How much rates vary
Facilitymedian $871 · 10th to 90th $245 to $5,888Professionalmedian $589 · 10th to 90th $316 to $1,122
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 $245.47 Median $316.23 Typical High $316.23 | Facility | None | $245.47 | $316.23 | $316.23 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $186.21 Median $234.42 Typical High $234.42 | Facility | 54 · Surgery only | $186.21 | $234.42 | $234.42 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $37.15 Median $46.77 Typical High $46.77 | Facility | 55 · Aftercare only | $37.15 | $46.77 | $46.77 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $173.78 Median $218.78 Typical High $218.78 | Facility | 78 · Unplanned return to OR | $173.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $316.23 Typical High $363.08 | Professional | None | $245.47 | $316.23 | $363.08 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $234.42 Typical High $269.15 | Professional | 54 · Surgery only | $186.21 | $234.42 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $46.77 Typical High $54.95 | Professional | 55 · Aftercare only | $37.15 | $46.77 | $54.95 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $173.78 Median $218.78 Typical High $251.19 | Professional | 78 · Unplanned return to OR | $173.78 | $218.78 | $251.19 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,479.11 Median $9,549.93 Typical High $22,387.21 | Facility | None | $1,479.11 | $9,549.93 | $22,387.21 |
BCBS Minnesota Setting Professional Modifier None Typical Low $398.11 Median $616.60 Typical High $977.24 | Professional | None | $398.11 | $616.60 | $977.24 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $316.23 Median $501.19 Typical High $776.25 | Professional | 54 · Surgery only | $316.23 | $501.19 | $776.25 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $125.89 Typical High $194.98 | Professional | 55 · Aftercare only | $79.43 | $125.89 | $194.98 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $331.13 Median $524.81 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $331.13 | $524.81 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $831.76 Typical High $1,621.81 | Facility | None | $537.03 | $831.76 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $691.83 Typical High $1,148.15 | Professional | None | $426.58 | $691.83 | $1,148.15 |
Health Partners Setting Facility Modifier None Typical Low $478.63 Median $794.33 Typical High $1,348.96 | Facility | None | $478.63 | $794.33 | $1,348.96 |
Health Partners Setting Professional Modifier None Typical Low $426.58 Median $645.65 Typical High $1,096.48 | Professional | None | $426.58 | $645.65 | $1,096.48 |
Medica Setting Facility Modifier None Typical Low $436.52 Median $1,659.59 Typical High $4,786.30 | Facility | None | $436.52 | $1,659.59 | $4,786.30 |
Medica Setting Professional Modifier None Typical Low $363.08 Median $977.24 Typical High $2,454.71 | Professional | None | $363.08 | $977.24 | $2,454.71 |
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 $288.40 Median $512.86 Typical High $1,047.13 | Professional | None | $288.40 | $512.86 | $1,047.13 |
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 $123.03 Median $158.49 Typical High $158.49 | Facility | 52 · Reduced service | $123.03 | $158.49 | $158.49 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $48.98 Median $63.10 Typical High $63.10 | Facility | 53 · Discontinued | $48.98 | $63.10 | $63.10 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $24.55 Median $31.62 Typical High $31.62 | Facility | 56 · Pre-op care only | $24.55 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $123.03 Median $158.49 Typical High $181.97 | Professional | 52 · Reduced service | $123.03 | $158.49 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $63.10 Typical High $72.44 | Professional | 53 · Discontinued | $48.98 | $63.10 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $31.62 Typical High $36.31 | Professional | 56 · Pre-op care only | $24.55 | $31.62 | $36.31 |
Where Minnesota sits
The same service costs 8.7 times more in Alaska than in North Dakota. 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 $7,504ND $861
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.