How much rates vary
Facilitymedian $1,862 · 10th to 90th $661 to $5,248Professionalmedian $1,585 · 10th to 90th $832 to $2,884
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 $660.69 Median $831.76 Typical High $831.76 | Facility | None | $660.69 | $831.76 | $831.76 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $489.78 Median $616.60 Typical High $616.60 | Facility | 54 · Surgery only | $489.78 | $616.60 | $616.60 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $97.72 Median $123.03 Typical High $123.03 | Facility | 55 · Aftercare only | $97.72 | $123.03 | $123.03 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $575.44 Typical High $575.44 | Facility | 78 · Unplanned return to OR | $457.09 | $575.44 | $575.44 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $776.25 Typical High $831.76 | Professional | None | $660.69 | $776.25 | $831.76 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $549.54 Typical High $616.60 | Professional | 54 · Surgery only | $489.78 | $549.54 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $109.65 Typical High $123.03 | Professional | 55 · Aftercare only | $97.72 | $109.65 | $123.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $512.86 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $457.09 | $512.86 | $575.44 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,454.71 Median $4,466.84 Typical High $7,585.78 | Facility | None | $2,454.71 | $4,466.84 | $7,585.78 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,071.52 Median $1,659.59 Typical High $2,630.27 | Professional | None | $1,071.52 | $1,659.59 | $2,630.27 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $851.14 Median $1,348.96 Typical High $2,089.30 | Professional | 54 · Surgery only | $851.14 | $1,348.96 | $2,089.30 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $218.78 Median $331.13 Typical High $512.86 | Professional | 55 · Aftercare only | $218.78 | $331.13 | $512.86 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $891.25 Median $1,412.54 Typical High $2,187.76 | Professional | 78 · Unplanned return to OR | $891.25 | $1,412.54 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $2,137.96 Typical High $4,073.80 | Facility | None | $1,380.38 | $2,137.96 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,819.70 Typical High $3,388.44 | Professional | None | $1,122.02 | $1,819.70 | $3,388.44 |
Health Partners Setting Facility Modifier None Typical Low $1,230.27 Median $2,041.74 Typical High $3,467.37 | Facility | None | $1,230.27 | $2,041.74 | $3,467.37 |
Health Partners Setting Professional Modifier None Typical Low $1,096.48 Median $1,778.28 Typical High $3,235.94 | Professional | None | $1,096.48 | $1,778.28 | $3,235.94 |
Medica Setting Facility Modifier None Typical Low $1,096.48 Median $1,778.28 Typical High $4,786.30 | Facility | None | $1,096.48 | $1,778.28 | $4,786.30 |
Medica Setting Professional Modifier None Typical Low $1,023.29 Median $1,949.84 Typical High $6,165.95 | Professional | None | $1,023.29 | $1,949.84 | $6,165.95 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $5,888.44 | Facility | None | $1,513.56 | $2,511.89 | $5,888.44 |
United Setting Professional Modifier None Typical Low $794.33 Median $1,318.26 Typical High $2,630.27 | Professional | None | $794.33 | $1,318.26 | $2,630.27 |
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 $331.13 Median $416.87 Typical High $416.87 | Facility | 52 · Reduced service | $331.13 | $416.87 | $416.87 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $131.83 Median $165.96 Typical High $165.96 | Facility | 53 · Discontinued | $131.83 | $165.96 | $165.96 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $66.07 Median $83.18 Typical High $83.18 | Facility | 56 · Pre-op care only | $66.07 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $331.13 Median $363.08 Typical High $416.87 | Professional | 52 · Reduced service | $331.13 | $363.08 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $144.54 Typical High $165.96 | Professional | 53 · Discontinued | $131.83 | $144.54 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $72.44 Typical High $83.18 | Professional | 56 · Pre-op care only | $66.07 | $72.44 | $83.18 |
Where Minnesota sits
The same service costs 3.1 times more in Alaska than in Maryland. 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 $5,990MD $1,938
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.