How much rates vary
Facilitymedian $1,288 · 10th to 90th $479 to $5,623Professionalmedian $955 · 10th to 90th $490 to $1,905
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 $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $478.63 | $478.63 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | 54 · Surgery only | $363.08 | $363.08 | $363.08 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | 55 · Aftercare only | $72.44 | $72.44 | $72.44 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | 78 · Unplanned return to OR | $338.84 | $338.84 | $338.84 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $588.84 | Professional | None | $478.63 | $478.63 | $588.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $363.08 Median $363.08 Typical High $446.68 | Professional | 54 · Surgery only | $363.08 | $363.08 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $72.44 Typical High $89.13 | Professional | 55 · Aftercare only | $72.44 | $72.44 | $89.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $338.84 Median $338.84 Typical High $416.87 | Professional | 78 · Unplanned return to OR | $338.84 | $338.84 | $416.87 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,754.23 Median $5,754.40 Typical High $12,302.69 | Facility | None | $2,754.23 | $5,754.40 | $12,302.69 |
BCBS Minnesota Setting Professional Modifier None Typical Low $724.44 Median $954.99 Typical High $1,621.81 | Professional | None | $724.44 | $954.99 | $1,621.81 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $588.84 Median $758.58 Typical High $1,288.25 | Professional | 54 · Surgery only | $588.84 | $758.58 | $1,288.25 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $190.55 Typical High $323.59 | Professional | 55 · Aftercare only | $151.36 | $190.55 | $323.59 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $794.33 Typical High $1,348.96 | Professional | 78 · Unplanned return to OR | $616.60 | $794.33 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $1,288.25 Typical High $2,454.71 | Facility | None | $831.76 | $1,288.25 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $1,174.90 Typical High $2,041.74 | Professional | None | $758.58 | $1,174.90 | $2,041.74 |
Health Partners Setting Facility Modifier None Typical Low $741.31 Median $1,202.26 Typical High $2,089.30 | Facility | None | $741.31 | $1,202.26 | $2,089.30 |
Health Partners Setting Professional Modifier None Typical Low $831.76 Median $1,096.48 Typical High $1,819.70 | Professional | None | $831.76 | $1,096.48 | $1,819.70 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,258.93 Typical High $3,981.07 | Facility | None | $758.58 | $1,258.93 | $3,981.07 |
Medica Setting Professional Modifier None Typical Low $562.34 Median $1,148.15 Typical High $3,801.89 | Professional | None | $562.34 | $1,148.15 | $3,801.89 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,659.59 Typical High $4,897.79 | Facility | None | $776.25 | $1,659.59 | $4,897.79 |
United Setting Professional Modifier None Typical Low $524.81 Median $891.25 Typical High $1,819.70 | Professional | None | $524.81 | $891.25 | $1,819.70 |
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 $239.88 Median $239.88 Typical High $239.88 | Facility | 52 · Reduced service | $239.88 | $239.88 | $239.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | 53 · Discontinued | $95.50 | $95.50 | $95.50 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $47.86 Median $47.86 Typical High $47.86 | Facility | 56 · Pre-op care only | $47.86 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $239.88 Median $239.88 Typical High $295.12 | Professional | 52 · Reduced service | $239.88 | $239.88 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $95.50 Typical High $120.23 | Professional | 53 · Discontinued | $95.50 | $95.50 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $47.86 Typical High $58.88 | Professional | 56 · Pre-op care only | $47.86 | $47.86 | $58.88 |
Where Minnesota sits
The same service costs 3.9 times more in Colorado than in Delaware. 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 $5,057DE $1,284
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.