How much rates vary
Facilitymedian $7,079 · 10th to 90th $417 to $23,988Professionalmedian $5,623 · 10th to 90th $646 to $19,055
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 $416.87 Median $5,623.41 Typical High $5,623.41 | Facility | None | $416.87 | $5,623.41 | $5,623.41 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $316.23 Median $4,265.80 Typical High $4,265.80 | Facility | 54 · Surgery only | $316.23 | $4,265.80 | $4,265.80 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $63.10 Median $851.14 Typical High $851.14 | Facility | 55 · Aftercare only | $63.10 | $851.14 | $851.14 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $3,981.07 Typical High $3,981.07 | Facility | 78 · Unplanned return to OR | $295.12 | $3,981.07 | $3,981.07 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $5,495.41 Typical High $6,309.57 | Professional | None | $416.87 | $5,495.41 | $6,309.57 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $316.23 Median $4,073.80 Typical High $4,786.30 | Professional | 54 · Surgery only | $316.23 | $4,073.80 | $4,786.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $831.76 Typical High $954.99 | Professional | 55 · Aftercare only | $63.10 | $831.76 | $954.99 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $3,801.89 Typical High $4,466.84 | Professional | 78 · Unplanned return to OR | $295.12 | $3,801.89 | $4,466.84 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,691.53 Median $16,218.10 Typical High $39,810.72 | Facility | None | $2,691.53 | $16,218.10 | $39,810.72 |
BCBS Minnesota Setting Professional Modifier None Typical Low $691.83 Median $3,388.44 Typical High $15,488.17 | Professional | None | $691.83 | $3,388.44 | $15,488.17 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $2,630.27 Typical High $12,302.69 | Professional | 54 · Surgery only | $562.34 | $2,630.27 | $12,302.69 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $660.69 Typical High $3,090.30 | Professional | 55 · Aftercare only | $141.25 | $660.69 | $3,090.30 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $588.84 Median $2,884.03 Typical High $12,882.50 | Professional | 78 · Unplanned return to OR | $588.84 | $2,884.03 | $12,882.50 |
Cigna Setting Facility Modifier None Typical Low $9,772.37 Median $15,135.61 Typical High $28,840.32 | Facility | None | $9,772.37 | $15,135.61 | $28,840.32 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $4,365.16 Typical High $19,498.45 | Professional | None | $776.25 | $4,365.16 | $19,498.45 |
Health Partners Setting Facility Modifier None Typical Low $8,709.64 Median $13,803.84 Typical High $23,988.33 | Facility | None | $8,709.64 | $13,803.84 | $23,988.33 |
Health Partners Setting Professional Modifier None Typical Low $724.44 Median $5,888.44 Typical High $18,197.01 | Professional | None | $724.44 | $5,888.44 | $18,197.01 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $5,011.87 Typical High $12,022.64 | Facility | None | $758.58 | $5,011.87 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $7,762.47 Median $19,952.62 Typical High $42,657.95 | Professional | None | $7,762.47 | $19,952.62 | $42,657.95 |
United Setting Facility Modifier None Typical Low $3,235.94 Median $5,370.32 Typical High $12,882.50 | Facility | None | $3,235.94 | $5,370.32 | $12,882.50 |
United Setting Professional Modifier None Typical Low $524.81 Median $4,570.88 Typical High $20,892.96 | Professional | None | $524.81 | $4,570.88 | $20,892.96 |
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 $208.93 Median $2,818.38 Typical High $2,818.38 | Facility | 52 · Reduced service | $208.93 | $2,818.38 | $2,818.38 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $83.18 Median $1,122.02 Typical High $1,122.02 | Facility | 53 · Discontinued | $83.18 | $1,122.02 | $1,122.02 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $41.69 Median $562.34 Typical High $562.34 | Facility | 56 · Pre-op care only | $41.69 | $562.34 | $562.34 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $208.93 Median $2,754.23 Typical High $3,162.28 | Professional | 52 · Reduced service | $208.93 | $2,754.23 | $3,162.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $1,096.48 Typical High $1,258.93 | Professional | 53 · Discontinued | $83.18 | $1,096.48 | $1,258.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $549.54 Typical High $630.96 | Professional | 56 · Pre-op care only | $41.69 | $549.54 | $630.96 |
Where Minnesota sits
The same service costs 4.1 times more in Iowa 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
IA $18,453DE $4,539
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.