How much rates vary
Facilitymedian $2,042 · 10th to 90th $200 to $7,943Professionalmedian $933 · 10th to 90th $295 to $2,512
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 $199.53 Median $851.14 Typical High $7,943.28 | Facility | None | $199.53 | $851.14 | $7,943.28 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $151.36 Median $645.65 Typical High $645.65 | Facility | 54 · Surgery only | $151.36 | $645.65 | $645.65 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $30.20 Median $128.82 Typical High $128.82 | Facility | 55 · Aftercare only | $30.20 | $128.82 | $128.82 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $141.25 Median $602.56 Typical High $602.56 | Facility | 78 · Unplanned return to OR | $141.25 | $602.56 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $707.95 Typical High $933.25 | Professional | None | $199.53 | $707.95 | $933.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $151.36 Median $645.65 Typical High $645.65 | Professional | 54 · Surgery only | $151.36 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $128.82 Typical High $128.82 | Professional | 55 · Aftercare only | $30.20 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $141.25 Median $602.56 Typical High $602.56 | Professional | 78 · Unplanned return to OR | $141.25 | $602.56 | $602.56 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,168.69 Median $7,079.46 Typical High $13,803.84 | Facility | None | $4,168.69 | $7,079.46 | $13,803.84 |
BCBS Minnesota Setting Professional Modifier None Typical Low $295.12 Median $1,071.52 Typical High $2,137.96 | Professional | None | $295.12 | $1,071.52 | $2,137.96 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $239.88 Median $851.14 Typical High $1,737.80 | Professional | 54 · Surgery only | $239.88 | $851.14 | $1,737.80 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $208.93 Typical High $426.58 | Professional | 55 · Aftercare only | $58.88 | $208.93 | $426.58 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $251.19 Median $912.01 Typical High $1,819.70 | Professional | 78 · Unplanned return to OR | $251.19 | $912.01 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $1,258.93 Median $1,949.84 Typical High $3,715.35 | Facility | None | $1,258.93 | $1,949.84 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $1,230.27 Typical High $3,162.28 | Professional | None | $389.05 | $1,230.27 | $3,162.28 |
Health Partners Setting Facility Modifier None Typical Low $1,096.48 Median $1,778.28 Typical High $3,090.30 | Facility | None | $1,096.48 | $1,778.28 | $3,090.30 |
Health Partners Setting Professional Modifier None Typical Low $363.08 Median $1,122.02 Typical High $2,570.40 | Professional | None | $363.08 | $1,122.02 | $2,570.40 |
Medica Setting Facility Modifier None Typical Low $346.74 Median $2,454.71 Typical High $6,606.93 | Facility | None | $346.74 | $2,454.71 | $6,606.93 |
Medica Setting Professional Modifier None Typical Low $933.25 Median $1,698.24 Typical High $3,467.37 | Professional | None | $933.25 | $1,698.24 | $3,467.37 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $8,128.31 | Facility | None | $1,995.26 | $3,090.30 | $8,128.31 |
United Setting Professional Modifier None Typical Low $275.42 Median $794.33 Typical High $2,884.03 | Professional | None | $275.42 | $794.33 | $2,884.03 |
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 $100.00 Median $426.58 Typical High $426.58 | Facility | 52 · Reduced service | $100.00 | $426.58 | $426.58 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $39.81 Median $173.78 Typical High $173.78 | Facility | 53 · Discontinued | $39.81 | $173.78 | $173.78 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $19.95 Median $85.11 Typical High $85.11 | Facility | 56 · Pre-op care only | $19.95 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $100.00 Median $426.58 Typical High $426.58 | Professional | 52 · Reduced service | $100.00 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $173.78 Typical High $173.78 | Professional | 53 · Discontinued | $39.81 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.95 Median $85.11 Typical High $85.11 | Professional | 56 · Pre-op care only | $19.95 | $85.11 | $85.11 |
Where Minnesota sits
The same service costs 5.1 times more in Colorado 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
CO $7,315MT $1,443
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.