How much rates vary
Facilitymedian $3,467 · 10th to 90th $589 to $11,482Professionalmedian $1,202 · 10th to 90th $589 to $2,188
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 $588.84 Median $9,772.37 Typical High $11,481.54 | Facility | None | $588.84 | $9,772.37 | $11,481.54 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | 54 · Surgery only | $436.52 | $436.52 | $436.52 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | 55 · Aftercare only | $87.10 | $87.10 | $87.10 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | 78 · Unplanned return to OR | $407.38 | $407.38 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $588.84 Typical High $912.01 | Professional | None | $575.44 | $588.84 | $912.01 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | 54 · Surgery only | $436.52 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $87.10 Typical High $89.13 | Professional | 55 · Aftercare only | $87.10 | $87.10 | $89.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $407.38 | $407.38 | $407.38 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,090.30 Median $6,165.95 Typical High $12,302.69 | Facility | None | $3,090.30 | $6,165.95 | $12,302.69 |
BCBS Minnesota Setting Professional Modifier None Typical Low $933.25 Median $1,202.26 Typical High $1,905.46 | Professional | None | $933.25 | $1,202.26 | $1,905.46 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $977.24 Typical High $1,548.82 | Professional | 54 · Surgery only | $741.31 | $977.24 | $1,548.82 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $245.47 Typical High $380.19 | Professional | 55 · Aftercare only | $186.21 | $245.47 | $380.19 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $776.25 Median $1,023.29 Typical High $1,621.81 | Professional | 78 · Unplanned return to OR | $776.25 | $1,023.29 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $1,479.11 Typical High $2,884.03 | Facility | None | $954.99 | $1,479.11 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $1,548.82 Typical High $2,454.71 | Professional | None | $912.01 | $1,548.82 | $2,454.71 |
Health Partners Setting Facility Modifier None Typical Low $851.14 Median $1,380.38 Typical High $2,398.83 | Facility | None | $851.14 | $1,380.38 | $2,398.83 |
Health Partners Setting Professional Modifier None Typical Low $812.83 Median $1,445.44 Typical High $2,344.23 | Professional | None | $812.83 | $1,445.44 | $2,344.23 |
Medica Setting Facility Modifier None Typical Low $1,023.29 Median $4,466.84 Typical High $9,332.54 | Facility | None | $1,023.29 | $4,466.84 | $9,332.54 |
Medica Setting Professional Modifier None Typical Low $616.60 Median $1,174.90 Typical High $4,365.16 | Professional | None | $616.60 | $1,174.90 | $4,365.16 |
United Setting Facility Modifier None Typical Low $3,235.94 Median $5,370.32 Typical High $10,964.78 | Facility | None | $3,235.94 | $5,370.32 | $10,964.78 |
United Setting Professional Modifier None Typical Low $575.44 Median $1,023.29 Typical High $2,089.30 | Professional | None | $575.44 | $1,023.29 | $2,089.30 |
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 $295.12 Median $295.12 Typical High $295.12 | Facility | 52 · Reduced service | $295.12 | $295.12 | $295.12 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $117.49 Median $117.49 Typical High $117.49 | Facility | 53 · Discontinued | $117.49 | $117.49 | $117.49 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | 56 · Pre-op care only | $58.88 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | 52 · Reduced service | $295.12 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 53 · Discontinued | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | 56 · Pre-op care only | $58.88 | $58.88 | $58.88 |
Where Minnesota sits
The same service costs 4.7 times more in Oklahoma 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
OK $8,820MT $1,888
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.