How much rates vary
Facilitymedian $1,230 · 10th to 90th $468 to $4,786Professionalmedian $977 · 10th to 90th $468 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 $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
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 $467.74 Median $467.74 Typical High $478.63 | Professional | None | $467.74 | $467.74 | $478.63 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | 54 · Surgery only | $354.81 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | 55 · Aftercare only | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | 78 · Unplanned return to OR | $331.13 | $331.13 | $331.13 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,137.96 Median $4,897.79 Typical High $11,481.54 | Facility | None | $2,137.96 | $4,897.79 | $11,481.54 |
BCBS Minnesota Setting Professional Modifier None Typical Low $776.25 Median $977.24 Typical High $1,513.56 | Professional | None | $776.25 | $977.24 | $1,513.56 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $630.96 Median $776.25 Typical High $1,202.26 | Professional | 54 · Surgery only | $630.96 | $776.25 | $1,202.26 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $199.53 Typical High $302.00 | Professional | 55 · Aftercare only | $154.88 | $199.53 | $302.00 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $831.76 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $660.69 | $831.76 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $1,202.26 Typical High $2,290.87 | Facility | None | $776.25 | $1,202.26 | $2,290.87 |
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 $1,862.09 | Professional | None | $660.69 | $1,174.90 | $1,862.09 |
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 $446.68 Median $851.14 Typical High $3,467.37 | Professional | None | $446.68 | $851.14 | $3,467.37 |
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 $426.58 Median $741.31 Typical High $1,513.56 | Professional | None | $426.58 | $741.31 | $1,513.56 |
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 $234.42 Median $234.42 Typical High $234.42 | Facility | 52 · Reduced service | $234.42 | $234.42 | $234.42 |
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 $46.77 Median $46.77 Typical High $46.77 | Facility | 56 · Pre-op care only | $46.77 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | 52 · Reduced service | $234.42 | $234.42 | $234.42 |
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 $46.77 Median $46.77 Typical High $46.77 | Professional | 56 · Pre-op care only | $46.77 | $46.77 | $46.77 |
Where Minnesota sits
The same service costs 4.2 times more in Colorado than in Delaware. 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 $5,011DE $1,202
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.