How much rates vary
Facilitymedian $1,862 · 10th to 90th $661 to $6,761Professionalmedian $1,778 · 10th to 90th $813 to $3,162
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 $660.69 Median $812.83 Typical High $812.83 | Facility | None | $660.69 | $812.83 | $812.83 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $489.78 Median $616.60 Typical High $616.60 | Facility | 54 · Surgery only | $489.78 | $616.60 | $616.60 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $97.72 Median $123.03 Typical High $123.03 | Facility | 55 · Aftercare only | $97.72 | $123.03 | $123.03 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $575.44 Typical High $575.44 | Facility | 78 · Unplanned return to OR | $457.09 | $575.44 | $575.44 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $724.44 Typical High $831.76 | Professional | None | $660.69 | $724.44 | $831.76 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $549.54 Typical High $616.60 | Professional | 54 · Surgery only | $489.78 | $549.54 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $109.65 Typical High $123.03 | Professional | 55 · Aftercare only | $97.72 | $109.65 | $123.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $512.86 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $457.09 | $512.86 | $575.44 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,630.78 Median $7,244.36 Typical High $14,454.40 | Facility | None | $3,630.78 | $7,244.36 | $14,454.40 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $7,585.78 Median $13,803.84 Typical High $25,703.96 | Facility | 50 · Both sides | $7,585.78 | $13,803.84 | $25,703.96 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,047.13 Median $1,819.70 Typical High $2,818.38 | Professional | None | $1,047.13 | $1,819.70 | $2,818.38 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $1,584.89 Median $2,691.53 Typical High $4,265.80 | Professional | 50 · Both sides | $1,584.89 | $2,691.53 | $4,265.80 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $831.76 Median $1,445.44 Typical High $2,238.72 | Professional | 54 · Surgery only | $831.76 | $1,445.44 | $2,238.72 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $229.09 Median $371.54 Typical High $549.54 | Professional | 55 · Aftercare only | $229.09 | $371.54 | $549.54 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $1,513.56 Typical High $2,344.23 | Professional | 78 · Unplanned return to OR | $870.96 | $1,513.56 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $2,137.96 Typical High $4,073.80 | Facility | None | $1,380.38 | $2,137.96 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $1,412.54 Median $2,290.87 Typical High $3,630.78 | Professional | None | $1,412.54 | $2,290.87 | $3,630.78 |
Health Partners Setting Facility Modifier None Typical Low $1,230.27 Median $1,949.84 Typical High $3,388.44 | Facility | None | $1,230.27 | $1,949.84 | $3,388.44 |
Health Partners Setting Professional Modifier None Typical Low $1,202.26 Median $1,995.26 Typical High $3,311.31 | Professional | None | $1,202.26 | $1,995.26 | $3,311.31 |
Medica Setting Facility Modifier None Typical Low $1,174.90 Median $1,819.70 Typical High $6,456.54 | Facility | None | $1,174.90 | $1,819.70 | $6,456.54 |
Medica Setting Professional Modifier None Typical Low $1,000.00 Median $2,137.96 Typical High $5,011.87 | Professional | None | $1,000.00 | $2,137.96 | $5,011.87 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $8,317.64 | Facility | None | $1,513.56 | $2,511.89 | $8,317.64 |
United Setting Professional Modifier None Typical Low $851.14 Median $1,548.82 Typical High $2,951.21 | Professional | None | $851.14 | $1,548.82 | $2,951.21 |
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 $331.13 Median $407.38 Typical High $407.38 | Facility | 52 · Reduced service | $331.13 | $407.38 | $407.38 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $131.83 Median $162.18 Typical High $162.18 | Facility | 53 · Discontinued | $131.83 | $162.18 | $162.18 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $66.07 Median $81.28 Typical High $81.28 | Facility | 56 · Pre-op care only | $66.07 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $331.13 Median $363.08 Typical High $407.38 | Professional | 52 · Reduced service | $331.13 | $363.08 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $144.54 Typical High $162.18 | Professional | 53 · Discontinued | $131.83 | $144.54 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $72.44 Typical High $81.28 | Professional | 56 · Pre-op care only | $66.07 | $72.44 | $81.28 |
Where Minnesota sits
The same service costs 3.7 times more in Connecticut than in Arkansas. 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
CT $7,673AR $2,094
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.