How much rates vary
Facilitymedian $1,000 · 10th to 90th $331 to $4,467Professionalmedian $692 · 10th to 90th $331 to $1,259
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 $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | 54 · Surgery only | $251.19 | $251.19 | $251.19 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | 55 · Aftercare only | $50.12 | $50.12 | $50.12 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | 78 · Unplanned return to OR | $234.42 | $234.42 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $338.84 | Professional | None | $331.13 | $331.13 | $338.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | 54 · Surgery only | $251.19 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | 55 · Aftercare only | $50.12 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | 78 · Unplanned return to OR | $234.42 | $234.42 | $234.42 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,137.96 Median $4,677.35 Typical High $11,220.18 | Facility | None | $2,137.96 | $4,677.35 | $11,220.18 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $3,162.28 Median $5,754.40 Typical High $10,715.19 | Facility | 50 · Both sides | $3,162.28 | $5,754.40 | $10,715.19 |
BCBS Minnesota Setting Professional Modifier None Typical Low $524.81 Median $707.95 Typical High $1,122.02 | Professional | None | $524.81 | $707.95 | $1,122.02 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $794.33 Median $1,071.52 Typical High $1,698.24 | Professional | 50 · Both sides | $794.33 | $1,071.52 | $1,698.24 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $562.34 Typical High $891.25 | Professional | 54 · Surgery only | $426.58 | $562.34 | $891.25 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $144.54 Typical High $223.87 | Professional | 55 · Aftercare only | $107.15 | $144.54 | $223.87 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $588.84 Typical High $954.99 | Professional | 78 · Unplanned return to OR | $446.68 | $588.84 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $851.14 Typical High $1,621.81 | Facility | None | $549.54 | $851.14 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $891.25 Typical High $1,380.38 | Professional | None | $524.81 | $891.25 | $1,380.38 |
Health Partners Setting Facility Modifier None Typical Low $489.78 Median $776.25 Typical High $1,348.96 | Facility | None | $489.78 | $776.25 | $1,348.96 |
Health Partners Setting Professional Modifier None Typical Low $467.74 Median $812.83 Typical High $1,318.26 | Professional | None | $467.74 | $812.83 | $1,318.26 |
Medica Setting Facility Modifier None Typical Low $575.44 Median $1,258.93 Typical High $3,890.45 | Facility | None | $575.44 | $1,258.93 | $3,890.45 |
Medica Setting Professional Modifier None Typical Low $338.84 Median $630.96 Typical High $3,388.44 | Professional | None | $338.84 | $630.96 | $3,388.44 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,659.59 Typical High $4,265.80 | Facility | None | $776.25 | $1,659.59 | $4,265.80 |
United Setting Professional Modifier None Typical Low $323.59 Median $575.44 Typical High $1,174.90 | Professional | None | $323.59 | $575.44 | $1,174.90 |
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 $165.96 Median $165.96 Typical High $165.96 | Facility | 52 · Reduced service | $165.96 | $165.96 | $165.96 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | 53 · Discontinued | $66.07 | $66.07 | $66.07 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | 56 · Pre-op care only | $33.11 | $33.11 | $33.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | 52 · Reduced service | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 53 · Discontinued | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | 56 · Pre-op care only | $33.11 | $33.11 | $33.11 |
Where Minnesota sits
The same service costs 4.6 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 $4,822MT $1,050
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.