How much rates vary
Facilitymedian $1,995 · 10th to 90th $603 to $6,166Professionalmedian $1,230 · 10th to 90th $603 to $2,239
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 $602.56 Median $602.56 Typical High $5,495.41 | Facility | None | $602.56 | $602.56 | $5,495.41 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | 54 · Surgery only | $457.09 | $457.09 | $457.09 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | 55 · Aftercare only | $91.20 | $91.20 | $91.20 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | 78 · Unplanned return to OR | $426.58 | $426.58 | $426.58 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $602.56 Typical High $794.33 | Professional | None | $588.84 | $602.56 | $794.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | 54 · Surgery only | $457.09 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 55 · Aftercare only | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | 78 · Unplanned return to OR | $426.58 | $426.58 | $426.58 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,235.94 Median $6,165.95 Typical High $12,302.69 | Facility | None | $3,235.94 | $6,165.95 | $12,302.69 |
BCBS Minnesota Setting Professional Modifier None Typical Low $954.99 Median $1,258.93 Typical High $1,995.26 | Professional | None | $954.99 | $1,258.93 | $1,995.26 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $758.58 Median $1,000.00 Typical High $1,584.89 | Professional | 54 · Surgery only | $758.58 | $1,000.00 | $1,584.89 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $251.19 Typical High $398.11 | Professional | 55 · Aftercare only | $190.55 | $251.19 | $398.11 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $1,047.13 Typical High $1,659.59 | Professional | 78 · Unplanned return to OR | $812.83 | $1,047.13 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $1,548.82 Typical High $2,951.21 | Facility | None | $1,000.00 | $1,548.82 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $1,621.81 Typical High $2,511.89 | Professional | None | $954.99 | $1,621.81 | $2,511.89 |
Health Partners Setting Facility Modifier None Typical Low $891.25 Median $1,412.54 Typical High $2,454.71 | Facility | None | $891.25 | $1,412.54 | $2,454.71 |
Health Partners Setting Professional Modifier None Typical Low $851.14 Median $1,479.11 Typical High $2,398.83 | Professional | None | $851.14 | $1,479.11 | $2,398.83 |
Medica Setting Facility Modifier None Typical Low $1,047.13 Median $2,187.76 Typical High $7,762.47 | Facility | None | $1,047.13 | $2,187.76 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $645.65 Median $1,202.26 Typical High $4,466.84 | Professional | None | $645.65 | $1,202.26 | $4,466.84 |
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 $602.56 Median $1,047.13 Typical High $2,137.96 | Professional | None | $602.56 | $1,047.13 | $2,137.96 |
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 $302.00 Median $302.00 Typical High $302.00 | Facility | 52 · Reduced service | $302.00 | $302.00 | $302.00 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | 53 · Discontinued | $120.23 | $120.23 | $120.23 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | 56 · Pre-op care only | $60.26 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $302.00 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $120.23 Typical High $123.03 | Professional | 53 · Discontinued | $120.23 | $120.23 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $60.26 Typical High $61.66 | Professional | 56 · Pre-op care only | $60.26 | $60.26 | $61.66 |
Where Minnesota sits
The same service costs 4.4 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 $8,454MT $1,932
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.