How much rates vary
Facilitymedian $1,259 · 10th to 90th $363 to $21,380Professionalmedian $708 · 10th to 90th $427 to $1,318
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 $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $269.15 Median $269.15 Typical High $269.15 | Facility | 54 · Surgery only | $269.15 | $269.15 | $269.15 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $53.70 Median $53.70 Typical High $53.70 | Facility | 55 · Aftercare only | $53.70 | $53.70 | $53.70 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | 78 · Unplanned return to OR | $251.19 | $251.19 | $251.19 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $457.09 | Professional | None | $363.08 | $363.08 | $457.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $269.15 Median $269.15 Typical High $323.59 | Professional | 54 · Surgery only | $269.15 | $269.15 | $323.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $53.70 Typical High $64.57 | Professional | 55 · Aftercare only | $53.70 | $53.70 | $64.57 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $251.19 Median $251.19 Typical High $302.00 | Professional | 78 · Unplanned return to OR | $251.19 | $251.19 | $302.00 |
BCBS Minnesota Setting Facility Modifier None Typical Low $10,964.78 Median $23,442.29 Typical High $56,234.13 | Facility | None | $10,964.78 | $23,442.29 | $56,234.13 |
BCBS Minnesota Setting Professional Modifier None Typical Low $512.86 Median $691.83 Typical High $1,148.15 | Professional | None | $512.86 | $691.83 | $1,148.15 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $562.34 Typical High $933.25 | Professional | 54 · Surgery only | $407.38 | $562.34 | $933.25 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $138.04 Typical High $223.87 | Professional | 55 · Aftercare only | $102.33 | $138.04 | $223.87 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $588.84 Typical High $977.24 | Professional | 78 · Unplanned return to OR | $426.58 | $588.84 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $812.83 Typical High $1,548.82 | Facility | None | $524.81 | $812.83 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $912.01 Typical High $1,412.54 | Professional | None | $602.56 | $912.01 | $1,412.54 |
Health Partners Setting Facility Modifier None Typical Low $467.74 Median $758.58 Typical High $1,318.26 | Facility | None | $467.74 | $758.58 | $1,318.26 |
Health Partners Setting Professional Modifier None Typical Low $524.81 Median $794.33 Typical High $1,288.25 | Professional | None | $524.81 | $794.33 | $1,288.25 |
Medica Setting Facility Modifier None Typical Low $602.56 Median $5,128.61 Typical High $13,489.63 | Facility | None | $602.56 | $5,128.61 | $13,489.63 |
Medica Setting Professional Modifier None Typical Low $426.58 Median $676.08 Typical High $1,380.38 | Professional | None | $426.58 | $676.08 | $1,380.38 |
United Setting Facility Modifier None Typical Low $3,981.07 Median $5,623.41 Typical High $15,135.61 | Facility | None | $3,981.07 | $5,623.41 | $15,135.61 |
United Setting Professional Modifier None Typical Low $389.05 Median $676.08 Typical High $1,380.38 | Professional | None | $389.05 | $676.08 | $1,380.38 |
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 $181.97 Median $181.97 Typical High $181.97 | Facility | 52 · Reduced service | $181.97 | $181.97 | $181.97 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | 53 · Discontinued | $72.44 | $72.44 | $72.44 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | 56 · Pre-op care only | $36.31 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $181.97 Median $181.97 Typical High $213.80 | Professional | 52 · Reduced service | $181.97 | $181.97 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $72.44 Typical High $85.11 | Professional | 53 · Discontinued | $72.44 | $72.44 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $36.31 Typical High $42.66 | Professional | 56 · Pre-op care only | $36.31 | $36.31 | $42.66 |
Where Minnesota sits
The same service costs 21.5 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 $21,837MT $1,015
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.