How much rates vary
Facilitymedian $977 · 10th to 90th $417 to $3,311Professionalmedian $832 · 10th to 90th $490 to $1,549
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 $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | 54 · Surgery only | $316.23 | $316.23 | $316.23 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | 55 · Aftercare only | $63.10 | $63.10 | $63.10 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | 78 · Unplanned return to OR | $295.12 | $295.12 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $501.19 | Professional | None | $416.87 | $416.87 | $501.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $316.23 Median $316.23 Typical High $371.54 | Professional | 54 · Surgery only | $316.23 | $316.23 | $371.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $63.10 Typical High $75.86 | Professional | 55 · Aftercare only | $63.10 | $63.10 | $75.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $295.12 Typical High $346.74 | Professional | 78 · Unplanned return to OR | $295.12 | $295.12 | $346.74 |
BCBS Minnesota Setting Facility Modifier None Typical Low $831.76 Median $2,238.72 Typical High $7,079.46 | Facility | None | $831.76 | $2,238.72 | $7,079.46 |
BCBS Minnesota Setting Professional Modifier None Typical Low $630.96 Median $831.76 Typical High $1,348.96 | Professional | None | $630.96 | $831.76 | $1,348.96 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $660.69 Typical High $1,071.52 | Professional | 54 · Surgery only | $501.19 | $660.69 | $1,071.52 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $165.96 Typical High $263.03 | Professional | 55 · Aftercare only | $125.89 | $165.96 | $263.03 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $691.83 Typical High $1,122.02 | Professional | 78 · Unplanned return to OR | $524.81 | $691.83 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $954.99 Typical High $1,819.70 | Facility | None | $616.60 | $954.99 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $1,047.13 Typical High $1,621.81 | Professional | None | $707.95 | $1,047.13 | $1,621.81 |
Health Partners Setting Facility Modifier None Typical Low $537.03 Median $870.96 Typical High $1,513.56 | Facility | None | $537.03 | $870.96 | $1,513.56 |
Health Partners Setting Professional Modifier None Typical Low $616.60 Median $912.01 Typical High $1,513.56 | Professional | None | $616.60 | $912.01 | $1,513.56 |
Medica Setting Facility Modifier None Typical Low $645.65 Median $1,122.02 Typical High $3,019.95 | Facility | None | $645.65 | $1,122.02 | $3,019.95 |
Medica Setting Professional Modifier None Typical Low $457.09 Median $776.25 Typical High $1,584.89 | Professional | None | $457.09 | $776.25 | $1,584.89 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,513.56 Typical High $3,630.78 | Facility | None | $758.58 | $1,513.56 | $3,630.78 |
United Setting Professional Modifier None Typical Low $446.68 Median $776.25 Typical High $1,584.89 | Professional | None | $446.68 | $776.25 | $1,584.89 |
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 $208.93 Median $208.93 Typical High $208.93 | Facility | 52 · Reduced service | $208.93 | $208.93 | $208.93 |
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 $41.69 Median $41.69 Typical High $41.69 | Facility | 56 · Pre-op care only | $41.69 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $208.93 Median $208.93 Typical High $251.19 | Professional | 52 · Reduced service | $208.93 | $208.93 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $100.00 | Professional | 53 · Discontinued | $85.11 | $85.11 | $100.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $41.69 Typical High $50.12 | Professional | 56 · Pre-op care only | $41.69 | $41.69 | $50.12 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $389.05 Median $512.86 Typical High $831.76 | Professional | 62 · Two surgeons | $389.05 | $512.86 | $831.76 |
Where Minnesota sits
The same service costs 6.7 times more in Colorado than in Arkansas. 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 $6,451AR $969
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.