How much rates vary
Facilitymedian $2,042 · 10th to 90th $692 to $10,000Professionalmedian $1,445 · 10th to 90th $692 to $2,630
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 $691.83 Median $691.83 Typical High $691.83 | Facility | None | $691.83 | $691.83 | $691.83 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | 54 · Surgery only | $524.81 | $524.81 | $524.81 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | 55 · Aftercare only | $104.71 | $104.71 | $104.71 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | 78 · Unplanned return to OR | $489.78 | $489.78 | $489.78 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $691.83 Typical High $758.58 | Professional | None | $676.08 | $691.83 | $758.58 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | 54 · Surgery only | $524.81 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | 55 · Aftercare only | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | 78 · Unplanned return to OR | $489.78 | $489.78 | $489.78 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,548.13 Median $11,748.98 Typical High $26,915.35 | Facility | None | $3,548.13 | $11,748.98 | $26,915.35 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,096.48 Median $1,513.56 Typical High $2,398.83 | Professional | None | $1,096.48 | $1,513.56 | $2,398.83 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $891.25 Median $1,202.26 Typical High $1,905.46 | Professional | 54 · Surgery only | $891.25 | $1,202.26 | $1,905.46 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $302.00 Typical High $489.78 | Professional | 55 · Aftercare only | $223.87 | $302.00 | $489.78 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $1,258.93 Typical High $2,041.74 | Professional | 78 · Unplanned return to OR | $933.25 | $1,258.93 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $1,148.15 Median $1,778.28 Typical High $3,388.44 | Facility | None | $1,148.15 | $1,778.28 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,862.09 Typical High $2,884.03 | Professional | None | $1,071.52 | $1,862.09 | $2,884.03 |
Health Partners Setting Facility Modifier None Typical Low $1,000.00 Median $1,621.81 Typical High $2,818.38 | Facility | None | $1,000.00 | $1,621.81 | $2,818.38 |
Health Partners Setting Professional Modifier None Typical Low $954.99 Median $1,698.24 Typical High $2,754.23 | Professional | None | $954.99 | $1,698.24 | $2,754.23 |
Medica Setting Facility Modifier None Typical Low $1,202.26 Median $2,754.23 Typical High $7,762.47 | Facility | None | $1,202.26 | $2,754.23 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $707.95 Median $1,318.26 Typical High $5,623.41 | Professional | None | $707.95 | $1,318.26 | $5,623.41 |
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 $676.08 Median $1,174.90 Typical High $2,398.83 | Professional | None | $676.08 | $1,174.90 | $2,398.83 |
9 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 $346.74 Median $346.74 Typical High $346.74 | Facility | 52 · Reduced service | $346.74 | $346.74 | $346.74 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | 53 · Discontinued | $138.04 | $138.04 | $138.04 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | 56 · Pre-op care only | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | 52 · Reduced service | $346.74 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | 53 · Discontinued | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 56 · Pre-op care only | $69.18 | $69.18 | $69.18 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $14,125.38 Median $26,302.68 Typical High $47,863.01 | Facility | 50 · Both sides | $14,125.38 | $26,302.68 | $47,863.01 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $1,659.59 Median $2,238.72 Typical High $3,630.78 | Professional | 50 · Both sides | $1,659.59 | $2,238.72 | $3,630.78 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $691.83 Median $933.25 Typical High $1,479.11 | Professional | 62 · Two surgeons | $691.83 | $933.25 | $1,479.11 |
Where Minnesota sits
The same service costs 4.8 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 $10,454MT $2,169
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.