How much rates vary
Facilitymedian $1,318 · 10th to 90th $537 to $5,370Professionalmedian $1,148 · 10th to 90th $537 to $2,089
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 $537.03 Median $537.03 Typical High $537.03 | Facility | None | $537.03 | $537.03 | $537.03 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | 54 · Surgery only | $407.38 | $407.38 | $407.38 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | 55 · Aftercare only | $81.28 | $81.28 | $81.28 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | 78 · Unplanned return to OR | $380.19 | $380.19 | $380.19 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $676.08 | Professional | None | $537.03 | $537.03 | $676.08 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $407.38 Typical High $416.87 | Professional | 54 · Surgery only | $407.38 | $407.38 | $416.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $81.28 Typical High $83.18 | Professional | 55 · Aftercare only | $81.28 | $81.28 | $83.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $380.19 Typical High $389.05 | Professional | 78 · Unplanned return to OR | $380.19 | $380.19 | $389.05 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,388.44 Median $5,370.32 Typical High $10,715.19 | Facility | None | $3,388.44 | $5,370.32 | $10,715.19 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $5,754.40 Median $10,471.29 Typical High $19,054.61 | Facility | 50 · Both sides | $5,754.40 | $10,471.29 | $19,054.61 |
BCBS Minnesota Setting Professional Modifier None Typical Low $870.96 Median $1,202.26 Typical High $1,905.46 | Professional | None | $870.96 | $1,202.26 | $1,905.46 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $1,318.26 Median $1,819.70 Typical High $2,884.03 | Professional | 50 · Both sides | $1,318.26 | $1,819.70 | $2,884.03 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $954.99 Typical High $1,513.56 | Professional | 54 · Surgery only | $707.95 | $954.99 | $1,513.56 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $239.88 Typical High $380.19 | Professional | 55 · Aftercare only | $177.83 | $239.88 | $380.19 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $1,023.29 Typical High $1,584.89 | Professional | 78 · Unplanned return to OR | $741.31 | $1,023.29 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $1,380.38 Typical High $2,630.27 | Facility | None | $891.25 | $1,380.38 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $1,445.44 Typical High $2,290.87 | Professional | None | $851.14 | $1,445.44 | $2,290.87 |
Health Partners Setting Facility Modifier None Typical Low $794.33 Median $1,288.25 Typical High $2,238.72 | Facility | None | $794.33 | $1,288.25 | $2,238.72 |
Health Partners Setting Professional Modifier None Typical Low $758.58 Median $1,318.26 Typical High $2,137.96 | Professional | None | $758.58 | $1,318.26 | $2,137.96 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,258.93 Typical High $4,677.35 | Facility | None | $758.58 | $1,258.93 | $4,677.35 |
Medica Setting Professional Modifier None Typical Low $575.44 Median $1,071.52 Typical High $3,981.07 | Professional | None | $575.44 | $1,071.52 | $3,981.07 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,659.59 Typical High $4,897.79 | Facility | None | $776.25 | $1,659.59 | $4,897.79 |
United Setting Professional Modifier None Typical Low $549.54 Median $954.99 Typical High $1,949.84 | Professional | None | $549.54 | $954.99 | $1,949.84 |
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 $269.15 Median $269.15 Typical High $269.15 | Facility | 52 · Reduced service | $269.15 | $269.15 | $269.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | 53 · Discontinued | $107.15 | $107.15 | $107.15 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $53.70 Median $53.70 Typical High $53.70 | Facility | 56 · Pre-op care only | $53.70 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $269.15 Median $269.15 Typical High $275.42 | Professional | 52 · Reduced service | $269.15 | $269.15 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $107.15 Typical High $109.65 | Professional | 53 · Discontinued | $107.15 | $107.15 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $53.70 Typical High $54.95 | Professional | 56 · Pre-op care only | $53.70 | $53.70 | $54.95 |
Where Minnesota sits
The same service costs 4.6 times more in Colorado than in Delaware. 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 $6,382DE $1,376
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.