How much rates vary
Facilitymedian $525 · 10th to 90th $126 to $3,467Professionalmedian $372 · 10th to 90th $186 to $708
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 $125.89 Median $186.21 Typical High $186.21 | Facility | None | $125.89 | $186.21 | $186.21 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $93.33 Median $141.25 Typical High $141.25 | Facility | 54 · Surgery only | $93.33 | $141.25 | $141.25 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $18.62 Median $28.18 Typical High $28.18 | Facility | 55 · Aftercare only | $18.62 | $28.18 | $28.18 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $87.10 Median $131.83 Typical High $131.83 | Facility | 78 · Unplanned return to OR | $87.10 | $131.83 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $186.21 Typical High $223.87 | Professional | None | $125.89 | $186.21 | $223.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $93.33 Median $141.25 Typical High $141.25 | Professional | 54 · Surgery only | $93.33 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $28.18 Typical High $28.18 | Professional | 55 · Aftercare only | $18.62 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $87.10 Median $131.83 Typical High $131.83 | Professional | 78 · Unplanned return to OR | $87.10 | $131.83 | $131.83 |
BCBS Minnesota Setting Facility Modifier None Typical Low $660.69 Median $3,090.30 Typical High $6,918.31 | Facility | None | $660.69 | $3,090.30 | $6,918.31 |
BCBS Minnesota Setting Professional Modifier None Typical Low $218.78 Median $363.08 Typical High $616.60 | Professional | None | $218.78 | $363.08 | $616.60 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $288.40 Typical High $489.78 | Professional | 54 · Surgery only | $177.83 | $288.40 | $489.78 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $74.13 Typical High $123.03 | Professional | 55 · Aftercare only | $44.67 | $74.13 | $123.03 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $186.21 Median $302.00 Typical High $512.86 | Professional | 78 · Unplanned return to OR | $186.21 | $302.00 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $512.86 Typical High $977.24 | Facility | None | $331.13 | $512.86 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $478.63 Typical High $851.14 | Professional | None | $295.12 | $478.63 | $851.14 |
Health Partners Setting Facility Modifier None Typical Low $288.40 Median $467.74 Typical High $812.83 | Facility | None | $288.40 | $467.74 | $812.83 |
Health Partners Setting Professional Modifier None Typical Low $263.03 Median $436.52 Typical High $794.33 | Professional | None | $263.03 | $436.52 | $794.33 |
Medica Setting Facility Modifier None Typical Low $239.88 Median $1,202.26 Typical High $3,981.07 | Facility | None | $239.88 | $1,202.26 | $3,981.07 |
Medica Setting Professional Modifier None Typical Low $234.42 Median $489.78 Typical High $1,122.02 | Professional | None | $234.42 | $489.78 | $1,122.02 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,659.59 Typical High $4,897.79 | Facility | None | $776.25 | $1,659.59 | $4,897.79 |
United Setting Professional Modifier None Typical Low $169.82 Median $338.84 Typical High $676.08 | Professional | None | $169.82 | $338.84 | $676.08 |
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 $93.33 Typical High $93.33 | Facility | 52 · Reduced service | $61.66 | $93.33 | $93.33 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $25.12 Median $37.15 Typical High $37.15 | Facility | 53 · Discontinued | $25.12 | $37.15 | $37.15 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $12.59 Median $18.62 Typical High $18.62 | Facility | 56 · Pre-op care only | $12.59 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $93.33 Typical High $95.50 | Professional | 52 · Reduced service | $61.66 | $93.33 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $37.15 Typical High $38.02 | Professional | 53 · Discontinued | $25.12 | $37.15 | $38.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.59 Median $18.62 Typical High $19.05 | Professional | 56 · Pre-op care only | $12.59 | $18.62 | $19.05 |
Where Minnesota sits
The same service costs 9.9 times more in Colorado 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
CO $4,605MT $466
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.