How much rates vary
Facilitymedian $1,514 · 10th to 90th $479 to $7,762Professionalmedian $977 · 10th to 90th $479 to $1,778
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 $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $478.63 | $478.63 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | 54 · Surgery only | $354.81 | $354.81 | $354.81 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | 55 · Aftercare only | $70.79 | $70.79 | $70.79 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | 78 · Unplanned return to OR | $331.13 | $331.13 | $331.13 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $602.56 | Professional | None | $478.63 | $478.63 | $602.56 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $354.81 Median $354.81 Typical High $363.08 | Professional | 54 · Surgery only | $354.81 | $354.81 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $70.79 Typical High $72.44 | Professional | 55 · Aftercare only | $70.79 | $70.79 | $72.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $331.13 Median $331.13 Typical High $338.84 | Professional | 78 · Unplanned return to OR | $331.13 | $331.13 | $338.84 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,365.16 Median $7,943.28 Typical High $16,595.87 | Facility | None | $4,365.16 | $7,943.28 | $16,595.87 |
BCBS Minnesota Setting Professional Modifier None Typical Low $758.58 Median $1,000.00 Typical High $1,584.89 | Professional | None | $758.58 | $1,000.00 | $1,584.89 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $794.33 Typical High $1,258.93 | Professional | 54 · Surgery only | $602.56 | $794.33 | $1,258.93 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $199.53 Typical High $316.23 | Professional | 55 · Aftercare only | $151.36 | $199.53 | $316.23 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $831.76 Typical High $1,348.96 | Professional | 78 · Unplanned return to OR | $630.96 | $831.76 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $1,202.26 Typical High $2,344.23 | Facility | None | $776.25 | $1,202.26 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $1,258.93 Typical High $1,995.26 | Professional | None | $741.31 | $1,258.93 | $1,995.26 |
Health Partners Setting Facility Modifier None Typical Low $691.83 Median $1,122.02 Typical High $1,949.84 | Facility | None | $691.83 | $1,122.02 | $1,949.84 |
Health Partners Setting Professional Modifier None Typical Low $660.69 Median $1,174.90 Typical High $1,905.46 | Professional | None | $660.69 | $1,174.90 | $1,905.46 |
Medica Setting Facility Modifier None Typical Low $831.76 Median $2,137.96 Typical High $6,760.83 | Facility | None | $831.76 | $2,137.96 | $6,760.83 |
Medica Setting Professional Modifier None Typical Low $501.19 Median $933.25 Typical High $3,548.13 | Professional | None | $501.19 | $933.25 | $3,548.13 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $8,317.64 | Facility | None | $1,513.56 | $2,511.89 | $8,317.64 |
United Setting Professional Modifier None Typical Low $478.63 Median $831.76 Typical High $1,698.24 | Professional | None | $478.63 | $831.76 | $1,698.24 |
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 $239.88 Median $239.88 Typical High $239.88 | Facility | 52 · Reduced service | $239.88 | $239.88 | $239.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | 53 · Discontinued | $95.50 | $95.50 | $95.50 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $47.86 Median $47.86 Typical High $47.86 | Facility | 56 · Pre-op care only | $47.86 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | 52 · Reduced service | $239.88 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 53 · Discontinued | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 56 · Pre-op care only | $47.86 | $47.86 | $47.86 |
Where Minnesota sits
The same service costs 4.6 times more in Alabama than in Montana. 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
AL $7,006MT $1,517
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.