How much rates vary
Facilitymedian $1,514 · 10th to 90th $457 to $6,166Professionalmedian $912 · 10th to 90th $501 to $1,778
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 $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | 54 · Surgery only | $346.74 | $346.74 | $346.74 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | 55 · Aftercare only | $69.18 | $69.18 | $69.18 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $323.59 Typical High $323.59 | Facility | 78 · Unplanned return to OR | $323.59 | $323.59 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $537.03 | Professional | None | $457.09 | $457.09 | $537.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $346.74 Typical High $407.38 | Professional | 54 · Surgery only | $346.74 | $346.74 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $69.18 Typical High $81.28 | Professional | 55 · Aftercare only | $69.18 | $69.18 | $81.28 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $323.59 Typical High $380.19 | Professional | 78 · Unplanned return to OR | $323.59 | $323.59 | $380.19 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,398.83 Median $5,623.41 Typical High $12,302.69 | Facility | None | $2,398.83 | $5,623.41 | $12,302.69 |
BCBS Minnesota Setting Professional Modifier None Typical Low $676.08 Median $891.25 Typical High $1,479.11 | Professional | None | $676.08 | $891.25 | $1,479.11 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $724.44 Typical High $1,174.90 | Professional | 54 · Surgery only | $537.03 | $724.44 | $1,174.90 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $177.83 Typical High $295.12 | Professional | 55 · Aftercare only | $134.90 | $177.83 | $295.12 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $758.58 Typical High $1,230.27 | Professional | 78 · Unplanned return to OR | $562.34 | $758.58 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,071.52 Typical High $2,041.74 | Facility | None | $691.83 | $1,071.52 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $1,230.27 Typical High $1,949.84 | Professional | None | $794.33 | $1,230.27 | $1,949.84 |
Health Partners Setting Facility Modifier None Typical Low $616.60 Median $1,000.00 Typical High $1,737.80 | Facility | None | $616.60 | $1,000.00 | $1,737.80 |
Health Partners Setting Professional Modifier None Typical Low $691.83 Median $1,122.02 Typical High $1,698.24 | Professional | None | $691.83 | $1,122.02 | $1,698.24 |
Medica Setting Facility Modifier None Typical Low $741.31 Median $2,137.96 Typical High $6,760.83 | Facility | None | $741.31 | $2,137.96 | $6,760.83 |
Medica Setting Professional Modifier None Typical Low $501.19 Median $954.99 Typical High $3,162.28 | Professional | None | $501.19 | $954.99 | $3,162.28 |
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 $489.78 Median $891.25 Typical High $1,819.70 | Professional | None | $489.78 | $891.25 | $1,819.70 |
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 $229.09 Median $229.09 Typical High $229.09 | Facility | 52 · Reduced service | $229.09 | $229.09 | $229.09 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | 53 · Discontinued | $91.20 | $91.20 | $91.20 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $45.71 Median $45.71 Typical High $45.71 | Facility | 56 · Pre-op care only | $45.71 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $229.09 Median $229.09 Typical High $269.15 | Professional | 52 · Reduced service | $229.09 | $229.09 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $91.20 Typical High $107.15 | Professional | 53 · Discontinued | $91.20 | $91.20 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $45.71 Typical High $53.70 | Professional | 56 · Pre-op care only | $45.71 | $45.71 | $53.70 |
Where Minnesota sits
The same service costs 4.1 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 $5,653MT $1,368
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.