How much rates vary
Facilitymedian $3,020 · 10th to 90th $1,122 to $11,749Professionalmedian $2,344 · 10th to 90th $1,122 to $4,266
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 $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | None | $1,122.02 | $1,122.02 | $1,122.02 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | 54 · Surgery only | $831.76 | $831.76 | $831.76 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | 55 · Aftercare only | $165.96 | $165.96 | $165.96 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $776.25 Median $776.25 Typical High $776.25 | Facility | 78 · Unplanned return to OR | $776.25 | $776.25 | $776.25 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,174.90 | Professional | None | $1,122.02 | $1,122.02 | $1,174.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $831.76 Median $831.76 Typical High $870.96 | Professional | 54 · Surgery only | $831.76 | $831.76 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $165.96 Typical High $173.78 | Professional | 55 · Aftercare only | $165.96 | $165.96 | $173.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $776.25 Median $776.25 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $776.25 | $776.25 | $812.83 |
BCBS Minnesota Setting Facility Modifier None Typical Low $6,165.95 Median $12,882.50 Typical High $26,915.35 | Facility | None | $6,165.95 | $12,882.50 | $26,915.35 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,778.28 Median $2,344.23 Typical High $3,801.89 | Professional | None | $1,778.28 | $2,344.23 | $3,801.89 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,412.54 Median $1,862.09 Typical High $2,951.21 | Professional | 54 · Surgery only | $1,412.54 | $1,862.09 | $2,951.21 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $354.81 Median $467.74 Typical High $741.31 | Professional | 55 · Aftercare only | $354.81 | $467.74 | $741.31 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,479.11 Median $1,995.26 Typical High $3,162.28 | Professional | 78 · Unplanned return to OR | $1,479.11 | $1,995.26 | $3,162.28 |
Cigna Setting Facility Modifier None Typical Low $1,819.70 Median $2,818.38 Typical High $5,495.41 | Facility | None | $1,819.70 | $2,818.38 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $1,737.80 Median $2,951.21 Typical High $4,677.35 | Professional | None | $1,737.80 | $2,951.21 | $4,677.35 |
Health Partners Setting Facility Modifier None Typical Low $1,621.81 Median $2,630.27 Typical High $4,570.88 | Facility | None | $1,621.81 | $2,630.27 | $4,570.88 |
Health Partners Setting Professional Modifier None Typical Low $1,548.82 Median $2,754.23 Typical High $4,466.84 | Professional | None | $1,548.82 | $2,754.23 | $4,466.84 |
Medica Setting Facility Modifier None Typical Low $1,905.46 Median $3,467.37 Typical High $9,772.37 | Facility | None | $1,905.46 | $3,467.37 | $9,772.37 |
Medica Setting Professional Modifier None Typical Low $1,230.27 Median $2,238.72 Typical High $8,511.38 | Professional | None | $1,230.27 | $2,238.72 | $8,511.38 |
United Setting Facility Modifier None Typical Low $2,818.38 Median $4,265.80 Typical High $11,220.18 | Facility | None | $2,818.38 | $4,265.80 | $11,220.18 |
United Setting Professional Modifier None Typical Low $1,148.15 Median $2,041.74 Typical High $4,168.69 | Professional | None | $1,148.15 | $2,041.74 | $4,168.69 |
7 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 $562.34 Median $562.34 Typical High $562.34 | Facility | 52 · Reduced service | $562.34 | $562.34 | $562.34 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | 53 · Discontinued | $223.87 | $223.87 | $223.87 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | 56 · Pre-op care only | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $562.34 Median $562.34 Typical High $588.84 | Professional | 52 · Reduced service | $562.34 | $562.34 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $223.87 Typical High $234.42 | Professional | 53 · Discontinued | $223.87 | $223.87 | $234.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $112.20 Typical High $117.49 | Professional | 56 · Pre-op care only | $112.20 | $112.20 | $117.49 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,096.48 Median $1,479.11 Typical High $2,344.23 | Professional | 62 · Two surgeons | $1,096.48 | $1,479.11 | $2,344.23 |
Where Minnesota sits
The same service costs 4.0 times more in Colorado 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
CO $14,467MT $3,639
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.