How much rates vary
Facilitymedian $1,820 · 10th to 90th $490 to $7,943Professionalmedian $977 · 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 $489.78 Median $489.78 Typical High $7,943.28 | Facility | None | $489.78 | $489.78 | $7,943.28 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | 54 · Surgery only | $363.08 | $363.08 | $363.08 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | 55 · Aftercare only | $72.44 | $72.44 | $72.44 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | 78 · Unplanned return to OR | $338.84 | $338.84 | $338.84 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $489.78 Typical High $645.65 | Professional | None | $478.63 | $489.78 | $645.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | 54 · Surgery only | $363.08 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 55 · Aftercare only | $72.44 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | 78 · Unplanned return to OR | $338.84 | $338.84 | $338.84 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,570.40 Median $5,623.41 Typical High $12,302.69 | Facility | None | $2,570.40 | $5,623.41 | $12,302.69 |
BCBS Minnesota Setting Professional Modifier None Typical Low $776.25 Median $1,000.00 Typical High $1,584.89 | Professional | None | $776.25 | $1,000.00 | $1,584.89 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $794.33 Typical High $1,258.93 | Professional | 54 · Surgery only | $616.60 | $794.33 | $1,258.93 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $199.53 Typical High $316.23 | Professional | 55 · Aftercare only | $154.88 | $199.53 | $316.23 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $851.14 Typical High $1,348.96 | Professional | 78 · Unplanned return to OR | $645.65 | $851.14 | $1,348.96 |
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 $758.58 Median $1,288.25 Typical High $2,041.74 | Professional | None | $758.58 | $1,288.25 | $2,041.74 |
Health Partners Setting Facility Modifier None Typical Low $707.95 Median $1,148.15 Typical High $1,995.26 | Facility | None | $707.95 | $1,148.15 | $1,995.26 |
Health Partners Setting Professional Modifier None Typical Low $676.08 Median $1,202.26 Typical High $1,949.84 | Professional | None | $676.08 | $1,202.26 | $1,949.84 |
Medica Setting Facility Modifier None Typical Low $912.01 Median $2,187.76 Typical High $7,079.46 | Facility | None | $912.01 | $2,187.76 | $7,079.46 |
Medica Setting Professional Modifier None Typical Low $512.86 Median $977.24 Typical High $3,548.13 | Professional | None | $512.86 | $977.24 | $3,548.13 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $8,317.64 | Facility | None | $1,513.56 | $2,511.89 | $8,317.64 |
United Setting Professional Modifier None Typical Low $478.63 Median $851.14 Typical High $1,698.24 | Professional | None | $478.63 | $851.14 | $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 $245.47 Median $245.47 Typical High $245.47 | Facility | 52 · Reduced service | $245.47 | $245.47 | $245.47 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | 53 · Discontinued | $97.72 | $97.72 | $97.72 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | 56 · Pre-op care only | $48.98 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | 52 · Reduced service | $245.47 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | 53 · Discontinued | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | 56 · Pre-op care only | $48.98 | $48.98 | $48.98 |
Where Minnesota sits
The same service costs 5.4 times more in Alabama 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
AL $8,312MT $1,553
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.