How much rates vary
Facilitymedian $275 · 10th to 90th $95 to $1,072Professionalmedian $245 · 10th to 90th $123 to $427
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 $95.50 Median $128.82 Typical High $128.82 | Facility | None | $95.50 | $128.82 | $128.82 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $70.79 Median $97.72 Typical High $97.72 | Facility | 54 · Surgery only | $70.79 | $97.72 | $97.72 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $14.13 Median $19.50 Typical High $19.50 | Facility | 55 · Aftercare only | $14.13 | $19.50 | $19.50 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $66.07 Median $91.20 Typical High $91.20 | Facility | 78 · Unplanned return to OR | $66.07 | $91.20 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $120.23 Typical High $128.82 | Professional | None | $95.50 | $120.23 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $70.79 Median $91.20 Typical High $97.72 | Professional | 54 · Surgery only | $70.79 | $91.20 | $97.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $18.20 Typical High $19.50 | Professional | 55 · Aftercare only | $14.13 | $18.20 | $19.50 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $66.07 Median $85.11 Typical High $91.20 | Professional | 78 · Unplanned return to OR | $66.07 | $85.11 | $91.20 |
BCBS Minnesota Setting Facility Modifier None Typical Low $323.59 Median $870.96 Typical High $2,187.76 | Facility | None | $323.59 | $870.96 | $2,187.76 |
BCBS Minnesota Setting Professional Modifier None Typical Low $173.78 Median $257.04 Typical High $389.05 | Professional | None | $173.78 | $257.04 | $389.05 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $138.04 Median $208.93 Typical High $309.03 | Professional | 54 · Surgery only | $138.04 | $208.93 | $309.03 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $53.70 Typical High $75.86 | Professional | 55 · Aftercare only | $36.31 | $53.70 | $75.86 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $147.91 Median $218.78 Typical High $323.59 | Professional | 78 · Unplanned return to OR | $147.91 | $218.78 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $331.13 Typical High $630.96 | Facility | None | $213.80 | $331.13 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $288.40 Typical High $478.63 | Professional | None | $158.49 | $288.40 | $478.63 |
Health Partners Setting Facility Modifier None Typical Low $190.55 Median $309.03 Typical High $537.03 | Facility | None | $190.55 | $309.03 | $537.03 |
Health Partners Setting Professional Modifier None Typical Low $154.88 Median $269.15 Typical High $436.52 | Professional | None | $154.88 | $269.15 | $436.52 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $275.42 Typical High $1,230.27 | Facility | None | $125.89 | $275.42 | $1,230.27 |
Medica Setting Professional Modifier None Typical Low $128.82 Median $281.84 Typical High $954.99 | Professional | None | $128.82 | $281.84 | $954.99 |
United Setting Facility Modifier None Typical Low $125.89 Median $426.58 Typical High $1,778.28 | Facility | None | $125.89 | $426.58 | $1,778.28 |
United Setting Professional Modifier None Typical Low $104.71 Median $194.98 Typical High $380.19 | Professional | None | $104.71 | $194.98 | $380.19 |
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 $47.86 Median $64.57 Typical High $64.57 | Facility | 52 · Reduced service | $47.86 | $64.57 | $64.57 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $19.05 Median $25.70 Typical High $25.70 | Facility | 53 · Discontinued | $19.05 | $25.70 | $25.70 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $9.55 Median $12.88 Typical High $12.88 | Facility | 56 · Pre-op care only | $9.55 | $12.88 | $12.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $60.26 Typical High $64.57 | Professional | 52 · Reduced service | $47.86 | $60.26 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $24.55 Typical High $25.70 | Professional | 53 · Discontinued | $19.05 | $24.55 | $25.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $12.02 Typical High $12.88 | Professional | 56 · Pre-op care only | $9.55 | $12.02 | $12.88 |
Where Minnesota sits
The same service costs 13.1 times more in Hawaii than in Maryland. 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
HI $2,944MD $224
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.