How much rates vary
Facilitymedian $813 · 10th to 90th $347 to $2,951Professionalmedian $1,023 · 10th to 90th $490 to $1,738
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 $436.52 Median $489.78 Typical High $489.78 | Facility | None | $436.52 | $489.78 | $489.78 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $331.13 Median $363.08 Typical High $363.08 | Facility | 54 · Surgery only | $331.13 | $363.08 | $363.08 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $66.07 Median $74.13 Typical High $74.13 | Facility | 55 · Aftercare only | $66.07 | $74.13 | $74.13 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $338.84 Typical High $338.84 | Facility | 78 · Unplanned return to OR | $309.03 | $338.84 | $338.84 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $467.74 Typical High $489.78 | Professional | None | $436.52 | $467.74 | $489.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $354.81 Typical High $363.08 | Professional | 54 · Surgery only | $331.13 | $354.81 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $70.79 Typical High $74.13 | Professional | 55 · Aftercare only | $66.07 | $70.79 | $74.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $331.13 Typical High $338.84 | Professional | 78 · Unplanned return to OR | $309.03 | $331.13 | $338.84 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,548.82 Median $3,090.30 Typical High $6,165.95 | Facility | None | $1,548.82 | $3,090.30 | $6,165.95 |
BCBS Minnesota Setting Professional Modifier None Typical Low $724.44 Median $1,096.48 Typical High $1,584.89 | Professional | None | $724.44 | $1,096.48 | $1,584.89 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $575.44 Median $870.96 Typical High $1,258.93 | Professional | 54 · Surgery only | $575.44 | $870.96 | $1,258.93 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $218.78 Typical High $309.03 | Professional | 55 · Aftercare only | $147.91 | $218.78 | $309.03 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $912.01 Typical High $1,318.26 | Professional | 78 · Unplanned return to OR | $602.56 | $912.01 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $1,230.27 Typical High $2,398.83 | Facility | None | $794.33 | $1,230.27 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $1,230.27 Typical High $1,949.84 | Professional | None | $691.83 | $1,230.27 | $1,949.84 |
Health Partners Setting Facility Modifier None Typical Low $707.95 Median $1,174.90 Typical High $1,995.26 | Facility | None | $707.95 | $1,174.90 | $1,995.26 |
Health Partners Setting Professional Modifier None Typical Low $602.56 Median $1,148.15 Typical High $1,778.28 | Professional | None | $602.56 | $1,148.15 | $1,778.28 |
Medica Setting Facility Modifier None Typical Low $131.83 Median $602.56 Typical High $1,737.80 | Facility | None | $131.83 | $602.56 | $1,737.80 |
Medica Setting Professional Modifier None Typical Low $489.78 Median $1,023.29 Typical High $3,548.13 | Professional | None | $489.78 | $1,023.29 | $3,548.13 |
United Setting Facility Modifier None Typical Low $125.89 Median $426.58 Typical High $2,570.40 | Facility | None | $125.89 | $426.58 | $2,570.40 |
United Setting Professional Modifier None Typical Low $426.58 Median $741.31 Typical High $1,659.59 | Professional | None | $426.58 | $741.31 | $1,659.59 |
8 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 $218.78 Median $245.47 Typical High $245.47 | Facility | 52 · Reduced service | $218.78 | $245.47 | $245.47 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $89.13 Median $97.72 Typical High $97.72 | Facility | 53 · Discontinued | $89.13 | $97.72 | $97.72 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $43.65 Median $48.98 Typical High $48.98 | Facility | 56 · Pre-op care only | $43.65 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $218.78 Median $234.42 Typical High $245.47 | Professional | 52 · Reduced service | $218.78 | $234.42 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $95.50 Typical High $97.72 | Professional | 53 · Discontinued | $89.13 | $95.50 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $46.77 Typical High $48.98 | Professional | 56 · Pre-op care only | $43.65 | $46.77 | $48.98 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $3,162.28 Median $5,754.40 Typical High $10,715.19 | Facility | 50 · Both sides | $3,162.28 | $5,754.40 | $10,715.19 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $1,071.52 Median $1,659.59 Typical High $2,398.83 | Professional | 50 · Both sides | $1,071.52 | $1,659.59 | $2,398.83 |
Where Minnesota sits
The same service costs 5.3 times more in Colorado than in Florida. 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
CO $4,377FL $831
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.