How much rates vary
Facilitymedian $1,514 · 10th to 90th $372 to $25,119Professionalmedian $794 · 10th to 90th $372 to $1,445
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 $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | 54 · Surgery only | $281.84 | $281.84 | $281.84 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | 55 · Aftercare only | $56.23 | $56.23 | $56.23 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | 78 · Unplanned return to OR | $263.03 | $263.03 | $263.03 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $436.52 | Professional | None | $371.54 | $371.54 | $436.52 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $281.84 Typical High $288.40 | Professional | 54 · Surgery only | $281.84 | $281.84 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $56.23 Typical High $57.54 | Professional | 55 · Aftercare only | $56.23 | $56.23 | $57.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $263.03 Median $263.03 Typical High $269.15 | Professional | 78 · Unplanned return to OR | $263.03 | $263.03 | $269.15 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,238.72 Median $28,840.32 Typical High $67,608.30 | Facility | None | $2,238.72 | $28,840.32 | $67,608.30 |
BCBS Minnesota Setting Professional Modifier None Typical Low $630.96 Median $831.76 Typical High $1,288.25 | Professional | None | $630.96 | $831.76 | $1,288.25 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $660.69 Typical High $1,023.29 | Professional | 54 · Surgery only | $501.19 | $660.69 | $1,023.29 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $165.96 Typical High $251.19 | Professional | 55 · Aftercare only | $125.89 | $165.96 | $251.19 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $691.83 Typical High $1,071.52 | Professional | 78 · Unplanned return to OR | $524.81 | $691.83 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $977.24 Typical High $1,819.70 | Facility | None | $630.96 | $977.24 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $1,000.00 Typical High $1,584.89 | Professional | None | $588.84 | $1,000.00 | $1,584.89 |
Health Partners Setting Facility Modifier None Typical Low $549.54 Median $912.01 Typical High $1,548.82 | Facility | None | $549.54 | $912.01 | $1,548.82 |
Health Partners Setting Professional Modifier None Typical Low $524.81 Median $933.25 Typical High $1,479.11 | Professional | None | $524.81 | $933.25 | $1,479.11 |
Medica Setting Facility Modifier None Typical Low $660.69 Median $6,918.31 Typical High $18,197.01 | Facility | None | $660.69 | $6,918.31 | $18,197.01 |
Medica Setting Professional Modifier None Typical Low $407.38 Median $758.58 Typical High $8,511.38 | Professional | None | $407.38 | $758.58 | $8,511.38 |
United Setting Facility Modifier None Typical Low $5,623.41 Median $7,762.47 Typical High $22,908.68 | Facility | None | $5,623.41 | $7,762.47 | $22,908.68 |
United Setting Professional Modifier None Typical Low $389.05 Median $676.08 Typical High $1,380.38 | Professional | None | $389.05 | $676.08 | $1,380.38 |
7 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 $186.21 Median $186.21 Typical High $186.21 | Facility | 52 · Reduced service | $186.21 | $186.21 | $186.21 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $74.13 Median $74.13 Typical High $74.13 | Facility | 53 · Discontinued | $74.13 | $74.13 | $74.13 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | 56 · Pre-op care only | $37.15 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $186.21 Median $186.21 Typical High $194.98 | Professional | 52 · Reduced service | $186.21 | $186.21 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $74.13 Typical High $77.62 | Professional | 53 · Discontinued | $74.13 | $74.13 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $37.15 Typical High $38.90 | Professional | 56 · Pre-op care only | $37.15 | $37.15 | $38.90 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $398.11 Median $512.86 Typical High $776.25 | Professional | 62 · Two surgeons | $398.11 | $512.86 | $776.25 |
Where Minnesota sits
The same service costs 29.4 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 $37,066MT $1,262
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.