How much rates vary
Facilitymedian $501 · 10th to 90th $240 to $2,512Professionalmedian $525 · 10th to 90th $269 to $955
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 $239.88 Median $269.15 Typical High $269.15 | Facility | None | $239.88 | $269.15 | $269.15 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $181.97 Median $199.53 Typical High $199.53 | Facility | 54 · Surgery only | $181.97 | $199.53 | $199.53 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $36.31 Median $40.74 Typical High $40.74 | Facility | 55 · Aftercare only | $36.31 | $40.74 | $40.74 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $169.82 Median $186.21 Typical High $186.21 | Facility | 78 · Unplanned return to OR | $169.82 | $186.21 | $186.21 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $269.15 Typical High $269.15 | Professional | None | $239.88 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $181.97 Median $199.53 Typical High $199.53 | Professional | 54 · Surgery only | $181.97 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $40.74 Typical High $40.74 | Professional | 55 · Aftercare only | $36.31 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $169.82 Median $186.21 Typical High $186.21 | Professional | 78 · Unplanned return to OR | $169.82 | $186.21 | $186.21 |
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 $380.19 Median $512.86 Typical High $812.83 | Professional | None | $380.19 | $512.86 | $812.83 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $302.00 Median $416.87 Typical High $660.69 | Professional | 54 · Surgery only | $302.00 | $416.87 | $660.69 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $104.71 Typical High $162.18 | Professional | 55 · Aftercare only | $77.62 | $104.71 | $162.18 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $316.23 Median $436.52 Typical High $691.83 | Professional | 78 · Unplanned return to OR | $316.23 | $436.52 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $691.83 Typical High $1,318.26 | Facility | None | $436.52 | $691.83 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $660.69 Typical High $1,071.52 | Professional | None | $380.19 | $660.69 | $1,071.52 |
Health Partners Setting Facility Modifier None Typical Low $389.05 Median $645.65 Typical High $1,096.48 | Facility | None | $389.05 | $645.65 | $1,096.48 |
Health Partners Setting Professional Modifier None Typical Low $331.13 Median $630.96 Typical High $977.24 | Professional | None | $331.13 | $630.96 | $977.24 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $426.58 Typical High $1,445.44 | Facility | None | $125.89 | $426.58 | $1,445.44 |
Medica Setting Professional Modifier None Typical Low $316.23 Median $660.69 Typical High $1,949.84 | Professional | None | $316.23 | $660.69 | $1,949.84 |
United Setting Facility Modifier None Typical Low $125.89 Median $426.58 Typical High $2,570.40 | Facility | None | $125.89 | $426.58 | $2,570.40 |
United Setting Professional Modifier None Typical Low $269.15 Median $489.78 Typical High $1,000.00 | Professional | None | $269.15 | $489.78 | $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 $120.23 Median $134.90 Typical High $134.90 | Facility | 52 · Reduced service | $120.23 | $134.90 | $134.90 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $47.86 Median $53.70 Typical High $53.70 | Facility | 53 · Discontinued | $47.86 | $53.70 | $53.70 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $23.99 Median $26.92 Typical High $26.92 | Facility | 56 · Pre-op care only | $23.99 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $134.90 Typical High $134.90 | Professional | 52 · Reduced service | $120.23 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $53.70 Typical High $53.70 | Professional | 53 · Discontinued | $47.86 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $26.92 Typical High $26.92 | Professional | 56 · Pre-op care only | $23.99 | $26.92 | $26.92 |
Where Minnesota sits
The same service costs 10.5 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 $4,157FL $396
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.