How much rates vary
Facilitymedian $1,778 · 10th to 90th $513 to $9,120Professionalmedian $1,000 · 10th to 90th $603 to $1,905
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 $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | 54 · Surgery only | $389.05 | $389.05 | $389.05 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | 55 · Aftercare only | $77.62 | $77.62 | $77.62 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | 78 · Unplanned return to OR | $363.08 | $363.08 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $616.60 | Professional | None | $512.86 | $512.86 | $616.60 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $389.05 Typical High $457.09 | Professional | 54 · Surgery only | $389.05 | $389.05 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $77.62 Typical High $91.20 | Professional | 55 · Aftercare only | $77.62 | $77.62 | $91.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $363.08 Median $363.08 Typical High $426.58 | Professional | 78 · Unplanned return to OR | $363.08 | $363.08 | $426.58 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,897.79 Median $9,120.11 Typical High $19,952.62 | Facility | None | $4,897.79 | $9,120.11 | $19,952.62 |
BCBS Minnesota Setting Professional Modifier None Typical Low $724.44 Median $977.24 Typical High $1,659.59 | Professional | None | $724.44 | $977.24 | $1,659.59 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $588.84 Median $794.33 Typical High $1,318.26 | Professional | 54 · Surgery only | $588.84 | $794.33 | $1,318.26 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $199.53 Typical High $323.59 | Professional | 55 · Aftercare only | $144.54 | $199.53 | $323.59 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $831.76 Typical High $1,380.38 | Professional | 78 · Unplanned return to OR | $616.60 | $831.76 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,148.15 Typical High $2,238.72 | Facility | None | $741.31 | $1,148.15 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $1,288.25 Typical High $1,995.26 | Professional | None | $870.96 | $1,288.25 | $1,995.26 |
Health Partners Setting Facility Modifier None Typical Low $660.69 Median $1,071.52 Typical High $1,862.09 | Facility | None | $660.69 | $1,071.52 | $1,862.09 |
Health Partners Setting Professional Modifier None Typical Low $758.58 Median $1,122.02 Typical High $1,862.09 | Professional | None | $758.58 | $1,122.02 | $1,862.09 |
Medica Setting Facility Modifier None Typical Low $794.33 Median $2,754.23 Typical High $7,762.47 | Facility | None | $794.33 | $2,754.23 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $602.56 Median $977.24 Typical High $1,995.26 | Professional | None | $602.56 | $977.24 | $1,995.26 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $9,549.93 | Facility | None | $1,995.26 | $3,090.30 | $9,549.93 |
United Setting Professional Modifier None Typical Low $562.34 Median $954.99 Typical High $1,995.26 | Professional | None | $562.34 | $954.99 | $1,995.26 |
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 $257.04 Median $257.04 Typical High $257.04 | Facility | 52 · Reduced service | $257.04 | $257.04 | $257.04 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | 53 · Discontinued | $102.33 | $102.33 | $102.33 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | 56 · Pre-op care only | $51.29 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $257.04 Median $257.04 Typical High $309.03 | Professional | 52 · Reduced service | $257.04 | $257.04 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $102.33 Typical High $123.03 | Professional | 53 · Discontinued | $102.33 | $102.33 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $51.29 Typical High $61.66 | Professional | 56 · Pre-op care only | $51.29 | $51.29 | $61.66 |
Where Minnesota sits
The same service costs 5.4 times more in Connecticut 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
CT $7,713MT $1,433
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.