How much rates vary
Facilitymedian $1,479 · 10th to 90th $174 to $5,754Professionalmedian $617 · 10th to 90th $263 to $1,778
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 $173.78 Median $537.03 Typical High $537.03 | Facility | None | $173.78 | $537.03 | $537.03 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $128.82 Median $407.38 Typical High $407.38 | Facility | 54 · Surgery only | $128.82 | $407.38 | $407.38 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $25.70 Median $81.28 Typical High $81.28 | Facility | 55 · Aftercare only | $25.70 | $81.28 | $81.28 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $120.23 Median $380.19 Typical High $380.19 | Facility | 78 · Unplanned return to OR | $120.23 | $380.19 | $380.19 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $467.74 Typical High $616.60 | Professional | None | $173.78 | $467.74 | $616.60 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $128.82 Median $363.08 Typical High $446.68 | Professional | 54 · Surgery only | $128.82 | $363.08 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $72.44 Typical High $89.13 | Professional | 55 · Aftercare only | $25.70 | $72.44 | $89.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $120.23 Median $338.84 Typical High $416.87 | Professional | 78 · Unplanned return to OR | $120.23 | $338.84 | $416.87 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,630.78 Median $6,309.57 Typical High $10,471.29 | Facility | None | $3,630.78 | $6,309.57 | $10,471.29 |
BCBS Minnesota Setting Professional Modifier None Typical Low $295.12 Median $794.33 Typical High $1,548.82 | Professional | None | $295.12 | $794.33 | $1,548.82 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $239.88 Median $630.96 Typical High $1,230.27 | Professional | 54 · Surgery only | $239.88 | $630.96 | $1,230.27 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $158.49 Typical High $309.03 | Professional | 55 · Aftercare only | $60.26 | $158.49 | $309.03 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $251.19 Median $660.69 Typical High $1,288.25 | Professional | 78 · Unplanned return to OR | $251.19 | $660.69 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $1,445.44 Typical High $2,754.23 | Facility | None | $870.96 | $1,445.44 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $758.58 Typical High $1,862.09 | Professional | None | $316.23 | $758.58 | $1,862.09 |
Health Partners Setting Facility Modifier None Typical Low $831.76 Median $1,348.96 Typical High $2,344.23 | Facility | None | $831.76 | $1,348.96 | $2,344.23 |
Health Partners Setting Professional Modifier None Typical Low $302.00 Median $831.76 Typical High $1,778.28 | Professional | None | $302.00 | $831.76 | $1,778.28 |
Medica Setting Facility Modifier None Typical Low $338.84 Median $1,698.24 Typical High $5,011.87 | Facility | None | $338.84 | $1,698.24 | $5,011.87 |
Medica Setting Professional Modifier None Typical Low $588.84 Median $1,584.89 Typical High $4,073.80 | Professional | None | $588.84 | $1,584.89 | $4,073.80 |
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 $204.17 Median $588.84 Typical High $1,659.59 | Professional | None | $204.17 | $588.84 | $1,659.59 |
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 $87.10 Median $269.15 Typical High $269.15 | Facility | 52 · Reduced service | $87.10 | $269.15 | $269.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $34.67 Median $109.65 Typical High $109.65 | Facility | 53 · Discontinued | $34.67 | $109.65 | $109.65 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $17.38 Median $53.70 Typical High $53.70 | Facility | 56 · Pre-op care only | $17.38 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $239.88 Typical High $295.12 | Professional | 52 · Reduced service | $87.10 | $239.88 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $95.50 Typical High $117.49 | Professional | 53 · Discontinued | $34.67 | $95.50 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $47.86 Typical High $58.88 | Professional | 56 · Pre-op care only | $17.38 | $47.86 | $58.88 |
Where Minnesota sits
The same service costs 4.4 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 $4,844ND $1,099
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.