How much rates vary
Facilitymedian $3,236 · 10th to 90th $1,148 to $10,965Professionalmedian $3,020 · 10th to 90th $1,585 to $5,623
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 $1,148.15 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,148.15 | $1,412.54 | $1,412.54 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $851.14 Median $1,047.13 Typical High $1,047.13 | Facility | 54 · Surgery only | $851.14 | $1,047.13 | $1,047.13 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $169.82 Median $213.80 Typical High $213.80 | Facility | 55 · Aftercare only | $169.82 | $213.80 | $213.80 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $977.24 Typical High $977.24 | Facility | 78 · Unplanned return to OR | $794.33 | $977.24 | $977.24 |
Aetna Setting Professional Modifier None Typical Low $1,148.15 Median $1,412.54 Typical High $1,584.89 | Professional | None | $1,148.15 | $1,412.54 | $1,584.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $851.14 Median $1,047.13 Typical High $1,174.90 | Professional | 54 · Surgery only | $851.14 | $1,047.13 | $1,174.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $213.80 Typical High $234.42 | Professional | 55 · Aftercare only | $169.82 | $213.80 | $234.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $977.24 Typical High $1,096.48 | Professional | 78 · Unplanned return to OR | $794.33 | $977.24 | $1,096.48 |
BCBS Minnesota Setting Facility Modifier None Typical Low $6,606.93 Median $11,481.54 Typical High $22,387.21 | Facility | None | $6,606.93 | $11,481.54 | $22,387.21 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,905.46 Median $3,019.95 Typical High $4,786.30 | Professional | None | $1,905.46 | $3,019.95 | $4,786.30 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,513.56 Median $2,398.83 Typical High $3,801.89 | Professional | 54 · Surgery only | $1,513.56 | $2,398.83 | $3,801.89 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $380.19 Median $602.56 Typical High $933.25 | Professional | 55 · Aftercare only | $380.19 | $602.56 | $933.25 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,584.89 Median $2,570.40 Typical High $4,073.80 | Professional | 78 · Unplanned return to OR | $1,584.89 | $2,570.40 | $4,073.80 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $3,801.89 Typical High $7,244.36 | Facility | None | $2,454.71 | $3,801.89 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $2,454.71 Median $3,981.07 Typical High $6,456.54 | Professional | None | $2,454.71 | $3,981.07 | $6,456.54 |
Health Partners Setting Facility Modifier None Typical Low $2,137.96 Median $3,548.13 Typical High $6,025.60 | Facility | None | $2,137.96 | $3,548.13 | $6,025.60 |
Health Partners Setting Professional Modifier None Typical Low $2,137.96 Median $3,548.13 Typical High $5,888.44 | Professional | None | $2,137.96 | $3,548.13 | $5,888.44 |
Medica Setting Facility Modifier None Typical Low $1,905.46 Median $3,162.28 Typical High $7,943.28 | Facility | None | $1,905.46 | $3,162.28 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $1,737.80 Median $3,801.89 Typical High $10,715.19 | Professional | None | $1,737.80 | $3,801.89 | $10,715.19 |
United Setting Facility Modifier None Typical Low $2,818.38 Median $4,265.80 Typical High $11,220.18 | Facility | None | $2,818.38 | $4,265.80 | $11,220.18 |
United Setting Professional Modifier None Typical Low $1,479.11 Median $2,754.23 Typical High $5,248.07 | Professional | None | $1,479.11 | $2,754.23 | $5,248.07 |
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 $575.44 Median $707.95 Typical High $707.95 | Facility | 52 · Reduced service | $575.44 | $707.95 | $707.95 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $229.09 Median $281.84 Typical High $281.84 | Facility | 53 · Discontinued | $229.09 | $281.84 | $281.84 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $114.82 Median $141.25 Typical High $141.25 | Facility | 56 · Pre-op care only | $114.82 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $575.44 Median $707.95 Typical High $776.25 | Professional | 52 · Reduced service | $575.44 | $707.95 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $281.84 Typical High $309.03 | Professional | 53 · Discontinued | $229.09 | $281.84 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $141.25 Typical High $154.88 | Professional | 56 · Pre-op care only | $114.82 | $141.25 | $154.88 |
Where Minnesota sits
The same service costs 3.2 times more in Alaska than in Kentucky. 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 $12,311KY $3,892
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.