How much rates vary
Facilitymedian $1,380 · 10th to 90th $389 to $5,248Professionalmedian $977 · 10th to 90th $490 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 $389.05 Median $524.81 Typical High $524.81 | Facility | None | $389.05 | $524.81 | $524.81 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $295.12 Median $398.11 Typical High $398.11 | Facility | 54 · Surgery only | $295.12 | $398.11 | $398.11 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $58.88 Median $79.43 Typical High $79.43 | Facility | 55 · Aftercare only | $58.88 | $79.43 | $79.43 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $275.42 Median $371.54 Typical High $371.54 | Facility | 78 · Unplanned return to OR | $275.42 | $371.54 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $512.86 Typical High $549.54 | Professional | None | $389.05 | $512.86 | $549.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $295.12 Median $380.19 Typical High $398.11 | Professional | 54 · Surgery only | $295.12 | $380.19 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $75.86 Typical High $79.43 | Professional | 55 · Aftercare only | $58.88 | $75.86 | $79.43 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $275.42 Median $354.81 Typical High $371.54 | Professional | 78 · Unplanned return to OR | $275.42 | $354.81 | $371.54 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,548.13 Median $5,623.41 Typical High $11,220.18 | Facility | None | $3,548.13 | $5,623.41 | $11,220.18 |
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 $630.96 Median $1,047.13 Typical High $1,621.81 | Professional | None | $630.96 | $1,047.13 | $1,621.81 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $954.99 Median $1,548.82 Typical High $2,454.71 | Professional | 50 · Both sides | $954.99 | $1,548.82 | $2,454.71 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $831.76 Typical High $1,288.25 | Professional | 54 · Surgery only | $501.19 | $831.76 | $1,288.25 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $208.93 Typical High $323.59 | Professional | 55 · Aftercare only | $138.04 | $208.93 | $323.59 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $870.96 Typical High $1,348.96 | Professional | 78 · Unplanned return to OR | $524.81 | $870.96 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $1,348.96 Typical High $2,570.40 | Facility | None | $870.96 | $1,348.96 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $1,148.15 Typical High $1,949.84 | Professional | None | $645.65 | $1,148.15 | $1,949.84 |
Health Partners Setting Facility Modifier None Typical Low $758.58 Median $1,258.93 Typical High $2,137.96 | Facility | None | $758.58 | $1,258.93 | $2,137.96 |
Health Partners Setting Professional Modifier None Typical Low $645.65 Median $1,122.02 Typical High $1,778.28 | Professional | None | $645.65 | $1,122.02 | $1,778.28 |
Medica Setting Facility Modifier None Typical Low $676.08 Median $1,698.24 Typical High $5,011.87 | Facility | None | $676.08 | $1,698.24 | $5,011.87 |
Medica Setting Professional Modifier None Typical Low $588.84 Median $1,202.26 Typical High $4,677.35 | Professional | None | $588.84 | $1,202.26 | $4,677.35 |
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 $446.68 Median $831.76 Typical High $1,698.24 | Professional | None | $446.68 | $831.76 | $1,698.24 |
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 $194.98 Median $263.03 Typical High $263.03 | Facility | 52 · Reduced service | $194.98 | $263.03 | $263.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $77.62 Median $104.71 Typical High $104.71 | Facility | 53 · Discontinued | $77.62 | $104.71 | $104.71 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $38.90 Median $52.48 Typical High $52.48 | Facility | 56 · Pre-op care only | $38.90 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $194.98 Median $257.04 Typical High $263.03 | Professional | 52 · Reduced service | $194.98 | $257.04 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $102.33 Typical High $104.71 | Professional | 53 · Discontinued | $77.62 | $102.33 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $51.29 Typical High $52.48 | Professional | 56 · Pre-op care only | $38.90 | $51.29 | $52.48 |
Where Minnesota sits
The same service costs 4.7 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 $6,464MT $1,390
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.