How much rates vary
Facilitymedian $1,995 · 10th to 90th $550 to $7,079Professionalmedian $1,202 · 10th to 90th $575 to $2,239
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 $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | 54 · Surgery only | $416.87 | $416.87 | $416.87 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | 55 · Aftercare only | $83.18 | $83.18 | $83.18 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | 78 · Unplanned return to OR | $389.05 | $389.05 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $691.83 | Professional | None | $549.54 | $549.54 | $691.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $416.87 Typical High $524.81 | Professional | 54 · Surgery only | $416.87 | $416.87 | $524.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $83.18 Typical High $104.71 | Professional | 55 · Aftercare only | $83.18 | $83.18 | $104.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $389.05 Median $389.05 Typical High $489.78 | Professional | 78 · Unplanned return to OR | $389.05 | $389.05 | $489.78 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,235.94 Median $6,456.54 Typical High $13,489.63 | Facility | None | $3,235.94 | $6,456.54 | $13,489.63 |
BCBS Minnesota Setting Professional Modifier None Typical Low $933.25 Median $1,202.26 Typical High $1,905.46 | Professional | None | $933.25 | $1,202.26 | $1,905.46 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $954.99 Typical High $1,513.56 | Professional | 54 · Surgery only | $741.31 | $954.99 | $1,513.56 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $239.88 Typical High $380.19 | Professional | 55 · Aftercare only | $186.21 | $239.88 | $380.19 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $776.25 Median $1,023.29 Typical High $1,584.89 | Professional | 78 · Unplanned return to OR | $776.25 | $1,023.29 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $1,479.11 Typical High $2,818.38 | Facility | None | $954.99 | $1,479.11 | $2,818.38 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $1,348.96 Typical High $2,290.87 | Professional | None | $851.14 | $1,348.96 | $2,290.87 |
Health Partners Setting Facility Modifier None Typical Low $851.14 Median $1,348.96 Typical High $2,344.23 | Facility | None | $851.14 | $1,348.96 | $2,344.23 |
Health Partners Setting Professional Modifier None Typical Low $954.99 Median $1,258.93 Typical High $2,089.30 | Professional | None | $954.99 | $1,258.93 | $2,089.30 |
Medica Setting Facility Modifier None Typical Low $1,000.00 Median $2,754.23 Typical High $7,762.47 | Facility | None | $1,000.00 | $2,754.23 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $630.96 Median $1,318.26 Typical High $4,365.16 | Professional | None | $630.96 | $1,318.26 | $4,365.16 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $9,332.54 | Facility | None | $1,995.26 | $3,090.30 | $9,332.54 |
United Setting Professional Modifier None Typical Low $616.60 Median $1,023.29 Typical High $2,137.96 | Professional | None | $616.60 | $1,023.29 | $2,137.96 |
7 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 $275.42 Median $275.42 Typical High $275.42 | Facility | 52 · Reduced service | $275.42 | $275.42 | $275.42 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | 53 · Discontinued | $109.65 | $109.65 | $109.65 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $54.95 Median $54.95 Typical High $54.95 | Facility | 56 · Pre-op care only | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $275.42 Median $275.42 Typical High $346.74 | Professional | 52 · Reduced service | $275.42 | $275.42 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $109.65 Typical High $138.04 | Professional | 53 · Discontinued | $109.65 | $109.65 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $54.95 Typical High $69.18 | Professional | 56 · Pre-op care only | $54.95 | $54.95 | $69.18 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $588.84 Median $758.58 Typical High $1,174.90 | Professional | 62 · Two surgeons | $588.84 | $758.58 | $1,174.90 |
Where Minnesota sits
The same service costs 4.0 times more in Oklahoma than in Montana. 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
OK $7,771MT $1,932
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.