How much rates vary
Facilitymedian $1,479 · 10th to 90th $339 to $6,166Professionalmedian $933 · 10th to 90th $490 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 $338.84 Median $562.34 Typical High $9,772.37 | Facility | None | $338.84 | $562.34 | $9,772.37 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $257.04 Median $416.87 Typical High $416.87 | Facility | 54 · Surgery only | $257.04 | $416.87 | $416.87 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $51.29 Median $83.18 Typical High $83.18 | Facility | 55 · Aftercare only | $51.29 | $83.18 | $83.18 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $239.88 Median $389.05 Typical High $389.05 | Facility | 78 · Unplanned return to OR | $239.88 | $389.05 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $537.03 Typical High $588.84 | Professional | None | $338.84 | $537.03 | $588.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $398.11 Typical High $416.87 | Professional | 54 · Surgery only | $257.04 | $398.11 | $416.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $79.43 Typical High $83.18 | Professional | 55 · Aftercare only | $51.29 | $79.43 | $83.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $239.88 Median $371.54 Typical High $389.05 | Professional | 78 · Unplanned return to OR | $239.88 | $371.54 | $389.05 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,089.30 Median $3,467.37 Typical High $6,165.95 | Facility | None | $2,089.30 | $3,467.37 | $6,165.95 |
BCBS Minnesota Setting Professional Modifier None Typical Low $575.44 Median $1,000.00 Typical High $1,621.81 | Professional | None | $575.44 | $1,000.00 | $1,621.81 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $794.33 Typical High $1,288.25 | Professional | 54 · Surgery only | $467.74 | $794.33 | $1,288.25 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $204.17 Typical High $323.59 | Professional | 55 · Aftercare only | $114.82 | $204.17 | $323.59 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $831.76 Typical High $1,348.96 | Professional | 78 · Unplanned return to OR | $489.78 | $831.76 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $1,412.54 Typical High $2,754.23 | Facility | None | $912.01 | $1,412.54 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $1,122.02 Typical High $1,949.84 | Professional | None | $575.44 | $1,122.02 | $1,949.84 |
Health Partners Setting Facility Modifier None Typical Low $812.83 Median $1,318.26 Typical High $2,290.87 | Facility | None | $812.83 | $1,318.26 | $2,290.87 |
Health Partners Setting Professional Modifier None Typical Low $562.34 Median $1,023.29 Typical High $1,862.09 | Professional | None | $562.34 | $1,023.29 | $1,862.09 |
Medica Setting Facility Modifier None Typical Low $676.08 Median $1,230.27 Typical High $4,168.69 | Facility | None | $676.08 | $1,230.27 | $4,168.69 |
Medica Setting Professional Modifier None Typical Low $602.56 Median $1,258.93 Typical High $4,073.80 | Professional | None | $602.56 | $1,258.93 | $4,073.80 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,659.59 Typical High $4,265.80 | Facility | None | $776.25 | $1,659.59 | $4,265.80 |
United Setting Professional Modifier None Typical Low $389.05 Median $776.25 Typical High $1,698.24 | Professional | None | $389.05 | $776.25 | $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 $169.82 Median $281.84 Typical High $281.84 | Facility | 52 · Reduced service | $169.82 | $281.84 | $281.84 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $67.61 Median $112.20 Typical High $112.20 | Facility | 53 · Discontinued | $67.61 | $112.20 | $112.20 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $33.88 Median $56.23 Typical High $56.23 | Facility | 56 · Pre-op care only | $33.88 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $169.82 Median $269.15 Typical High $281.84 | Professional | 52 · Reduced service | $169.82 | $269.15 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $107.15 Typical High $112.20 | Professional | 53 · Discontinued | $67.61 | $107.15 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $53.70 Typical High $56.23 | Professional | 56 · Pre-op care only | $33.88 | $53.70 | $56.23 |
Where Minnesota sits
The same service costs 4.4 times more in Colorado than in West Virginia. 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 $4,828WV $1,100
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.