How much rates vary
Facilitymedian $1,122 · 10th to 90th $288 to $6,310Professionalmedian $741 · 10th to 90th $398 to $1,380
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 $288.40 Median $426.58 Typical High $426.58 | Facility | None | $288.40 | $426.58 | $426.58 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $213.80 Median $316.23 Typical High $316.23 | Facility | 54 · Surgery only | $213.80 | $316.23 | $316.23 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $42.66 Median $63.10 Typical High $63.10 | Facility | 55 · Aftercare only | $42.66 | $63.10 | $63.10 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $199.53 Median $295.12 Typical High $295.12 | Facility | 78 · Unplanned return to OR | $199.53 | $295.12 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $407.38 Typical High $436.52 | Professional | None | $288.40 | $407.38 | $436.52 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $213.80 Median $309.03 Typical High $316.23 | Professional | 54 · Surgery only | $213.80 | $309.03 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $61.66 Typical High $63.10 | Professional | 55 · Aftercare only | $42.66 | $61.66 | $63.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $199.53 Median $288.40 Typical High $295.12 | Professional | 78 · Unplanned return to OR | $199.53 | $288.40 | $295.12 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,265.80 Median $7,244.36 Typical High $14,454.40 | Facility | None | $4,265.80 | $7,244.36 | $14,454.40 |
BCBS Minnesota Setting Professional Modifier None Typical Low $478.63 Median $741.31 Typical High $1,230.27 | Professional | None | $478.63 | $741.31 | $1,230.27 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $380.19 Median $602.56 Typical High $977.24 | Professional | 54 · Surgery only | $380.19 | $602.56 | $977.24 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $147.91 Typical High $245.47 | Professional | 55 · Aftercare only | $95.50 | $147.91 | $245.47 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $630.96 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $398.11 | $630.96 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,071.52 Typical High $2,089.30 | Facility | None | $691.83 | $1,071.52 | $2,089.30 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $912.01 Typical High $1,479.11 | Professional | None | $478.63 | $912.01 | $1,479.11 |
Health Partners Setting Facility Modifier None Typical Low $616.60 Median $1,000.00 Typical High $1,737.80 | Facility | None | $616.60 | $1,000.00 | $1,737.80 |
Health Partners Setting Professional Modifier None Typical Low $467.74 Median $831.76 Typical High $1,412.54 | Professional | None | $467.74 | $831.76 | $1,412.54 |
Medica Setting Facility Modifier None Typical Low $501.19 Median $1,659.59 Typical High $4,786.30 | Facility | None | $501.19 | $1,659.59 | $4,786.30 |
Medica Setting Professional Modifier None Typical Low $467.74 Median $954.99 Typical High $3,090.30 | Professional | None | $467.74 | $954.99 | $3,090.30 |
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 $331.13 Median $660.69 Typical High $1,348.96 | Professional | None | $331.13 | $660.69 | $1,348.96 |
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 $144.54 Median $213.80 Typical High $213.80 | Facility | 52 · Reduced service | $144.54 | $213.80 | $213.80 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $57.54 Median $85.11 Typical High $85.11 | Facility | 53 · Discontinued | $57.54 | $85.11 | $85.11 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $28.84 Median $42.66 Typical High $42.66 | Facility | 56 · Pre-op care only | $28.84 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $144.54 Median $204.17 Typical High $213.80 | Professional | 52 · Reduced service | $144.54 | $204.17 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $81.28 Typical High $85.11 | Professional | 53 · Discontinued | $57.54 | $81.28 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $40.74 Typical High $42.66 | Professional | 56 · Pre-op care only | $28.84 | $40.74 | $42.66 |
Where Minnesota sits
The same service costs 6.0 times more in Colorado 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
CO $6,315MT $1,060
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.