How much rates vary
Facilitymedian $537 · 10th to 90th $257 to $1,445Professionalmedian $646 · 10th to 90th $302 to $1,047
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 $275.42 Median $512.86 Typical High $1,258.93 | Facility | None | $275.42 | $512.86 | $1,258.93 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $208.93 Median $229.09 Typical High $229.09 | Facility | 54 · Surgery only | $208.93 | $229.09 | $229.09 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $41.69 Median $45.71 Typical High $45.71 | Facility | 55 · Aftercare only | $41.69 | $45.71 | $45.71 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $194.98 Median $213.80 Typical High $213.80 | Facility | 78 · Unplanned return to OR | $194.98 | $213.80 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $302.00 Typical High $478.63 | Professional | None | $269.15 | $302.00 | $478.63 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $208.93 Median $223.87 Typical High $229.09 | Professional | 54 · Surgery only | $208.93 | $223.87 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $44.67 Typical High $45.71 | Professional | 55 · Aftercare only | $41.69 | $44.67 | $45.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $194.98 Median $208.93 Typical High $213.80 | Professional | 78 · Unplanned return to OR | $194.98 | $208.93 | $213.80 |
BCBS Minnesota Setting Facility Modifier None Typical Low $323.59 Median $870.96 Typical High $2,187.76 | Facility | None | $323.59 | $870.96 | $2,187.76 |
BCBS Minnesota Setting Professional Modifier None Typical Low $524.81 Median $691.83 Typical High $954.99 | Professional | None | $524.81 | $691.83 | $954.99 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $549.54 Typical High $758.58 | Professional | 54 · Surgery only | $416.87 | $549.54 | $758.58 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $138.04 Typical High $190.55 | Professional | 55 · Aftercare only | $104.71 | $138.04 | $190.55 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $575.44 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $436.52 | $575.44 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $776.25 Typical High $1,479.11 | Facility | None | $501.19 | $776.25 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $758.58 Typical High $1,230.27 | Professional | None | $426.58 | $758.58 | $1,230.27 |
Health Partners Setting Facility Modifier None Typical Low $446.68 Median $724.44 Typical High $1,258.93 | Facility | None | $446.68 | $724.44 | $1,258.93 |
Health Partners Setting Professional Modifier None Typical Low $371.54 Median $707.95 Typical High $1,096.48 | Professional | None | $371.54 | $707.95 | $1,096.48 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $478.63 Typical High $1,148.15 | Facility | None | $125.89 | $478.63 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $302.00 Median $645.65 Typical High $2,238.72 | Professional | None | $302.00 | $645.65 | $2,238.72 |
United Setting Facility Modifier None Typical Low $125.89 Median $426.58 Typical High $1,778.28 | Facility | None | $125.89 | $426.58 | $1,778.28 |
United Setting Professional Modifier None Typical Low $269.15 Median $478.63 Typical High $1,000.00 | Professional | None | $269.15 | $478.63 | $1,000.00 |
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 $138.04 Median $151.36 Typical High $151.36 | Facility | 52 · Reduced service | $138.04 | $151.36 | $151.36 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $54.95 Median $60.26 Typical High $60.26 | Facility | 53 · Discontinued | $54.95 | $60.26 | $60.26 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $27.54 Median $30.20 Typical High $30.20 | Facility | 56 · Pre-op care only | $27.54 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $147.91 Typical High $151.36 | Professional | 52 · Reduced service | $138.04 | $147.91 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $58.88 Typical High $60.26 | Professional | 53 · Discontinued | $54.95 | $58.88 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $29.51 Typical High $30.20 | Professional | 56 · Pre-op care only | $27.54 | $29.51 | $30.20 |
Where Minnesota sits
The same service costs 6.4 times more in Colorado than in Florida. 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 $2,602FL $408
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.