How much rates vary
Facilitymedian $1,479 · 10th to 90th $407 to $5,623Professionalmedian $1,023 · 10th to 90th $562 to $1,862
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 $575.44 Typical High $575.44 | Facility | None | $407.38 | $575.44 | $575.44 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $309.03 Median $426.58 Typical High $426.58 | Facility | 54 · Surgery only | $309.03 | $426.58 | $426.58 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $61.66 Median $85.11 Typical High $85.11 | Facility | 55 · Aftercare only | $61.66 | $85.11 | $85.11 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $398.11 Typical High $398.11 | Facility | 78 · Unplanned return to OR | $288.40 | $398.11 | $398.11 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $549.54 Typical High $575.44 | Professional | None | $407.38 | $549.54 | $575.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $309.03 Median $416.87 Typical High $426.58 | Professional | 54 · Surgery only | $309.03 | $416.87 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $83.18 Typical High $85.11 | Professional | 55 · Aftercare only | $61.66 | $83.18 | $85.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $389.05 Typical High $398.11 | Professional | 78 · Unplanned return to OR | $288.40 | $389.05 | $398.11 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,187.76 Median $5,623.41 Typical High $12,302.69 | Facility | None | $2,187.76 | $5,623.41 | $12,302.69 |
BCBS Minnesota Setting Professional Modifier None Typical Low $676.08 Median $1,047.13 Typical High $1,659.59 | Professional | None | $676.08 | $1,047.13 | $1,659.59 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $831.76 Typical High $1,348.96 | Professional | 54 · Surgery only | $537.03 | $831.76 | $1,348.96 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $208.93 Typical High $331.13 | Professional | 55 · Aftercare only | $138.04 | $208.93 | $331.13 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $870.96 Typical High $1,412.54 | Professional | 78 · Unplanned return to OR | $575.44 | $870.96 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $1,445.44 Typical High $2,754.23 | Facility | None | $933.25 | $1,445.44 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $1,258.93 Typical High $2,089.30 | Professional | None | $691.83 | $1,258.93 | $2,089.30 |
Health Partners Setting Facility Modifier None Typical Low $831.76 Median $1,380.38 Typical High $2,344.23 | Facility | None | $831.76 | $1,380.38 | $2,344.23 |
Health Partners Setting Professional Modifier None Typical Low $676.08 Median $1,174.90 Typical High $1,905.46 | Professional | None | $676.08 | $1,174.90 | $1,905.46 |
Medica Setting Facility Modifier None Typical Low $691.83 Median $1,698.24 Typical High $4,786.30 | Facility | None | $691.83 | $1,698.24 | $4,786.30 |
Medica Setting Professional Modifier None Typical Low $630.96 Median $1,318.26 Typical High $4,265.80 | Professional | None | $630.96 | $1,318.26 | $4,265.80 |
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 $457.09 Median $891.25 Typical High $1,862.09 | Professional | None | $457.09 | $891.25 | $1,862.09 |
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 $288.40 Typical High $288.40 | Facility | 52 · Reduced service | $204.17 | $288.40 | $288.40 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $83.18 Median $114.82 Typical High $114.82 | Facility | 53 · Discontinued | $83.18 | $114.82 | $114.82 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $40.74 Median $57.54 Typical High $57.54 | Facility | 56 · Pre-op care only | $40.74 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $204.17 Median $275.42 Typical High $288.40 | Professional | 52 · Reduced service | $204.17 | $275.42 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $109.65 Typical High $114.82 | Professional | 53 · Discontinued | $83.18 | $109.65 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $54.95 Typical High $57.54 | Professional | 56 · Pre-op care only | $40.74 | $54.95 | $57.54 |
Where Minnesota sits
The same service costs 5.8 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 $8,423MT $1,458
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.