How much rates vary
Facilitymedian $1,738 · 10th to 90th $479 to $8,318Professionalmedian $955 · 10th to 90th $479 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 $478.63 Median $478.63 Typical High $8,317.64 | Facility | None | $478.63 | $478.63 | $8,317.64 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | 54 · Surgery only | $354.81 | $354.81 | $354.81 |
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 $331.13 Median $331.13 Typical High $331.13 | Facility | 78 · Unplanned return to OR | $331.13 | $331.13 | $331.13 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $602.56 | Professional | None | $478.63 | $478.63 | $602.56 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $354.81 Median $354.81 Typical High $363.08 | Professional | 54 · Surgery only | $354.81 | $354.81 | $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 $331.13 Median $331.13 Typical High $338.84 | Professional | 78 · Unplanned return to OR | $331.13 | $331.13 | $338.84 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,754.23 Median $11,748.98 Typical High $26,915.35 | Facility | None | $2,754.23 | $11,748.98 | $26,915.35 |
BCBS Minnesota Setting Professional Modifier None Typical Low $758.58 Median $977.24 Typical High $1,548.82 | Professional | None | $758.58 | $977.24 | $1,548.82 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $776.25 Typical High $1,230.27 | Professional | 54 · Surgery only | $602.56 | $776.25 | $1,230.27 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $194.98 Typical High $309.03 | Professional | 55 · Aftercare only | $151.36 | $194.98 | $309.03 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $831.76 Typical High $1,318.26 | Professional | 78 · Unplanned return to OR | $630.96 | $831.76 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $1,230.27 Typical High $2,344.23 | Facility | None | $776.25 | $1,230.27 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $1,258.93 Typical High $1,995.26 | Professional | None | $741.31 | $1,258.93 | $1,995.26 |
Health Partners Setting Facility Modifier None Typical Low $691.83 Median $1,122.02 Typical High $1,949.84 | Facility | None | $691.83 | $1,122.02 | $1,949.84 |
Health Partners Setting Professional Modifier None Typical Low $660.69 Median $1,174.90 Typical High $1,905.46 | Professional | None | $660.69 | $1,174.90 | $1,905.46 |
Medica Setting Facility Modifier None Typical Low $831.76 Median $2,041.74 Typical High $6,760.83 | Facility | None | $831.76 | $2,041.74 | $6,760.83 |
Medica Setting Professional Modifier None Typical Low $524.81 Median $954.99 Typical High $4,466.84 | Professional | None | $524.81 | $954.99 | $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 $478.63 Median $851.14 Typical High $1,698.24 | Professional | None | $478.63 | $851.14 | $1,698.24 |
7 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 $239.88 Median $239.88 Typical High $239.88 | Facility | 52 · Reduced service | $239.88 | $239.88 | $239.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | 53 · Discontinued | $95.50 | $95.50 | $95.50 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $47.86 Median $47.86 Typical High $47.86 | Facility | 56 · Pre-op care only | $47.86 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $239.88 Median $239.88 Typical High $245.47 | Professional | 52 · Reduced service | $239.88 | $239.88 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $95.50 Typical High $97.72 | Professional | 53 · Discontinued | $95.50 | $95.50 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $47.86 Typical High $48.98 | Professional | 56 · Pre-op care only | $47.86 | $47.86 | $48.98 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $478.63 Median $616.60 Typical High $933.25 | Professional | 62 · Two surgeons | $478.63 | $616.60 | $933.25 |
Where Minnesota sits
The same service costs 7.0 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 $10,808MT $1,535
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.