How much rates vary
Facilitymedian $1,514 · 10th to 90th $479 to $3,981Professionalmedian $1,585 · 10th to 90th $741 to $2,884
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 $478.63 Median $741.31 Typical High $741.31 | Facility | None | $478.63 | $741.31 | $741.31 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | 54 · Surgery only | $562.34 | $562.34 | $562.34 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | 55 · Aftercare only | $112.20 | $112.20 | $112.20 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | 78 · Unplanned return to OR | $524.81 | $524.81 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $954.99 | Professional | None | $741.31 | $741.31 | $954.99 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $562.34 Typical High $588.84 | Professional | 54 · Surgery only | $562.34 | $562.34 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $112.20 Typical High $117.49 | Professional | 55 · Aftercare only | $112.20 | $112.20 | $117.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $524.81 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $524.81 | $524.81 | $549.54 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,548.82 Median $3,090.30 Typical High $6,165.95 | Facility | None | $1,548.82 | $3,090.30 | $6,165.95 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,230.27 Median $1,698.24 Typical High $2,570.40 | Professional | None | $1,230.27 | $1,698.24 | $2,570.40 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $977.24 Median $1,348.96 Typical High $2,041.74 | Professional | 54 · Surgery only | $977.24 | $1,348.96 | $2,041.74 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $257.04 Median $346.74 Typical High $512.86 | Professional | 55 · Aftercare only | $257.04 | $346.74 | $512.86 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,023.29 Median $1,412.54 Typical High $2,187.76 | Professional | 78 · Unplanned return to OR | $1,023.29 | $1,412.54 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $1,905.46 Typical High $3,630.78 | Facility | None | $1,230.27 | $1,905.46 | $3,630.78 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,995.26 Typical High $3,090.30 | Professional | None | $1,148.15 | $1,995.26 | $3,090.30 |
Health Partners Setting Facility Modifier None Typical Low $1,071.52 Median $1,737.80 Typical High $3,019.95 | Facility | None | $1,071.52 | $1,737.80 | $3,019.95 |
Health Partners Setting Professional Modifier None Typical Low $1,023.29 Median $1,819.70 Typical High $2,951.21 | Professional | None | $1,023.29 | $1,819.70 | $2,951.21 |
Medica Setting Facility Modifier None Typical Low $794.33 Median $1,445.44 Typical High $3,981.07 | Facility | None | $794.33 | $1,445.44 | $3,981.07 |
Medica Setting Professional Modifier None Typical Low $812.83 Median $1,513.56 Typical High $5,623.41 | Professional | None | $812.83 | $1,513.56 | $5,623.41 |
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 $776.25 Median $1,348.96 Typical High $2,754.23 | Professional | None | $776.25 | $1,348.96 | $2,754.23 |
8 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 $371.54 Median $371.54 Typical High $371.54 | Facility | 52 · Reduced service | $371.54 | $371.54 | $371.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | 53 · Discontinued | $147.91 | $147.91 | $147.91 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $74.13 Median $74.13 Typical High $74.13 | Facility | 56 · Pre-op care only | $74.13 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $371.54 Median $371.54 Typical High $389.05 | Professional | 52 · Reduced service | $371.54 | $371.54 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $147.91 Typical High $154.88 | Professional | 53 · Discontinued | $147.91 | $147.91 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $74.13 Typical High $77.62 | Professional | 56 · Pre-op care only | $74.13 | $74.13 | $77.62 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $3,162.28 Median $5,754.40 Typical High $10,715.19 | Facility | 50 · Both sides | $3,162.28 | $5,754.40 | $10,715.19 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $1,819.70 Median $2,570.40 Typical High $3,890.45 | Professional | 50 · Both sides | $1,819.70 | $2,570.40 | $3,890.45 |
Where Minnesota sits
The same service costs 3.6 times more in Alaska than in Alabama. 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
AK $5,545AL $1,558
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.