How much rates vary
Facilitymedian $1,698 · 10th to 90th $479 to $23,442Professionalmedian $933 · 10th to 90th $562 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 $478.63 Median $478.63 Typical High $3,630.78 | Facility | None | $478.63 | $478.63 | $3,630.78 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | 54 · Surgery only | $363.08 | $363.08 | $363.08 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | 55 · Aftercare only | $72.44 | $72.44 | $72.44 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | 78 · Unplanned return to OR | $338.84 | $338.84 | $338.84 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $575.44 | Professional | None | $478.63 | $478.63 | $575.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $363.08 Median $363.08 Typical High $436.52 | Professional | 54 · Surgery only | $363.08 | $363.08 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $72.44 Typical High $87.10 | Professional | 55 · Aftercare only | $72.44 | $72.44 | $87.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $338.84 Median $338.84 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $338.84 | $338.84 | $407.38 |
BCBS Minnesota Setting Facility Modifier None Typical Low $14,125.38 Median $26,302.68 Typical High $56,234.13 | Facility | None | $14,125.38 | $26,302.68 | $56,234.13 |
BCBS Minnesota Setting Professional Modifier None Typical Low $676.08 Median $933.25 Typical High $1,548.82 | Professional | None | $676.08 | $933.25 | $1,548.82 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $741.31 Typical High $1,230.27 | Professional | 54 · Surgery only | $549.54 | $741.31 | $1,230.27 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $186.21 Typical High $302.00 | Professional | 55 · Aftercare only | $138.04 | $186.21 | $302.00 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $426.58 Median $575.44 Typical High $954.99 | Professional | 62 · Two surgeons | $426.58 | $575.44 | $954.99 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $776.25 Typical High $1,288.25 | Professional | 78 · Unplanned return to OR | $575.44 | $776.25 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,096.48 Typical High $2,089.30 | Facility | None | $707.95 | $1,096.48 | $2,089.30 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $1,202.26 Typical High $1,905.46 | Professional | None | $812.83 | $1,202.26 | $1,905.46 |
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 $707.95 Median $1,071.52 Typical High $1,737.80 | Professional | None | $707.95 | $1,071.52 | $1,737.80 |
Medica Setting Facility Modifier None Typical Low $741.31 Median $5,128.61 Typical High $15,135.61 | Facility | None | $741.31 | $5,128.61 | $15,135.61 |
Medica Setting Professional Modifier None Typical Low $562.34 Median $912.01 Typical High $1,862.09 | Professional | None | $562.34 | $912.01 | $1,862.09 |
United Setting Facility Modifier None Typical Low $3,981.07 Median $5,623.41 Typical High $16,595.87 | Facility | None | $3,981.07 | $5,623.41 | $16,595.87 |
United Setting Professional Modifier None Typical Low $524.81 Median $912.01 Typical High $1,862.09 | Professional | None | $524.81 | $912.01 | $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 $239.88 Median $239.88 Typical High $239.88 | Facility | 52 · Reduced service | $239.88 | $239.88 | $239.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | 53 · Discontinued | $97.72 | $97.72 | $97.72 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $47.86 Median $47.86 Typical High $47.86 | Facility | 56 · Pre-op care only | $47.86 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $239.88 Median $239.88 Typical High $288.40 | Professional | 52 · Reduced service | $239.88 | $239.88 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $97.72 Typical High $114.82 | Professional | 53 · Discontinued | $97.72 | $97.72 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $47.86 Typical High $57.54 | Professional | 56 · Pre-op care only | $47.86 | $47.86 | $57.54 |
Where Minnesota sits
The same service costs 16.2 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 $21,968MT $1,353
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.