How much rates vary
Facilitymedian $1,514 · 10th to 90th $417 to $5,888Professionalmedian $871 · 10th to 90th $417 to $1,585
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 $416.87 Median $416.87 Typical High $2,691.53 | Facility | None | $416.87 | $416.87 | $2,691.53 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $309.03 Median $309.03 Typical High $309.03 | Facility | 54 · Surgery only | $309.03 | $309.03 | $309.03 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $288.40 Typical High $288.40 | Facility | 78 · Unplanned return to OR | $288.40 | $288.40 | $288.40 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $537.03 | Professional | None | $416.87 | $416.87 | $537.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $309.03 Median $309.03 Typical High $323.59 | Professional | 54 · Surgery only | $309.03 | $309.03 | $323.59 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $288.40 Typical High $302.00 | Professional | 78 · Unplanned return to OR | $288.40 | $288.40 | $302.00 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,290.87 Median $4,897.79 Typical High $10,715.19 | Facility | None | $2,290.87 | $4,897.79 | $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 $676.08 Median $933.25 Typical High $1,479.11 | Professional | None | $676.08 | $933.25 | $1,479.11 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $1,023.29 Median $1,412.54 Typical High $2,238.72 | Professional | 50 · Both sides | $1,023.29 | $1,412.54 | $2,238.72 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $741.31 Typical High $1,148.15 | Professional | 54 · Surgery only | $537.03 | $741.31 | $1,148.15 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $794.33 Typical High $1,230.27 | Professional | 78 · Unplanned return to OR | $575.44 | $794.33 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $1,047.13 Typical High $1,995.26 | Facility | None | $676.08 | $1,047.13 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $1,096.48 Typical High $1,737.80 | Professional | None | $645.65 | $1,096.48 | $1,737.80 |
Health Partners Setting Facility Modifier None Typical Low $602.56 Median $977.24 Typical High $1,698.24 | Facility | None | $602.56 | $977.24 | $1,698.24 |
Health Partners Setting Professional Modifier None Typical Low $575.44 Median $1,023.29 Typical High $1,621.81 | Professional | None | $575.44 | $1,023.29 | $1,621.81 |
Medica Setting Facility Modifier None Typical Low $724.44 Median $2,137.96 Typical High $5,011.87 | Facility | None | $724.44 | $2,137.96 | $5,011.87 |
Medica Setting Professional Modifier None Typical Low $446.68 Median $812.83 Typical High $3,090.30 | Professional | None | $446.68 | $812.83 | $3,090.30 |
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 $426.58 Median $741.31 Typical High $1,513.56 | Professional | None | $426.58 | $741.31 | $1,513.56 |
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 $138.04 Median $186.21 Typical High $288.40 | Professional | 55 · Aftercare only | $138.04 | $186.21 | $288.40 |
Where Minnesota sits
The same service costs 4.9 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 $6,755MT $1,384
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.