How much rates vary
Facilitymedian $1,380 · 10th to 90th $708 to $3,802Professionalmedian $1,479 · 10th to 90th $708 to $2,692
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 $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | 54 · Surgery only | $524.81 | $524.81 | $524.81 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | 55 · Aftercare only | $104.71 | $104.71 | $104.71 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | 78 · Unplanned return to OR | $489.78 | $489.78 | $489.78 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | None | $707.95 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $524.81 Typical High $537.03 | Professional | 54 · Surgery only | $524.81 | $524.81 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $104.71 Typical High $107.15 | Professional | 55 · Aftercare only | $104.71 | $104.71 | $107.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $489.78 Typical High $501.19 | Professional | 78 · Unplanned return to OR | $489.78 | $489.78 | $501.19 |
BCBS Minnesota Setting Facility Modifier None Typical Low $954.99 Median $2,630.27 Typical High $6,165.95 | Facility | None | $954.99 | $2,630.27 | $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 $1,122.02 Median $1,513.56 Typical High $2,398.83 | Professional | None | $1,122.02 | $1,513.56 | $2,398.83 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $1,659.59 Median $2,238.72 Typical High $3,630.78 | Professional | 50 · Both sides | $1,659.59 | $2,238.72 | $3,630.78 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $891.25 Median $1,202.26 Typical High $1,949.84 | Professional | 54 · Surgery only | $891.25 | $1,202.26 | $1,949.84 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $302.00 Typical High $478.63 | Professional | 55 · Aftercare only | $223.87 | $302.00 | $478.63 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $1,258.93 Typical High $2,041.74 | Professional | 78 · Unplanned return to OR | $933.25 | $1,258.93 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $1,148.15 Median $1,778.28 Typical High $3,388.44 | Facility | None | $1,148.15 | $1,778.28 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,862.09 Typical High $2,951.21 | Professional | None | $1,096.48 | $1,862.09 | $2,951.21 |
Health Partners Setting Facility Modifier None Typical Low $1,023.29 Median $1,659.59 Typical High $2,884.03 | Facility | None | $1,023.29 | $1,659.59 | $2,884.03 |
Health Partners Setting Professional Modifier None Typical Low $977.24 Median $1,737.80 Typical High $2,754.23 | Professional | None | $977.24 | $1,737.80 | $2,754.23 |
Medica Setting Facility Modifier None Typical Low $549.54 Median $1,047.13 Typical High $2,951.21 | Facility | None | $549.54 | $1,047.13 | $2,951.21 |
Medica Setting Professional Modifier None Typical Low $741.31 Median $1,380.38 Typical High $5,248.07 | Professional | None | $741.31 | $1,380.38 | $5,248.07 |
United Setting Facility Modifier None Typical Low $549.54 Median $1,000.00 Typical High $3,548.13 | Facility | None | $549.54 | $1,000.00 | $3,548.13 |
United Setting Professional Modifier None Typical Low $707.95 Median $1,230.27 Typical High $2,511.89 | Professional | None | $707.95 | $1,230.27 | $2,511.89 |
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 $346.74 Median $346.74 Typical High $346.74 | Facility | 52 · Reduced service | $346.74 | $346.74 | $346.74 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | 53 · Discontinued | $141.25 | $141.25 | $141.25 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | 56 · Pre-op care only | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $346.74 Median $346.74 Typical High $354.81 | Professional | 52 · Reduced service | $346.74 | $346.74 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $141.25 Typical High $144.54 | Professional | 53 · Discontinued | $141.25 | $141.25 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | 56 · Pre-op care only | $70.79 | $70.79 | $70.79 |
Where Minnesota sits
The same service costs 3.6 times more in Colorado than in Delaware. 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 $4,868DE $1,354
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.