $3,388.44 |
Health Partners Setting Facility Modifier None Typical Low $1,148.15 Median $1,862.09 Typical High $3,235.94 | Facility | None | $1,148.15 | $1,862.09 | $3,235.94 |
Health Partners Setting Professional Modifier None Typical Low $1,288.25 Median $1,819.70 Typical High $3,090.30 | Professional | None | $1,288.25 | $1,819.70 | $3,090.30 |
Medica Setting Facility Modifier None Typical Low $794.33 Median $1,513.56 Typical High $4,466.84 | Facility | None | $794.33 | $1,513.56 | $4,466.84 |
Medica Setting Professional Modifier None Typical Low $954.99 Median $1,479.11 Typical High $5,888.44 | Professional | None | $954.99 | $1,479.11 | $5,888.44 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,659.59 Typical High $4,897.79 | Facility | None | $776.25 | $1,659.59 | $4,897.79 |
United Setting Professional Modifier None Typical Low $912.01 Median $1,380.38 Typical High $2,884.03 | Professional | None | $912.01 | $1,380.38 | $2,884.03 |
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 $389.05 Median $389.05 Typical High $389.05 | Facility | 52 · Reduced service | $389.05 | $389.05 | $389.05 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $154.88 Median $154.88 Typical High $154.88 | Facility | 53 · Discontinued | $154.88 | $154.88 | $154.88 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | 56 · Pre-op care only | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | 52 · Reduced service | $389.05 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | 53 · Discontinued | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 56 · Pre-op care only | $77.62 | $77.62 | $77.62 |
Where Minnesota sits
The same service costs 3.5 times more in Alaska than in Georgia. 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
AK $7,038GA $2,000
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.