How much rates vary
Facilitymedian $1,072 · 10th to 90th $123 to $4,786Professionalmedian $479 · 10th to 90th $191 to $1,413
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 $123.03 Median $426.58 Typical High $426.58 | Facility | None | $123.03 | $426.58 | $426.58 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $91.20 Median $323.59 Typical High $323.59 | Facility | 54 · Surgery only | $91.20 | $323.59 | $323.59 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $18.62 Median $64.57 Typical High $64.57 | Facility | 55 · Aftercare only | $18.62 | $64.57 | $64.57 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $85.11 Median $302.00 Typical High $302.00 | Facility | 78 · Unplanned return to OR | $85.11 | $302.00 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $407.38 Typical High $489.78 | Professional | None | $123.03 | $407.38 | $489.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $91.20 Median $309.03 Typical High $354.81 | Professional | 54 · Surgery only | $91.20 | $309.03 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $61.66 Typical High $72.44 | Professional | 55 · Aftercare only | $18.62 | $61.66 | $72.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $85.11 Median $288.40 Typical High $331.13 | Professional | 78 · Unplanned return to OR | $85.11 | $288.40 | $331.13 |
BCBS Minnesota Setting Facility Modifier None Typical Low $309.03 Median $4,466.84 Typical High $10,471.29 | Facility | None | $309.03 | $4,466.84 | $10,471.29 |
BCBS Minnesota Setting Professional Modifier None Typical Low $208.93 Median $616.60 Typical High $1,202.26 | Professional | None | $208.93 | $616.60 | $1,202.26 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $165.96 Median $489.78 Typical High $954.99 | Professional | 54 · Surgery only | $165.96 | $489.78 | $954.99 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $125.89 Typical High $245.47 | Professional | 55 · Aftercare only | $42.66 | $125.89 | $245.47 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $173.78 Median $524.81 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $173.78 | $524.81 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,148.15 Typical High $2,187.76 | Facility | None | $691.83 | $1,148.15 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $549.54 Typical High $1,479.11 | Professional | None | $229.09 | $549.54 | $1,479.11 |
Health Partners Setting Facility Modifier None Typical Low $660.69 Median $1,071.52 Typical High $1,862.09 | Facility | None | $660.69 | $1,071.52 | $1,862.09 |
Health Partners Setting Professional Modifier None Typical Low $213.80 Median $645.65 Typical High $1,412.54 | Professional | None | $213.80 | $645.65 | $1,412.54 |
Medica Setting Facility Modifier None Typical Low $245.47 Median $1,698.24 Typical High $4,786.30 | Facility | None | $245.47 | $1,698.24 | $4,786.30 |
Medica Setting Professional Modifier None Typical Low $478.63 Median $1,258.93 Typical High $3,311.31 | Professional | None | $478.63 | $1,258.93 | $3,311.31 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $7,244.36 | Facility | None | $1,513.56 | $2,511.89 | $7,244.36 |
United Setting Professional Modifier None Typical Low $144.54 Median $457.09 Typical High $1,288.25 | Professional | None | $144.54 | $457.09 | $1,288.25 |
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 $61.66 Median $213.80 Typical High $213.80 | Facility | 52 · Reduced service | $61.66 | $213.80 | $213.80 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $24.55 Median $85.11 Typical High $85.11 | Facility | 53 · Discontinued | $24.55 | $85.11 | $85.11 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $12.30 Median $42.66 Typical High $42.66 | Facility | 56 · Pre-op care only | $12.30 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $204.17 Typical High $239.88 | Professional | 52 · Reduced service | $61.66 | $204.17 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $81.28 Typical High $95.50 | Professional | 53 · Discontinued | $24.55 | $81.28 | $95.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $40.74 Typical High $47.86 | Professional | 56 · Pre-op care only | $12.30 | $40.74 | $47.86 |
Where Minnesota sits
The same service costs 5.6 times more in Colorado 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
CO $4,763ND $853
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.