How much rates vary
Facilitymedian $1,862 · 10th to 90th $724 to $5,888Professionalmedian $1,514 · 10th to 90th $724 to $2,818
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 $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $537.03 Median $537.03 Typical High $537.03 | Facility | 54 · Surgery only | $537.03 | $537.03 | $537.03 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | 78 · Unplanned return to OR | $501.19 | $501.19 | $501.19 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $794.33 | Professional | None | $724.44 | $724.44 | $794.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $537.03 Typical High $562.34 | Professional | 54 · Surgery only | $537.03 | $537.03 | $562.34 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $501.19 Median $501.19 Typical High $524.81 | Professional | 78 · Unplanned return to OR | $501.19 | $501.19 | $524.81 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,737.80 Median $4,570.88 Typical High $10,715.19 | Facility | None | $1,737.80 | $4,570.88 | $10,715.19 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,174.90 Median $1,584.89 Typical High $2,570.40 | Professional | None | $1,174.90 | $1,584.89 | $2,570.40 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $933.25 Median $1,288.25 Typical High $1,995.26 | Professional | 54 · Surgery only | $933.25 | $1,288.25 | $1,995.26 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $977.24 Median $1,348.96 Typical High $2,137.96 | Professional | 78 · Unplanned return to OR | $977.24 | $1,348.96 | $2,137.96 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $1,819.70 Typical High $3,467.37 | Facility | None | $1,174.90 | $1,819.70 | $3,467.37 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,905.46 Typical High $3,019.95 | Professional | None | $1,122.02 | $1,905.46 | $3,019.95 |
Health Partners Setting Facility Modifier None Typical Low $1,047.13 Median $1,698.24 Typical High $2,951.21 | Facility | None | $1,047.13 | $1,698.24 | $2,951.21 |
Health Partners Setting Professional Modifier None Typical Low $1,000.00 Median $1,778.28 Typical High $2,818.38 | Professional | None | $1,000.00 | $1,778.28 | $2,818.38 |
Medica Setting Facility Modifier None Typical Low $1,258.93 Median $2,137.96 Typical High $5,011.87 | Facility | None | $1,258.93 | $2,137.96 | $5,011.87 |
Medica Setting Professional Modifier None Typical Low $794.33 Median $1,445.44 Typical High $5,370.32 | Professional | None | $794.33 | $1,445.44 | $5,370.32 |
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 $741.31 Median $1,318.26 Typical High $2,691.53 | Professional | None | $741.31 | $1,318.26 | $2,691.53 |
4 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 |
|---|---|---|---|---|---|
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 50 · Both sides Typical Low $1,778.28 Median $2,398.83 Typical High $3,801.89 | Professional | 50 · Both sides | $1,778.28 | $2,398.83 | $3,801.89 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $234.42 Median $316.23 Typical High $501.19 | Professional | 55 · Aftercare only | $234.42 | $316.23 | $501.19 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $741.31 Median $1,000.00 Typical High $1,548.82 | Professional | 62 · Two surgeons | $741.31 | $1,000.00 | $1,548.82 |
Where Minnesota sits
The same service costs 3.5 times more in Wisconsin than in Maryland. 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
WI $7,315MD $2,090
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.