How much rates vary
Facilitymedian $1,585 · 10th to 90th $501 to $6,166Professionalmedian $1,023 · 10th to 90th $501 to $1,862
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 $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | 54 · Surgery only | $371.54 | $371.54 | $371.54 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $74.13 Median $74.13 Typical High $74.13 | Facility | 55 · Aftercare only | $74.13 | $74.13 | $74.13 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | 78 · Unplanned return to OR | $346.74 | $346.74 | $346.74 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $501.19 Typical High $501.19 | Professional | None | $489.78 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | 54 · Surgery only | $371.54 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | 55 · Aftercare only | $74.13 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | 78 · Unplanned return to OR | $346.74 | $346.74 | $346.74 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,570.40 Median $5,623.41 Typical High $12,302.69 | Facility | None | $2,570.40 | $5,623.41 | $12,302.69 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $6,456.54 Median $12,022.64 Typical High $21,379.62 | Facility | 50 · Both sides | $6,456.54 | $12,022.64 | $21,379.62 |
BCBS Minnesota Setting Professional Modifier None Typical Low $794.33 Median $1,071.52 Typical High $1,698.24 | Professional | None | $794.33 | $1,071.52 | $1,698.24 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $1,202.26 Median $1,584.89 Typical High $2,511.89 | Professional | 50 · Both sides | $1,202.26 | $1,584.89 | $2,511.89 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $630.96 Median $851.14 Typical High $1,348.96 | Professional | 54 · Surgery only | $630.96 | $851.14 | $1,348.96 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $218.78 Typical High $338.84 | Professional | 55 · Aftercare only | $158.49 | $218.78 | $338.84 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $891.25 Typical High $1,412.54 | Professional | 78 · Unplanned return to OR | $676.08 | $891.25 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $1,258.93 Typical High $2,398.83 | Facility | None | $812.83 | $1,258.93 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $1,318.26 Typical High $2,089.30 | Professional | None | $776.25 | $1,318.26 | $2,089.30 |
Health Partners Setting Facility Modifier None Typical Low $724.44 Median $1,174.90 Typical High $2,041.74 | Facility | None | $724.44 | $1,174.90 | $2,041.74 |
Health Partners Setting Professional Modifier None Typical Low $691.83 Median $1,230.27 Typical High $1,949.84 | Professional | None | $691.83 | $1,230.27 | $1,949.84 |
Medica Setting Facility Modifier None Typical Low $870.96 Median $2,187.76 Typical High $6,760.83 | Facility | None | $870.96 | $2,187.76 | $6,760.83 |
Medica Setting Professional Modifier None Typical Low $512.86 Median $954.99 Typical High $3,630.78 | Professional | None | $512.86 | $954.99 | $3,630.78 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $8,317.64 | Facility | None | $1,513.56 | $2,511.89 | $8,317.64 |
United Setting Professional Modifier None Typical Low $478.63 Median $851.14 Typical High $1,737.80 | Professional | None | $478.63 | $851.14 | $1,737.80 |
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 $251.19 Median $251.19 Typical High $251.19 | Facility | 52 · Reduced service | $251.19 | $251.19 | $251.19 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | 53 · Discontinued | $100.00 | $100.00 | $100.00 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | 56 · Pre-op care only | $50.12 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | 52 · Reduced service | $251.19 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | 53 · Discontinued | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | 56 · Pre-op care only | $50.12 | $50.12 | $50.12 |
Where Minnesota sits
The same service costs 5.2 times more in Alabama 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
AL $8,325MT $1,589
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.