How much rates vary
Facilitymedian $2,399 · 10th to 90th $692 to $10,715Professionalmedian $1,380 · 10th to 90th $794 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 $691.83 Median $691.83 Typical High $691.83 | Facility | None | $691.83 | $691.83 | $691.83 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | 54 · Surgery only | $512.86 | $512.86 | $512.86 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | 55 · Aftercare only | $102.33 | $102.33 | $102.33 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | 78 · Unplanned return to OR | $478.63 | $478.63 | $478.63 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $870.96 | Professional | None | $691.83 | $691.83 | $870.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $512.86 Typical High $616.60 | Professional | 54 · Surgery only | $512.86 | $512.86 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $102.33 Typical High $123.03 | Professional | 55 · Aftercare only | $102.33 | $102.33 | $123.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $478.63 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $478.63 | $478.63 | $575.44 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,630.78 Median $9,332.54 Typical High $20,417.38 | Facility | None | $3,630.78 | $9,332.54 | $20,417.38 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,023.29 Median $1,380.38 Typical High $2,238.72 | Professional | None | $1,023.29 | $1,380.38 | $2,238.72 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $831.76 Median $1,122.02 Typical High $1,819.70 | Professional | 54 · Surgery only | $831.76 | $1,122.02 | $1,819.70 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $275.42 Typical High $446.68 | Professional | 55 · Aftercare only | $204.17 | $275.42 | $446.68 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $1,174.90 Typical High $1,905.46 | Professional | 78 · Unplanned return to OR | $870.96 | $1,174.90 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $1,548.82 Typical High $2,951.21 | Facility | None | $1,000.00 | $1,548.82 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,737.80 Typical High $2,691.53 | Professional | None | $1,148.15 | $1,737.80 | $2,691.53 |
Health Partners Setting Facility Modifier None Typical Low $891.25 Median $1,412.54 Typical High $2,454.71 | Facility | None | $891.25 | $1,412.54 | $2,454.71 |
Health Partners Setting Professional Modifier None Typical Low $1,000.00 Median $1,513.56 Typical High $2,454.71 | Professional | None | $1,000.00 | $1,513.56 | $2,454.71 |
Medica Setting Facility Modifier None Typical Low $1,047.13 Median $4,897.79 Typical High $12,022.64 | Facility | None | $1,047.13 | $4,897.79 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $831.76 Median $1,318.26 Typical High $2,691.53 | Professional | None | $831.76 | $1,318.26 | $2,691.53 |
United Setting Facility Modifier None Typical Low $3,235.94 Median $5,370.32 Typical High $12,882.50 | Facility | None | $3,235.94 | $5,370.32 | $12,882.50 |
United Setting Professional Modifier None Typical Low $776.25 Median $1,318.26 Typical High $2,754.23 | Professional | None | $776.25 | $1,318.26 | $2,754.23 |
7 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 $346.74 Median $346.74 Typical High $346.74 | Facility | 52 · Reduced service | $346.74 | $346.74 | $346.74 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | 53 · Discontinued | $138.04 | $138.04 | $138.04 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | 56 · Pre-op care only | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $346.74 Median $346.74 Typical High $407.38 | Professional | 52 · Reduced service | $346.74 | $346.74 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $138.04 Typical High $165.96 | Professional | 53 · Discontinued | $138.04 | $138.04 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $69.18 Typical High $83.18 | Professional | 56 · Pre-op care only | $69.18 | $69.18 | $83.18 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $645.65 Median $870.96 Typical High $1,412.54 | Professional | 62 · Two surgeons | $645.65 | $870.96 | $1,412.54 |
Where Minnesota sits
The same service costs 5.3 times more in Wisconsin 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
WI $10,556MT $2,002
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.