How much rates vary
Facilitymedian $776 · 10th to 90th $316 to $3,090Professionalmedian $776 · 10th to 90th $380 to $1,380
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 $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | 54 · Surgery only | $281.84 | $281.84 | $281.84 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | 55 · Aftercare only | $57.54 | $57.54 | $57.54 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | 78 · Unplanned return to OR | $263.03 | $263.03 | $263.03 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $380.19 Typical High $398.11 | Professional | None | $363.08 | $380.19 | $398.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $281.84 Typical High $281.84 | Professional | 54 · Surgery only | $275.42 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $57.54 Typical High $57.54 | Professional | 55 · Aftercare only | $56.23 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $257.04 Median $263.03 Typical High $263.03 | Professional | 78 · Unplanned return to OR | $257.04 | $263.03 | $263.03 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,819.70 Median $3,090.30 Typical High $6,165.95 | Facility | None | $1,819.70 | $3,090.30 | $6,165.95 |
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 $602.56 Median $831.76 Typical High $1,258.93 | Professional | None | $602.56 | $831.76 | $1,258.93 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $912.01 Median $1,230.27 Typical High $1,905.46 | Professional | 50 · Both sides | $912.01 | $1,230.27 | $1,905.46 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $660.69 Typical High $1,000.00 | Professional | 54 · Surgery only | $478.63 | $660.69 | $1,000.00 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $165.96 Typical High $251.19 | Professional | 55 · Aftercare only | $123.03 | $165.96 | $251.19 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $501.19 Median $691.83 Typical High $1,071.52 | Professional | 78 · Unplanned return to OR | $501.19 | $691.83 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $977.24 Typical High $1,862.09 | Facility | None | $616.60 | $977.24 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $1,000.00 Typical High $1,584.89 | Professional | None | $588.84 | $1,000.00 | $1,584.89 |
Health Partners Setting Facility Modifier None Typical Low $549.54 Median $891.25 Typical High $1,548.82 | Facility | None | $549.54 | $891.25 | $1,548.82 |
Health Partners Setting Professional Modifier None Typical Low $524.81 Median $933.25 Typical High $1,513.56 | Professional | None | $524.81 | $933.25 | $1,513.56 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $457.09 Typical High $1,737.80 | Facility | None | $125.89 | $457.09 | $1,737.80 |
Medica Setting Professional Modifier None Typical Low $363.08 Median $676.08 Typical High $2,691.53 | Professional | None | $363.08 | $676.08 | $2,691.53 |
United Setting Facility Modifier None Typical Low $125.89 Median $426.58 Typical High $2,570.40 | Facility | None | $125.89 | $426.58 | $2,570.40 |
United Setting Professional Modifier None Typical Low $346.74 Median $616.60 Typical High $1,230.27 | Professional | None | $346.74 | $616.60 | $1,230.27 |
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 $190.55 Median $190.55 Typical High $190.55 | Facility | 52 · Reduced service | $190.55 | $190.55 | $190.55 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | 53 · Discontinued | $75.86 | $75.86 | $75.86 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | 56 · Pre-op care only | $38.02 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $186.21 Median $190.55 Typical High $190.55 | Professional | 52 · Reduced service | $186.21 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $75.86 Typical High $75.86 | Professional | 53 · Discontinued | $74.13 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $38.02 Typical High $38.02 | Professional | 56 · Pre-op care only | $37.15 | $38.02 | $38.02 |
Where Minnesota sits
The same service costs 5.9 times more in Colorado than in Kentucky. 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 $4,303KY $729
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.