How much rates vary
Facilitymedian $2,042 · 10th to 90th $661 to $7,413Professionalmedian $1,479 · 10th to 90th $676 to $2,754
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 $660.69 Typical High $5,370.32 | Facility | None | $660.69 | $660.69 | $5,370.32 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | 54 · Surgery only | $489.78 | $489.78 | $489.78 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | 55 · Aftercare only | $97.72 | $97.72 | $97.72 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | 78 · Unplanned return to OR | $457.09 | $457.09 | $457.09 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $776.25 | Professional | None | $660.69 | $660.69 | $776.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $489.78 Typical High $512.86 | Professional | 54 · Surgery only | $489.78 | $489.78 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $97.72 Typical High $102.33 | Professional | 55 · Aftercare only | $97.72 | $97.72 | $102.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $457.09 Typical High $478.63 | Professional | 78 · Unplanned return to OR | $457.09 | $457.09 | $478.63 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,715.35 Median $7,244.36 Typical High $14,454.40 | Facility | None | $3,715.35 | $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 $1,412.54 Typical High $2,398.83 | Professional | None | $1,047.13 | $1,412.54 | $2,398.83 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $1,584.89 Median $2,137.96 Typical High $3,630.78 | Professional | 50 · Both sides | $1,584.89 | $2,137.96 | $3,630.78 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $831.76 Median $1,122.02 Typical High $1,949.84 | Professional | 54 · Surgery only | $831.76 | $1,122.02 | $1,949.84 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $281.84 Typical High $478.63 | Professional | 55 · Aftercare only | $208.93 | $281.84 | $478.63 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $1,202.26 Typical High $2,041.74 | Professional | 78 · Unplanned return to OR | $870.96 | $1,202.26 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $1,698.24 Typical High $3,235.94 | Facility | None | $1,096.48 | $1,698.24 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,949.84 Typical High $3,090.30 | Professional | None | $1,258.93 | $1,949.84 | $3,090.30 |
Health Partners Setting Facility Modifier None Typical Low $977.24 Median $1,584.89 Typical High $2,754.23 | Facility | None | $977.24 | $1,584.89 | $2,754.23 |
Health Partners Setting Professional Modifier None Typical Low $1,096.48 Median $1,778.28 Typical High $2,691.53 | Professional | None | $1,096.48 | $1,778.28 | $2,691.53 |
Medica Setting Facility Modifier None Typical Low $1,174.90 Median $2,754.23 Typical High $6,918.31 | Facility | None | $1,174.90 | $2,754.23 | $6,918.31 |
Medica Setting Professional Modifier None Typical Low $794.33 Median $1,513.56 Typical High $6,025.60 | Professional | None | $794.33 | $1,513.56 | $6,025.60 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $10,000.00 | Facility | None | $1,995.26 | $3,090.30 | $10,000.00 |
United Setting Professional Modifier None Typical Low $758.58 Median $1,412.54 Typical High $2,754.23 | Professional | None | $758.58 | $1,412.54 | $2,754.23 |
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 $331.13 Typical High $331.13 | Facility | 52 · Reduced service | $331.13 | $331.13 | $331.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | 53 · Discontinued | $131.83 | $131.83 | $131.83 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | 56 · Pre-op care only | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $331.13 Median $331.13 Typical High $346.74 | Professional | 52 · Reduced service | $331.13 | $331.13 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $131.83 Typical High $138.04 | Professional | 53 · Discontinued | $131.83 | $131.83 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $66.07 Typical High $69.18 | Professional | 56 · Pre-op care only | $66.07 | $66.07 | $69.18 |
Where Minnesota sits
The same service costs 3.9 times more in Connecticut 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
CT $8,362MT $2,119
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.