How much rates vary
Facilitymedian $1,479 · 10th to 90th $389 to $5,370Professionalmedian $1,023 · 10th to 90th $537 to $1,950
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 $389.05 Median $537.03 Typical High $537.03 | Facility | None | $389.05 | $537.03 | $537.03 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $288.40 Median $398.11 Typical High $398.11 | Facility | 54 · Surgery only | $288.40 | $398.11 | $398.11 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $57.54 Median $81.28 Typical High $81.28 | Facility | 55 · Aftercare only | $57.54 | $81.28 | $81.28 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $371.54 Typical High $371.54 | Facility | 78 · Unplanned return to OR | $269.15 | $371.54 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $537.03 Typical High $549.54 | Professional | None | $389.05 | $537.03 | $549.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $288.40 Median $398.11 Typical High $398.11 | Professional | 54 · Surgery only | $288.40 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $81.28 Typical High $81.28 | Professional | 55 · Aftercare only | $57.54 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $371.54 Typical High $371.54 | Professional | 78 · Unplanned return to OR | $269.15 | $371.54 | $371.54 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,187.76 Median $5,623.41 Typical High $12,302.69 | Facility | None | $2,187.76 | $5,623.41 | $12,302.69 |
BCBS Minnesota Setting Professional Modifier None Typical Low $660.69 Median $1,023.29 Typical High $1,698.24 | Professional | None | $660.69 | $1,023.29 | $1,698.24 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $812.83 Typical High $1,348.96 | Professional | 54 · Surgery only | $524.81 | $812.83 | $1,348.96 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $204.17 Typical High $331.13 | Professional | 55 · Aftercare only | $131.83 | $204.17 | $331.13 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $870.96 Typical High $1,412.54 | Professional | 78 · Unplanned return to OR | $562.34 | $870.96 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $1,445.44 Typical High $2,754.23 | Facility | None | $933.25 | $1,445.44 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $1,174.90 Typical High $2,041.74 | Professional | None | $676.08 | $1,174.90 | $2,041.74 |
Health Partners Setting Facility Modifier None Typical Low $812.83 Median $1,348.96 Typical High $2,290.87 | Facility | None | $812.83 | $1,348.96 | $2,290.87 |
Health Partners Setting Professional Modifier None Typical Low $676.08 Median $1,096.48 Typical High $2,137.96 | Professional | None | $676.08 | $1,096.48 | $2,137.96 |
Medica Setting Facility Modifier None Typical Low $707.95 Median $1,698.24 Typical High $4,786.30 | Facility | None | $707.95 | $1,698.24 | $4,786.30 |
Medica Setting Professional Modifier None Typical Low $676.08 Median $1,288.25 Typical High $4,168.69 | Professional | None | $676.08 | $1,288.25 | $4,168.69 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $8,317.64 | Facility | None | $1,513.56 | $2,511.89 | $8,317.64 |
United Setting Professional Modifier None Typical Low $501.19 Median $831.76 Typical High $1,737.80 | Professional | None | $501.19 | $831.76 | $1,737.80 |
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 $194.98 Median $269.15 Typical High $269.15 | Facility | 52 · Reduced service | $194.98 | $269.15 | $269.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $77.62 Median $107.15 Typical High $107.15 | Facility | 53 · Discontinued | $77.62 | $107.15 | $107.15 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $38.90 Median $53.70 Typical High $53.70 | Facility | 56 · Pre-op care only | $38.90 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $194.98 Median $269.15 Typical High $269.15 | Professional | 52 · Reduced service | $194.98 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $107.15 Typical High $107.15 | Professional | 53 · Discontinued | $77.62 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $53.70 Typical High $53.70 | Professional | 56 · Pre-op care only | $38.90 | $53.70 | $53.70 |
Where Minnesota sits
The same service costs 4.6 times more in Oklahoma 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
OK $6,614MT $1,440
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.