How much rates vary
Facilitymedian $1,514 · 10th to 90th $407 to $5,888Professionalmedian $832 · 10th to 90th $407 to $1,445
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 $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | 54 · Surgery only | $302.00 | $302.00 | $302.00 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | 55 · Aftercare only | $60.26 | $60.26 | $60.26 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | 78 · Unplanned return to OR | $281.84 | $281.84 | $281.84 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $407.38 Typical High $467.74 | Professional | None | $380.19 | $407.38 | $467.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | 54 · Surgery only | $302.00 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | 55 · Aftercare only | $60.26 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | 78 · Unplanned return to OR | $281.84 | $281.84 | $281.84 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,905.46 Median $5,370.32 Typical High $12,302.69 | Facility | None | $1,905.46 | $5,370.32 | $12,302.69 |
BCBS Minnesota Setting Professional Modifier None Typical Low $660.69 Median $831.76 Typical High $1,288.25 | Professional | None | $660.69 | $831.76 | $1,288.25 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $660.69 Typical High $1,047.13 | Professional | 54 · Surgery only | $524.81 | $660.69 | $1,047.13 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $165.96 Typical High $257.04 | Professional | 55 · Aftercare only | $131.83 | $165.96 | $257.04 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $549.54 Median $707.95 Typical High $1,096.48 | Professional | 78 · Unplanned return to OR | $549.54 | $707.95 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,023.29 Typical High $1,995.26 | Facility | None | $660.69 | $1,023.29 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $1,071.52 Typical High $1,698.24 | Professional | None | $630.96 | $1,071.52 | $1,698.24 |
Health Partners Setting Facility Modifier None Typical Low $588.84 Median $954.99 Typical High $1,659.59 | Facility | None | $588.84 | $954.99 | $1,659.59 |
Health Partners Setting Professional Modifier None Typical Low $562.34 Median $1,000.00 Typical High $1,621.81 | Professional | None | $562.34 | $1,000.00 | $1,621.81 |
Medica Setting Facility Modifier None Typical Low $707.95 Median $2,187.76 Typical High $6,760.83 | Facility | None | $707.95 | $2,187.76 | $6,760.83 |
Medica Setting Professional Modifier None Typical Low $389.05 Median $741.31 Typical High $2,951.21 | Professional | None | $389.05 | $741.31 | $2,951.21 |
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 $371.54 Median $645.65 Typical High $1,318.26 | Professional | None | $371.54 | $645.65 | $1,318.26 |
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 $204.17 Median $204.17 Typical High $204.17 | Facility | 52 · Reduced service | $204.17 | $204.17 | $204.17 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | 53 · Discontinued | $81.28 | $81.28 | $81.28 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | 56 · Pre-op care only | $40.74 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | 52 · Reduced service | $204.17 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 53 · Discontinued | $81.28 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | 56 · Pre-op care only | $40.74 | $40.74 | $40.74 |
Where Minnesota sits
The same service costs 6.3 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 $8,170MT $1,293
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.