How much rates vary
Facilitymedian $1,514 · 10th to 90th $457 to $6,166Professionalmedian $977 · 10th to 90th $457 to $1,778
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 $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | 54 · Surgery only | $346.74 | $346.74 | $346.74 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $323.59 Typical High $323.59 | Facility | 78 · Unplanned return to OR | $323.59 | $323.59 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $512.86 | Professional | None | $457.09 | $457.09 | $512.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $346.74 Typical High $354.81 | Professional | 54 · Surgery only | $346.74 | $346.74 | $354.81 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $323.59 Typical High $331.13 | Professional | 78 · Unplanned return to OR | $323.59 | $323.59 | $331.13 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,715.35 Median $6,025.60 Typical High $10,715.19 | Facility | None | $3,715.35 | $6,025.60 | $10,715.19 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $5,754.40 Median $10,471.29 Typical High $19,054.61 | Facility | 50 · Both sides | $5,754.40 | $10,471.29 | $19,054.61 |
BCBS Minnesota Setting Professional Modifier None Typical Low $758.58 Median $1,047.13 Typical High $1,621.81 | Professional | None | $758.58 | $1,047.13 | $1,621.81 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $1,148.15 Median $1,584.89 Typical High $2,454.71 | Professional | 50 · Both sides | $1,148.15 | $1,584.89 | $2,454.71 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $831.76 Typical High $1,288.25 | Professional | 54 · Surgery only | $602.56 | $831.76 | $1,288.25 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $870.96 Typical High $1,380.38 | Professional | 78 · Unplanned return to OR | $630.96 | $870.96 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,174.90 Typical High $2,238.72 | Facility | None | $758.58 | $1,174.90 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $1,230.27 Typical High $1,905.46 | Professional | None | $707.95 | $1,230.27 | $1,905.46 |
Health Partners Setting Facility Modifier None Typical Low $660.69 Median $1,071.52 Typical High $1,862.09 | Facility | None | $660.69 | $1,071.52 | $1,862.09 |
Health Partners Setting Professional Modifier None Typical Low $630.96 Median $1,122.02 Typical High $1,819.70 | Professional | None | $630.96 | $1,122.02 | $1,819.70 |
Medica Setting Facility Modifier None Typical Low $794.33 Median $2,187.76 Typical High $5,011.87 | Facility | None | $794.33 | $2,187.76 | $5,011.87 |
Medica Setting Professional Modifier None Typical Low $501.19 Median $912.01 Typical High $3,467.37 | Professional | None | $501.19 | $912.01 | $3,467.37 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $7,585.78 | Facility | None | $1,513.56 | $2,511.89 | $7,585.78 |
United Setting Professional Modifier None Typical Low $478.63 Median $831.76 Typical High $1,698.24 | Professional | None | $478.63 | $831.76 | $1,698.24 |
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 $154.88 Median $208.93 Typical High $323.59 | Professional | 55 · Aftercare only | $154.88 | $208.93 | $323.59 |
Where Minnesota sits
The same service costs 4.4 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 $6,812MT $1,536
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.