How much rates vary
Facilitymedian $1,950 · 10th to 90th $603 to $5,495Professionalmedian $1,202 · 10th to 90th $603 to $2,291
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 $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | 54 · Surgery only | $446.68 | $446.68 | $446.68 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | 55 · Aftercare only | $89.13 | $89.13 | $89.13 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | 78 · Unplanned return to OR | $416.87 | $416.87 | $416.87 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None | $602.56 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | 54 · Surgery only | $446.68 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | 55 · Aftercare only | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | 78 · Unplanned return to OR | $416.87 | $416.87 | $416.87 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,380.38 Median $3,162.28 Typical High $7,413.10 | Facility | None | $1,380.38 | $3,162.28 | $7,413.10 |
BCBS Minnesota Setting Professional Modifier None Typical Low $912.01 Median $1,202.26 Typical High $1,995.26 | Professional | None | $912.01 | $1,202.26 | $1,995.26 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $954.99 Typical High $1,548.82 | Professional | 54 · Surgery only | $724.44 | $954.99 | $1,548.82 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $239.88 Typical High $389.05 | Professional | 55 · Aftercare only | $181.97 | $239.88 | $389.05 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $1,023.29 Typical High $1,659.59 | Professional | 78 · Unplanned return to OR | $758.58 | $1,023.29 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $1,548.82 Typical High $2,951.21 | Facility | None | $1,000.00 | $1,548.82 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $1,621.81 Typical High $2,570.40 | Professional | None | $954.99 | $1,621.81 | $2,570.40 |
Health Partners Setting Facility Modifier None Typical Low $891.25 Median $1,412.54 Typical High $2,511.89 | Facility | None | $891.25 | $1,412.54 | $2,511.89 |
Health Partners Setting Professional Modifier None Typical Low $851.14 Median $1,479.11 Typical High $2,398.83 | Professional | None | $851.14 | $1,479.11 | $2,398.83 |
Medica Setting Facility Modifier None Typical Low $1,047.13 Median $2,754.23 Typical High $6,456.54 | Facility | None | $1,047.13 | $2,754.23 | $6,456.54 |
Medica Setting Professional Modifier None Typical Low $630.96 Median $1,148.15 Typical High $8,317.64 | Professional | None | $630.96 | $1,148.15 | $8,317.64 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $6,918.31 | Facility | None | $1,995.26 | $3,090.30 | $6,918.31 |
United Setting Professional Modifier None Typical Low $588.84 Median $1,023.29 Typical High $2,089.30 | Professional | None | $588.84 | $1,023.29 | $2,089.30 |
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 $302.00 Median $302.00 Typical High $302.00 | Facility | 52 · Reduced service | $302.00 | $302.00 | $302.00 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | 53 · Discontinued | $120.23 | $120.23 | $120.23 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | 56 · Pre-op care only | $60.26 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $295.12 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $295.12 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | 56 · Pre-op care only | $60.26 | $60.26 | $60.26 |
Where Minnesota sits
The same service costs 4.7 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 $8,738MT $1,845
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.