How much rates vary
Facilitymedian $977 · 10th to 90th $295 to $4,898Professionalmedian $631 · 10th to 90th $331 to $1,202
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 $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | 54 · Surgery only | $218.78 | $218.78 | $218.78 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $43.65 Median $43.65 Typical High $43.65 | Facility | 55 · Aftercare only | $43.65 | $43.65 | $43.65 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | 78 · Unplanned return to OR | $204.17 | $204.17 | $204.17 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $354.81 | Professional | None | $295.12 | $295.12 | $354.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $218.78 Typical High $245.47 | Professional | 54 · Surgery only | $218.78 | $218.78 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $43.65 Typical High $48.98 | Professional | 55 · Aftercare only | $43.65 | $43.65 | $48.98 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $204.17 Median $204.17 Typical High $229.09 | Professional | 78 · Unplanned return to OR | $204.17 | $204.17 | $229.09 |
BCBS Minnesota Setting Facility Modifier None Typical Low $691.83 Median $3,311.31 Typical High $7,762.47 | Facility | None | $691.83 | $3,311.31 | $7,762.47 |
BCBS Minnesota Setting Professional Modifier None Typical Low $467.74 Median $630.96 Typical High $1,023.29 | Professional | None | $467.74 | $630.96 | $1,023.29 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $501.19 Typical High $831.76 | Professional | 54 · Surgery only | $371.54 | $501.19 | $831.76 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $125.89 Typical High $204.17 | Professional | 55 · Aftercare only | $93.33 | $125.89 | $204.17 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $389.05 Median $524.81 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $389.05 | $524.81 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $741.31 Typical High $1,445.44 | Facility | None | $478.63 | $741.31 | $1,445.44 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $870.96 Typical High $1,348.96 | Professional | None | $549.54 | $870.96 | $1,348.96 |
Health Partners Setting Facility Modifier None Typical Low $426.58 Median $691.83 Typical High $1,202.26 | Facility | None | $426.58 | $691.83 | $1,202.26 |
Health Partners Setting Professional Modifier None Typical Low $489.78 Median $776.25 Typical High $1,202.26 | Professional | None | $489.78 | $776.25 | $1,202.26 |
Medica Setting Facility Modifier None Typical Low $512.86 Median $2,187.76 Typical High $5,011.87 | Facility | None | $512.86 | $2,187.76 | $5,011.87 |
Medica Setting Professional Modifier None Typical Low $346.74 Median $645.65 Typical High $6,918.31 | Professional | None | $346.74 | $645.65 | $6,918.31 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $5,888.44 | Facility | None | $1,513.56 | $2,511.89 | $5,888.44 |
United Setting Professional Modifier None Typical Low $323.59 Median $602.56 Typical High $1,202.26 | Professional | None | $323.59 | $602.56 | $1,202.26 |
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 $147.91 Median $147.91 Typical High $147.91 | Facility | 52 · Reduced service | $147.91 | $147.91 | $147.91 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | 53 · Discontinued | $58.88 | $58.88 | $58.88 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $29.51 Median $29.51 Typical High $29.51 | Facility | 56 · Pre-op care only | $29.51 | $29.51 | $29.51 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $147.91 Median $147.91 Typical High $165.96 | Professional | 52 · Reduced service | $147.91 | $147.91 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $58.88 Typical High $66.07 | Professional | 53 · Discontinued | $58.88 | $58.88 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $29.51 Typical High $33.11 | Professional | 56 · Pre-op care only | $29.51 | $29.51 | $33.11 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $288.40 Median $389.05 Typical High $630.96 | Professional | 62 · Two surgeons | $288.40 | $389.05 | $630.96 |
Where Minnesota sits
The same service costs 6.6 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 $6,126MT $925
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.