How much rates vary
Facilitymedian $1,230 · 10th to 90th $457 to $4,571Professionalmedian $933 · 10th to 90th $457 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 $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | 54 · Surgery only | $346.74 | $346.74 | $346.74 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | 55 · Aftercare only | $69.18 | $69.18 | $69.18 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $323.59 Typical High $323.59 | Facility | 78 · Unplanned return to OR | $323.59 | $323.59 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $457.09 Typical High $501.19 | Professional | None | $446.68 | $457.09 | $501.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | 54 · Surgery only | $346.74 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 55 · Aftercare only | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | 78 · Unplanned return to OR | $323.59 | $323.59 | $323.59 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,137.96 Median $4,677.35 Typical High $11,220.18 | Facility | None | $2,137.96 | $4,677.35 | $11,220.18 |
BCBS Minnesota Setting Professional Modifier None Typical Low $724.44 Median $954.99 Typical High $1,513.56 | Professional | None | $724.44 | $954.99 | $1,513.56 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $588.84 Median $758.58 Typical High $1,202.26 | Professional | 54 · Surgery only | $588.84 | $758.58 | $1,202.26 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $190.55 Typical High $302.00 | Professional | 55 · Aftercare only | $144.54 | $190.55 | $302.00 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $794.33 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $616.60 | $794.33 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,174.90 Typical High $2,238.72 | Facility | None | $758.58 | $1,174.90 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $1,230.27 Typical High $1,949.84 | Professional | None | $724.44 | $1,230.27 | $1,949.84 |
Health Partners Setting Facility Modifier None Typical Low $676.08 Median $1,071.52 Typical High $1,905.46 | Facility | None | $676.08 | $1,071.52 | $1,905.46 |
Health Partners Setting Professional Modifier None Typical Low $645.65 Median $1,122.02 Typical High $1,819.70 | Professional | None | $645.65 | $1,122.02 | $1,819.70 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,258.93 Typical High $3,981.07 | Facility | None | $758.58 | $1,258.93 | $3,981.07 |
Medica Setting Professional Modifier None Typical Low $478.63 Median $912.01 Typical High $4,365.16 | Professional | None | $478.63 | $912.01 | $4,365.16 |
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 $446.68 Median $794.33 Typical High $1,621.81 | Professional | None | $446.68 | $794.33 | $1,621.81 |
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 $229.09 Median $229.09 Typical High $229.09 | Facility | 52 · Reduced service | $229.09 | $229.09 | $229.09 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | 53 · Discontinued | $91.20 | $91.20 | $91.20 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $45.71 Median $45.71 Typical High $45.71 | Facility | 56 · Pre-op care only | $45.71 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | 52 · Reduced service | $229.09 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 53 · Discontinued | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 56 · Pre-op care only | $45.71 | $45.71 | $45.71 |
Where Minnesota sits
The same service costs 3.9 times more in Colorado 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
CO $4,996MD $1,270
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.