How much rates vary
Facilitymedian $2,951 · 10th to 90th $1,047 to $11,482Professionalmedian $2,188 · 10th to 90th $1,047 to $4,074
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 $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | None | $1,047.13 | $1,047.13 | $1,047.13 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $794.33 Median $794.33 Typical High $794.33 | Facility | 54 · Surgery only | $794.33 | $794.33 | $794.33 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $741.31 Typical High $741.31 | Facility | 78 · Unplanned return to OR | $741.31 | $741.31 | $741.31 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,288.25 | Professional | None | $1,047.13 | $1,047.13 | $1,288.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $794.33 Median $794.33 Typical High $812.83 | Professional | 54 · Surgery only | $794.33 | $794.33 | $812.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $741.31 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $741.31 | $741.31 | $758.58 |
BCBS Minnesota Setting Facility Modifier None Typical Low $5,754.40 Median $12,302.69 Typical High $26,915.35 | Facility | None | $5,754.40 | $12,302.69 | $26,915.35 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,659.59 Median $2,238.72 Typical High $3,715.35 | Professional | None | $1,659.59 | $2,238.72 | $3,715.35 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,318.26 Median $1,819.70 Typical High $2,884.03 | Professional | 54 · Surgery only | $1,318.26 | $1,819.70 | $2,884.03 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,380.38 Median $1,905.46 Typical High $3,090.30 | Professional | 78 · Unplanned return to OR | $1,380.38 | $1,905.46 | $3,090.30 |
Cigna Setting Facility Modifier None Typical Low $1,737.80 Median $2,691.53 Typical High $5,128.61 | Facility | None | $1,737.80 | $2,691.53 | $5,128.61 |
Cigna Setting Professional Modifier None Typical Low $1,621.81 Median $2,818.38 Typical High $4,365.16 | Professional | None | $1,621.81 | $2,818.38 | $4,365.16 |
Health Partners Setting Facility Modifier None Typical Low $1,513.56 Median $2,454.71 Typical High $4,265.80 | Facility | None | $1,513.56 | $2,454.71 | $4,265.80 |
Health Partners Setting Professional Modifier None Typical Low $1,479.11 Median $2,570.40 Typical High $4,168.69 | Professional | None | $1,479.11 | $2,570.40 | $4,168.69 |
Medica Setting Facility Modifier None Typical Low $1,778.28 Median $3,630.78 Typical High $10,471.29 | Facility | None | $1,778.28 | $3,630.78 | $10,471.29 |
Medica Setting Professional Modifier None Typical Low $1,148.15 Median $2,089.30 Typical High $7,943.28 | Professional | None | $1,148.15 | $2,089.30 | $7,943.28 |
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 $1,071.52 Median $1,905.46 Typical High $3,890.45 | Professional | None | $1,071.52 | $1,905.46 | $3,890.45 |
12 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 $524.81 Median $524.81 Typical High $524.81 | Facility | 52 · Reduced service | $524.81 | $524.81 | $524.81 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | 53 · Discontinued | $208.93 | $208.93 | $208.93 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | 55 · Aftercare only | $158.49 | $158.49 | $158.49 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | 56 · Pre-op care only | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $524.81 Median $524.81 Typical High $549.54 | Professional | 52 · Reduced service | $524.81 | $524.81 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $208.93 Typical High $218.78 | Professional | 53 · Discontinued | $208.93 | $208.93 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $158.49 Typical High $162.18 | Professional | 55 · Aftercare only | $158.49 | $158.49 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $104.71 Typical High $109.65 | Professional | 56 · Pre-op care only | $104.71 | $104.71 | $109.65 |
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 $2,511.89 Median $3,388.44 Typical High $5,623.41 | Professional | 50 · Both sides | $2,511.89 | $3,388.44 | $5,623.41 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $331.13 Median $446.68 Typical High $724.44 | Professional | 55 · Aftercare only | $331.13 | $446.68 | $724.44 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,047.13 Median $1,412.54 Typical High $2,290.87 | Professional | 62 · Two surgeons | $1,047.13 | $1,412.54 | $2,290.87 |
Where Minnesota sits
The same service costs 4.2 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 $14,362MT $3,396
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.