How much rates vary
Facilitymedian $1,514 · 10th to 90th $427 to $42,658Professionalmedian $832 · 10th to 90th $490 to $1,585
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 $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $323.59 Median $323.59 Typical High $323.59 | Facility | 54 · Surgery only | $323.59 | $323.59 | $323.59 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | 55 · Aftercare only | $64.57 | $64.57 | $64.57 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | 78 · Unplanned return to OR | $302.00 | $302.00 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $426.58 Typical High $512.86 | Professional | None | $398.11 | $426.58 | $512.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $323.59 Median $323.59 Typical High $380.19 | Professional | 54 · Surgery only | $323.59 | $323.59 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $64.57 Typical High $75.86 | Professional | 55 · Aftercare only | $64.57 | $64.57 | $75.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $302.00 Median $302.00 Typical High $354.81 | Professional | 78 · Unplanned return to OR | $302.00 | $302.00 | $354.81 |
BCBS Minnesota Setting Facility Modifier None Typical Low $13,182.57 Median $52,480.75 Typical High $120,226.44 | Facility | None | $13,182.57 | $52,480.75 | $120,226.44 |
BCBS Minnesota Setting Professional Modifier None Typical Low $602.56 Median $812.83 Typical High $1,380.38 | Professional | None | $602.56 | $812.83 | $1,380.38 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $660.69 Typical High $1,096.48 | Professional | 54 · Surgery only | $478.63 | $660.69 | $1,096.48 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $162.18 Typical High $269.15 | Professional | 55 · Aftercare only | $120.23 | $162.18 | $269.15 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $691.83 Typical High $1,148.15 | Professional | 78 · Unplanned return to OR | $512.86 | $691.83 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $954.99 Typical High $1,862.09 | Facility | None | $616.60 | $954.99 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $1,071.52 Typical High $1,659.59 | Professional | None | $724.44 | $1,071.52 | $1,659.59 |
Health Partners Setting Facility Modifier None Typical Low $549.54 Median $891.25 Typical High $1,548.82 | Facility | None | $549.54 | $891.25 | $1,548.82 |
Health Partners Setting Professional Modifier None Typical Low $630.96 Median $933.25 Typical High $1,548.82 | Professional | None | $630.96 | $933.25 | $1,548.82 |
Medica Setting Facility Modifier None Typical Low $707.95 Median $8,912.51 Typical High $27,542.29 | Facility | None | $707.95 | $8,912.51 | $27,542.29 |
Medica Setting Professional Modifier None Typical Low $501.19 Median $812.83 Typical High $1,659.59 | Professional | None | $501.19 | $812.83 | $1,659.59 |
United Setting Facility Modifier None Typical Low $6,760.83 Median $10,471.29 Typical High $42,657.95 | Facility | None | $6,760.83 | $10,471.29 | $42,657.95 |
United Setting Professional Modifier None Typical Low $467.74 Median $812.83 Typical High $1,659.59 | Professional | None | $467.74 | $812.83 | $1,659.59 |
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 $213.80 Median $213.80 Typical High $213.80 | Facility | 52 · Reduced service | $213.80 | $213.80 | $213.80 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | 53 · Discontinued | $85.11 | $85.11 | $85.11 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | 56 · Pre-op care only | $42.66 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $213.80 Median $213.80 Typical High $257.04 | Professional | 52 · Reduced service | $213.80 | $213.80 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $102.33 | Professional | 53 · Discontinued | $85.11 | $85.11 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $42.66 Typical High $51.29 | Professional | 56 · Pre-op care only | $42.66 | $42.66 | $51.29 |
Where Minnesota sits
The same service costs 42.9 times more in Alaska 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
AK $51,741MT $1,205
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.