How much rates vary
Facilitymedian $3,090 · 10th to 90th $398 to $7,943Professionalmedian $1,862 · 10th to 90th $617 to $5,495
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 $398.11 Median $1,778.28 Typical High $1,778.28 | Facility | None | $398.11 | $1,778.28 | $1,778.28 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $295.12 Median $1,348.96 Typical High $1,348.96 | Facility | 54 · Surgery only | $295.12 | $1,348.96 | $1,348.96 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $58.88 Median $269.15 Typical High $269.15 | Facility | 55 · Aftercare only | $58.88 | $269.15 | $269.15 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $275.42 Median $1,258.93 Typical High $1,258.93 | Facility | 78 · Unplanned return to OR | $275.42 | $1,258.93 | $1,258.93 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $1,698.24 Typical High $1,778.28 | Professional | None | $398.11 | $1,698.24 | $1,778.28 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $295.12 Median $1,288.25 Typical High $1,348.96 | Professional | 54 · Surgery only | $295.12 | $1,288.25 | $1,348.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $257.04 Typical High $269.15 | Professional | 55 · Aftercare only | $58.88 | $257.04 | $269.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $275.42 Median $1,202.26 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $275.42 | $1,202.26 | $1,258.93 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,238.72 Median $5,623.41 Typical High $12,302.69 | Facility | None | $2,238.72 | $5,623.41 | $12,302.69 |
BCBS Minnesota Setting Professional Modifier None Typical Low $645.65 Median $2,187.76 Typical High $4,786.30 | Professional | None | $645.65 | $2,187.76 | $4,786.30 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $1,737.80 Typical High $3,801.89 | Professional | 54 · Surgery only | $524.81 | $1,737.80 | $3,801.89 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $436.52 Typical High $954.99 | Professional | 55 · Aftercare only | $131.83 | $436.52 | $954.99 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $549.54 Median $1,819.70 Typical High $3,981.07 | Professional | 78 · Unplanned return to OR | $549.54 | $1,819.70 | $3,981.07 |
Cigna Setting Facility Modifier None Typical Low $2,754.23 Median $4,570.88 Typical High $8,709.64 | Facility | None | $2,754.23 | $4,570.88 | $8,709.64 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $2,238.72 Typical High $6,165.95 | Professional | None | $691.83 | $2,238.72 | $6,165.95 |
Health Partners Setting Facility Modifier None Typical Low $2,630.27 Median $4,168.69 Typical High $7,413.10 | Facility | None | $2,630.27 | $4,168.69 | $7,413.10 |
Health Partners Setting Professional Modifier None Typical Low $660.69 Median $2,187.76 Typical High $5,888.44 | Professional | None | $660.69 | $2,187.76 | $5,888.44 |
Medica Setting Facility Modifier None Typical Low $691.83 Median $2,818.38 Typical High $6,918.31 | Facility | None | $691.83 | $2,818.38 | $6,918.31 |
Medica Setting Professional Modifier None Typical Low $1,905.46 Median $4,073.80 Typical High $13,182.57 | Professional | None | $1,905.46 | $4,073.80 | $13,182.57 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,235.94 Typical High $8,511.38 | Facility | None | $1,995.26 | $3,235.94 | $8,511.38 |
United Setting Professional Modifier None Typical Low $501.19 Median $1,584.89 Typical High $5,623.41 | Professional | None | $501.19 | $1,584.89 | $5,623.41 |
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 $199.53 Median $891.25 Typical High $891.25 | Facility | 52 · Reduced service | $199.53 | $891.25 | $891.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $79.43 Median $354.81 Typical High $354.81 | Facility | 53 · Discontinued | $79.43 | $354.81 | $354.81 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $39.81 Median $177.83 Typical High $177.83 | Facility | 56 · Pre-op care only | $39.81 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $199.53 Median $851.14 Typical High $891.25 | Professional | 52 · Reduced service | $199.53 | $851.14 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $338.84 Typical High $354.81 | Professional | 53 · Discontinued | $79.43 | $338.84 | $354.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $169.82 Typical High $177.83 | Professional | 56 · Pre-op care only | $39.81 | $169.82 | $177.83 |
Where Minnesota sits
The same service costs 4.4 times more in Oklahoma 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
OK $10,373MD $2,367
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.