How much rates vary
Facilitymedian $1,148 · 10th to 90th $302 to $21,380Professionalmedian $676 · 10th to 90th $302 to $1,175
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 $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | 54 · Surgery only | $229.09 | $229.09 | $229.09 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $45.71 Median $45.71 Typical High $45.71 | Facility | 55 · Aftercare only | $45.71 | $45.71 | $45.71 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | 78 · Unplanned return to OR | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $323.59 | Professional | None | $302.00 | $302.00 | $323.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $229.09 Median $229.09 Typical High $234.42 | Professional | 54 · Surgery only | $229.09 | $229.09 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $45.71 Typical High $46.77 | Professional | 55 · Aftercare only | $45.71 | $45.71 | $46.77 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $213.80 Median $213.80 Typical High $218.78 | Professional | 78 · Unplanned return to OR | $213.80 | $213.80 | $218.78 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,778.28 Median $35,481.34 Typical High $81,283.05 | Facility | None | $1,778.28 | $35,481.34 | $81,283.05 |
BCBS Minnesota Setting Professional Modifier None Typical Low $537.03 Median $676.08 Typical High $1,047.13 | Professional | None | $537.03 | $676.08 | $1,047.13 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $537.03 Typical High $831.76 | Professional | 54 · Surgery only | $426.58 | $537.03 | $831.76 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $134.90 Typical High $208.93 | Professional | 55 · Aftercare only | $107.15 | $134.90 | $208.93 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $575.44 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $446.68 | $575.44 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $776.25 Typical High $1,513.56 | Facility | None | $501.19 | $776.25 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $812.83 Typical High $1,288.25 | Professional | None | $478.63 | $812.83 | $1,288.25 |
Health Partners Setting Facility Modifier None Typical Low $446.68 Median $724.44 Typical High $1,258.93 | Facility | None | $446.68 | $724.44 | $1,258.93 |
Health Partners Setting Professional Modifier None Typical Low $426.58 Median $758.58 Typical High $1,202.26 | Professional | None | $426.58 | $758.58 | $1,202.26 |
Medica Setting Facility Modifier None Typical Low $537.03 Median $5,011.87 Typical High $12,589.25 | Facility | None | $537.03 | $5,011.87 | $12,589.25 |
Medica Setting Professional Modifier None Typical Low $331.13 Median $602.56 Typical High $8,317.64 | Professional | None | $331.13 | $602.56 | $8,317.64 |
United Setting Facility Modifier None Typical Low $3,981.07 Median $5,623.41 Typical High $13,803.84 | Facility | None | $3,981.07 | $5,623.41 | $13,803.84 |
United Setting Professional Modifier None Typical Low $316.23 Median $549.54 Typical High $1,122.02 | Professional | None | $316.23 | $549.54 | $1,122.02 |
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 $151.36 Median $151.36 Typical High $151.36 | Facility | 52 · Reduced service | $151.36 | $151.36 | $151.36 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | 53 · Discontinued | $60.26 | $60.26 | $60.26 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | 56 · Pre-op care only | $30.20 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $151.36 Median $151.36 Typical High $154.88 | Professional | 52 · Reduced service | $151.36 | $151.36 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $60.26 Typical High $61.66 | Professional | 53 · Discontinued | $60.26 | $60.26 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $30.20 Typical High $30.90 | Professional | 56 · Pre-op care only | $30.20 | $30.20 | $30.90 |
Where Minnesota sits
The same service costs 29.1 times more in Alabama 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
AL $30,626MT $1,051
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.