How much rates vary
Facilitymedian $1,202 · 10th to 90th $398 to $6,918Professionalmedian $1,000 · 10th to 90th $525 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 $398.11 Median $426.58 Typical High $426.58 | Facility | None | $398.11 | $426.58 | $426.58 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $302.00 Median $323.59 Typical High $323.59 | Facility | 54 · Surgery only | $302.00 | $323.59 | $323.59 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $60.26 Median $64.57 Typical High $64.57 | Facility | 55 · Aftercare only | $60.26 | $64.57 | $64.57 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $281.84 Median $302.00 Typical High $302.00 | Facility | 78 · Unplanned return to OR | $281.84 | $302.00 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $426.58 Typical High $537.03 | Professional | None | $398.11 | $426.58 | $537.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $302.00 Median $323.59 Typical High $398.11 | Professional | 54 · Surgery only | $302.00 | $323.59 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $64.57 Typical High $79.43 | Professional | 55 · Aftercare only | $60.26 | $64.57 | $79.43 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $281.84 Median $302.00 Typical High $371.54 | Professional | 78 · Unplanned return to OR | $281.84 | $302.00 | $371.54 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,801.89 Median $8,317.64 Typical High $20,417.38 | Facility | None | $3,801.89 | $8,317.64 | $20,417.38 |
BCBS Minnesota Setting Professional Modifier None Typical Low $691.83 Median $977.24 Typical High $1,548.82 | Professional | None | $691.83 | $977.24 | $1,548.82 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $794.33 Typical High $1,258.93 | Professional | 54 · Surgery only | $549.54 | $794.33 | $1,258.93 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $194.98 Typical High $302.00 | Professional | 55 · Aftercare only | $144.54 | $194.98 | $302.00 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $831.76 Typical High $1,318.26 | Professional | 78 · Unplanned return to OR | $575.44 | $831.76 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,174.90 Typical High $2,238.72 | Facility | None | $758.58 | $1,174.90 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $1,348.96 Typical High $2,089.30 | Professional | None | $831.76 | $1,348.96 | $2,089.30 |
Health Partners Setting Facility Modifier None Typical Low $676.08 Median $1,096.48 Typical High $1,905.46 | Facility | None | $676.08 | $1,096.48 | $1,905.46 |
Health Partners Setting Professional Modifier None Typical Low $724.44 Median $1,174.90 Typical High $1,819.70 | Professional | None | $724.44 | $1,174.90 | $1,819.70 |
Medica Setting Facility Modifier None Typical Low $660.69 Median $1,659.59 Typical High $4,786.30 | Facility | None | $660.69 | $1,659.59 | $4,786.30 |
Medica Setting Professional Modifier None Typical Low $549.54 Median $1,202.26 Typical High $3,235.94 | Professional | None | $549.54 | $1,202.26 | $3,235.94 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $7,585.78 | Facility | None | $1,513.56 | $2,511.89 | $7,585.78 |
United Setting Professional Modifier None Typical Low $489.78 Median $912.01 Typical High $1,737.80 | Professional | None | $489.78 | $912.01 | $1,737.80 |
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 $199.53 Median $213.80 Typical High $213.80 | Facility | 52 · Reduced service | $199.53 | $213.80 | $213.80 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $79.43 Median $87.10 Typical High $87.10 | Facility | 53 · Discontinued | $79.43 | $87.10 | $87.10 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $39.81 Median $42.66 Typical High $42.66 | Facility | 56 · Pre-op care only | $39.81 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $199.53 Median $213.80 Typical High $263.03 | Professional | 52 · Reduced service | $199.53 | $213.80 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $87.10 Typical High $104.71 | Professional | 53 · Discontinued | $79.43 | $87.10 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $42.66 Typical High $52.48 | Professional | 56 · Pre-op care only | $39.81 | $42.66 | $52.48 |
Where Minnesota sits
The same service costs 4.8 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 $6,549ND $1,369
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.