How much rates vary
Facilitymedian $1,778 · 10th to 90th $447 to $7,943Professionalmedian $912 · 10th to 90th $447 to $1,660
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 $446.68 Median $446.68 Typical High $3,630.78 | Facility | None | $446.68 | $446.68 | $3,630.78 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | 54 · Surgery only | $331.13 | $331.13 | $331.13 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | 55 · Aftercare only | $67.61 | $67.61 | $67.61 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $309.03 Typical High $309.03 | Facility | 78 · Unplanned return to OR | $309.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $524.81 | Professional | None | $446.68 | $446.68 | $524.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $331.13 Typical High $338.84 | Professional | 54 · Surgery only | $331.13 | $331.13 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 55 · Aftercare only | $67.61 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $309.03 Typical High $316.23 | Professional | 78 · Unplanned return to OR | $309.03 | $309.03 | $316.23 |
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 $707.95 Median $933.25 Typical High $1,479.11 | Professional | None | $707.95 | $933.25 | $1,479.11 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $741.31 Typical High $1,174.90 | Professional | 54 · Surgery only | $562.34 | $741.31 | $1,174.90 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $186.21 Typical High $295.12 | Professional | 55 · Aftercare only | $141.25 | $186.21 | $295.12 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $588.84 Median $776.25 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $588.84 | $776.25 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,148.15 Typical High $2,187.76 | Facility | None | $741.31 | $1,148.15 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $1,202.26 Typical High $1,862.09 | Professional | None | $691.83 | $1,202.26 | $1,862.09 |
Health Partners Setting Facility Modifier None Typical Low $645.65 Median $1,047.13 Typical High $1,819.70 | Facility | None | $645.65 | $1,047.13 | $1,819.70 |
Health Partners Setting Professional Modifier None Typical Low $616.60 Median $1,096.48 Typical High $1,778.28 | Professional | None | $616.60 | $1,096.48 | $1,778.28 |
Medica Setting Facility Modifier None Typical Low $891.25 Median $2,754.23 Typical High $7,762.47 | Facility | None | $891.25 | $2,754.23 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $467.74 Median $870.96 Typical High $5,248.07 | Professional | None | $467.74 | $870.96 | $5,248.07 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $8,511.38 | Facility | None | $1,995.26 | $3,090.30 | $8,511.38 |
United Setting Professional Modifier None Typical Low $446.68 Median $776.25 Typical High $1,584.89 | Professional | None | $446.68 | $776.25 | $1,584.89 |
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 $223.87 Median $223.87 Typical High $223.87 | Facility | 52 · Reduced service | $223.87 | $223.87 | $223.87 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | 53 · Discontinued | $89.13 | $89.13 | $89.13 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | 56 · Pre-op care only | $44.67 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | 52 · Reduced service | $223.87 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | 53 · Discontinued | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 56 · Pre-op care only | $44.67 | $44.67 | $44.67 |
Where Minnesota sits
The same service costs 5.0 times more in Wisconsin 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
WI $7,200MT $1,432
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.