How much rates vary
Facilitymedian $1,820 · 10th to 90th $724 to $6,918Professionalmedian $1,413 · 10th to 90th $724 to $2,692
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 $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | 54 · Surgery only | $549.54 | $549.54 | $549.54 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | 55 · Aftercare only | $109.65 | $109.65 | $109.65 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | 78 · Unplanned return to OR | $512.86 | $512.86 | $512.86 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $724.44 Typical High $851.14 | Professional | None | $707.95 | $724.44 | $851.14 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $549.54 Typical High $645.65 | Professional | 54 · Surgery only | $549.54 | $549.54 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $109.65 Typical High $128.82 | Professional | 55 · Aftercare only | $109.65 | $109.65 | $128.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $512.86 Typical High $602.56 | Professional | 78 · Unplanned return to OR | $512.86 | $512.86 | $602.56 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,388.44 Median $6,165.95 Typical High $12,302.69 | Facility | None | $3,388.44 | $6,165.95 | $12,302.69 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,023.29 Median $1,412.54 Typical High $2,290.87 | Professional | None | $1,023.29 | $1,412.54 | $2,290.87 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $831.76 Median $1,122.02 Typical High $1,862.09 | Professional | 54 · Surgery only | $831.76 | $1,122.02 | $1,862.09 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $281.84 Typical High $457.09 | Professional | 55 · Aftercare only | $208.93 | $281.84 | $457.09 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $1,174.90 Typical High $1,949.84 | Professional | 78 · Unplanned return to OR | $870.96 | $1,174.90 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $1,698.24 Typical High $3,311.31 | Facility | None | $1,096.48 | $1,698.24 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,995.26 Typical High $3,090.30 | Professional | None | $1,258.93 | $1,995.26 | $3,090.30 |
Health Partners Setting Facility Modifier None Typical Low $977.24 Median $1,584.89 Typical High $2,754.23 | Facility | None | $977.24 | $1,584.89 | $2,754.23 |
Health Partners Setting Professional Modifier None Typical Low $1,122.02 Median $1,778.28 Typical High $2,754.23 | Professional | None | $1,122.02 | $1,778.28 | $2,754.23 |
Medica Setting Facility Modifier None Typical Low $1,174.90 Median $2,187.76 Typical High $7,762.47 | Facility | None | $1,174.90 | $2,187.76 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $724.44 Median $1,412.54 Typical High $5,011.87 | Professional | None | $724.44 | $1,412.54 | $5,011.87 |
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 $691.83 Median $1,348.96 Typical High $2,691.53 | Professional | None | $691.83 | $1,348.96 | $2,691.53 |
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 $363.08 Median $363.08 Typical High $363.08 | Facility | 52 · Reduced service | $363.08 | $363.08 | $363.08 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | 53 · Discontinued | $144.54 | $144.54 | $144.54 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | 56 · Pre-op care only | $72.44 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $363.08 Median $363.08 Typical High $426.58 | Professional | 52 · Reduced service | $363.08 | $363.08 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $144.54 Typical High $169.82 | Professional | 53 · Discontinued | $144.54 | $144.54 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $72.44 Typical High $85.11 | Professional | 56 · Pre-op care only | $72.44 | $72.44 | $85.11 |
Where Minnesota sits
The same service costs 3.2 times more in Oklahoma 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
OK $6,513MT $2,047
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.