How much rates vary
Facilitymedian $2,291 · 10th to 90th $282 to $7,413Professionalmedian $631 · 10th to 90th $302 to $1,122
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 $234.42 Median $3,981.07 Typical High $7,413.10 | Facility | None | $234.42 | $3,981.07 | $7,413.10 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $177.83 Median $208.93 Typical High $208.93 | Facility | 54 · Surgery only | $177.83 | $208.93 | $208.93 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $35.48 Median $42.66 Typical High $42.66 | Facility | 55 · Aftercare only | $35.48 | $42.66 | $42.66 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $165.96 Median $194.98 Typical High $194.98 | Facility | 78 · Unplanned return to OR | $165.96 | $194.98 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $281.84 Typical High $354.81 | Professional | None | $234.42 | $281.84 | $354.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $208.93 Typical High $229.09 | Professional | 54 · Surgery only | $177.83 | $208.93 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $42.66 Typical High $45.71 | Professional | 55 · Aftercare only | $35.48 | $42.66 | $45.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $165.96 Median $194.98 Typical High $213.80 | Professional | 78 · Unplanned return to OR | $165.96 | $194.98 | $213.80 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,019.95 Median $6,309.57 Typical High $12,022.64 | Facility | None | $3,019.95 | $6,309.57 | $12,022.64 |
BCBS Minnesota Setting Professional Modifier None Typical Low $416.87 Median $630.96 Typical High $977.24 | Professional | None | $416.87 | $630.96 | $977.24 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $501.19 Typical High $776.25 | Professional | 54 · Surgery only | $331.13 | $501.19 | $776.25 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $125.89 Typical High $190.55 | Professional | 55 · Aftercare only | $83.18 | $125.89 | $190.55 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $346.74 Median $524.81 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $346.74 | $524.81 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $776.25 Typical High $1,479.11 | Facility | None | $489.78 | $776.25 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $851.14 Typical High $1,318.26 | Professional | None | $512.86 | $851.14 | $1,318.26 |
Health Partners Setting Facility Modifier None Typical Low $436.52 Median $724.44 Typical High $1,230.27 | Facility | None | $436.52 | $724.44 | $1,230.27 |
Health Partners Setting Professional Modifier None Typical Low $446.68 Median $741.31 Typical High $1,202.26 | Professional | None | $446.68 | $741.31 | $1,202.26 |
Medica Setting Facility Modifier None Typical Low $416.87 Median $2,137.96 Typical High $4,897.79 | Facility | None | $416.87 | $2,137.96 | $4,897.79 |
Medica Setting Professional Modifier None Typical Low $338.84 Median $741.31 Typical High $1,905.46 | Professional | None | $338.84 | $741.31 | $1,905.46 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $8,128.31 | Facility | None | $1,513.56 | $2,511.89 | $8,128.31 |
United Setting Professional Modifier None Typical Low $302.00 Median $537.03 Typical High $1,047.13 | Professional | None | $302.00 | $537.03 | $1,047.13 |
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 $117.49 Median $141.25 Typical High $141.25 | Facility | 52 · Reduced service | $117.49 | $141.25 | $141.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $47.86 Median $56.23 Typical High $56.23 | Facility | 53 · Discontinued | $47.86 | $56.23 | $56.23 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $23.44 Median $28.18 Typical High $28.18 | Facility | 56 · Pre-op care only | $23.44 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $117.49 Median $141.25 Typical High $151.36 | Professional | 52 · Reduced service | $117.49 | $141.25 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $56.23 Typical High $60.26 | Professional | 53 · Discontinued | $47.86 | $56.23 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $28.18 Typical High $30.20 | Professional | 56 · Pre-op care only | $23.44 | $28.18 | $30.20 |
Where Minnesota sits
The same service costs 5.6 times more in Alaska 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
AK $4,849MT $864
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.