How much rates vary
Facilitymedian $1,514 · 10th to 90th $417 to $4,169Professionalmedian $891 · 10th to 90th $417 to $1,622
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 $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | 54 · Surgery only | $316.23 | $316.23 | $316.23 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | 78 · Unplanned return to OR | $295.12 | $295.12 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $549.54 | Professional | None | $416.87 | $416.87 | $549.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $316.23 Median $316.23 Typical High $323.59 | Professional | 54 · Surgery only | $316.23 | $316.23 | $323.59 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $295.12 Typical High $302.00 | Professional | 78 · Unplanned return to OR | $295.12 | $295.12 | $302.00 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,949.84 Median $3,019.95 Typical High $6,165.95 | Facility | None | $1,949.84 | $3,019.95 | $6,165.95 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $3,235.94 Median $6,025.60 Typical High $10,715.19 | Facility | 50 · Both sides | $3,235.94 | $6,025.60 | $10,715.19 |
BCBS Minnesota Setting Professional Modifier None Typical Low $691.83 Median $933.25 Typical High $1,479.11 | Professional | None | $691.83 | $933.25 | $1,479.11 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $1,023.29 Median $1,380.38 Typical High $2,238.72 | Professional | 50 · Both sides | $1,023.29 | $1,380.38 | $2,238.72 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $741.31 Typical High $1,174.90 | Professional | 54 · Surgery only | $549.54 | $741.31 | $1,174.90 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $776.25 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $575.44 | $776.25 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,071.52 Typical High $2,041.74 | Facility | None | $691.83 | $1,071.52 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $1,122.02 Typical High $1,778.28 | Professional | None | $660.69 | $1,122.02 | $1,778.28 |
Health Partners Setting Facility Modifier None Typical Low $616.60 Median $1,000.00 Typical High $1,737.80 | Facility | None | $616.60 | $1,000.00 | $1,737.80 |
Health Partners Setting Professional Modifier None Typical Low $588.84 Median $1,047.13 Typical High $1,659.59 | Professional | None | $588.84 | $1,047.13 | $1,659.59 |
Medica Setting Facility Modifier None Typical Low $741.31 Median $2,187.76 Typical High $4,365.16 | Facility | None | $741.31 | $2,187.76 | $4,365.16 |
Medica Setting Professional Modifier None Typical Low $457.09 Median $831.76 Typical High $3,162.28 | Professional | None | $457.09 | $831.76 | $3,162.28 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $5,888.44 | Facility | None | $1,513.56 | $2,511.89 | $5,888.44 |
United Setting Professional Modifier None Typical Low $426.58 Median $758.58 Typical High $1,548.82 | Professional | None | $426.58 | $758.58 | $1,548.82 |
1 more rate 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 |
|---|---|---|---|---|---|
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $186.21 Typical High $295.12 | Professional | 55 · Aftercare only | $138.04 | $186.21 | $295.12 |
Where Minnesota sits
The same service costs 4.1 times more in Colorado than in West Virginia. 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 $5,160WV $1,245
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.