How much rates vary
Facilitymedian $1,479 · 10th to 90th $275 to $5,248Professionalmedian $589 · 10th to 90th $282 to $1,096
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 $213.80 Median $275.42 Typical High $3,981.07 | Facility | None | $213.80 | $275.42 | $3,981.07 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $162.18 Median $208.93 Typical High $208.93 | Facility | 54 · Surgery only | $162.18 | $208.93 | $208.93 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $32.36 Median $41.69 Typical High $41.69 | Facility | 55 · Aftercare only | $32.36 | $41.69 | $41.69 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $151.36 Median $194.98 Typical High $194.98 | Facility | 78 · Unplanned return to OR | $151.36 | $194.98 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $275.42 Typical High $338.84 | Professional | None | $213.80 | $275.42 | $338.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $162.18 Median $208.93 Typical High $208.93 | Professional | 54 · Surgery only | $162.18 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $41.69 Typical High $41.69 | Professional | 55 · Aftercare only | $32.36 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $151.36 Median $194.98 Typical High $194.98 | Professional | 78 · Unplanned return to OR | $151.36 | $194.98 | $194.98 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,168.69 Median $6,918.31 Typical High $14,125.38 | Facility | None | $4,168.69 | $6,918.31 | $14,125.38 |
BCBS Minnesota Setting Professional Modifier None Typical Low $380.19 Median $588.84 Typical High $933.25 | Professional | None | $380.19 | $588.84 | $933.25 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $302.00 Median $467.74 Typical High $758.58 | Professional | 54 · Surgery only | $302.00 | $467.74 | $758.58 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $117.49 Typical High $186.21 | Professional | 55 · Aftercare only | $75.86 | $117.49 | $186.21 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $316.23 Median $489.78 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $316.23 | $489.78 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $758.58 Typical High $1,445.44 | Facility | None | $489.78 | $758.58 | $1,445.44 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $776.25 Typical High $1,288.25 | Professional | None | $478.63 | $776.25 | $1,288.25 |
Health Partners Setting Facility Modifier None Typical Low $436.52 Median $707.95 Typical High $1,202.26 | Facility | None | $436.52 | $707.95 | $1,202.26 |
Health Partners Setting Professional Modifier None Typical Low $426.58 Median $691.83 Typical High $1,174.90 | Professional | None | $426.58 | $691.83 | $1,174.90 |
Medica Setting Facility Modifier None Typical Low $398.11 Median $1,995.26 Typical High $5,495.41 | Facility | None | $398.11 | $1,995.26 | $5,495.41 |
Medica Setting Professional Modifier None Typical Low $323.59 Median $724.44 Typical High $1,737.80 | Professional | None | $323.59 | $724.44 | $1,737.80 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,570.40 Typical High $8,128.31 | Facility | None | $1,513.56 | $2,570.40 | $8,128.31 |
United Setting Professional Modifier None Typical Low $275.42 Median $501.19 Typical High $1,000.00 | Professional | None | $275.42 | $501.19 | $1,000.00 |
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 $107.15 Median $138.04 Typical High $138.04 | Facility | 52 · Reduced service | $107.15 | $138.04 | $138.04 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $42.66 Median $54.95 Typical High $54.95 | Facility | 53 · Discontinued | $42.66 | $54.95 | $54.95 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $21.38 Median $27.54 Typical High $27.54 | Facility | 56 · Pre-op care only | $21.38 | $27.54 | $27.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $138.04 Typical High $141.25 | Professional | 52 · Reduced service | $107.15 | $138.04 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $54.95 Typical High $56.23 | Professional | 53 · Discontinued | $42.66 | $54.95 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $27.54 Typical High $28.18 | Professional | 56 · Pre-op care only | $21.38 | $27.54 | $28.18 |
Where Minnesota sits
The same service costs 8.5 times more in Alaska than in West Virginia. 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 $5,029WV $590
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.