How much rates vary
Facilitymedian $871 · 10th to 90th $186 to $4,786Professionalmedian $550 · 10th to 90th $257 to $1,096
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 $186.21 Median $331.13 Typical High $331.13 | Facility | None | $186.21 | $331.13 | $331.13 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $138.04 Median $251.19 Typical High $251.19 | Facility | 54 · Surgery only | $138.04 | $251.19 | $251.19 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $28.18 Median $50.12 Typical High $50.12 | Facility | 55 · Aftercare only | $28.18 | $50.12 | $50.12 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $128.82 Median $234.42 Typical High $234.42 | Facility | 78 · Unplanned return to OR | $128.82 | $234.42 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $323.59 Typical High $354.81 | Professional | None | $186.21 | $323.59 | $354.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $138.04 Median $239.88 Typical High $251.19 | Professional | 54 · Surgery only | $138.04 | $239.88 | $251.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $47.86 Typical High $50.12 | Professional | 55 · Aftercare only | $28.18 | $47.86 | $50.12 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $128.82 Median $223.87 Typical High $234.42 | Professional | 78 · Unplanned return to OR | $128.82 | $223.87 | $234.42 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,137.96 Median $5,128.61 Typical High $11,748.98 | Facility | None | $2,137.96 | $5,128.61 | $11,748.98 |
BCBS Minnesota Setting Professional Modifier None Typical Low $295.12 Median $575.44 Typical High $977.24 | Professional | None | $295.12 | $575.44 | $977.24 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $239.88 Median $457.09 Typical High $776.25 | Professional | 54 · Surgery only | $239.88 | $457.09 | $776.25 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $114.82 Typical High $194.98 | Professional | 55 · Aftercare only | $64.57 | $114.82 | $194.98 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $251.19 Median $478.63 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $251.19 | $478.63 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $851.14 Typical High $1,621.81 | Facility | None | $549.54 | $851.14 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $616.60 Typical High $1,174.90 | Professional | None | $331.13 | $616.60 | $1,174.90 |
Health Partners Setting Facility Modifier None Typical Low $489.78 Median $794.33 Typical High $1,380.38 | Facility | None | $489.78 | $794.33 | $1,380.38 |
Health Partners Setting Professional Modifier None Typical Low $309.03 Median $562.34 Typical High $1,122.02 | Professional | None | $309.03 | $562.34 | $1,122.02 |
Medica Setting Facility Modifier None Typical Low $354.81 Median $1,659.59 Typical High $4,786.30 | Facility | None | $354.81 | $1,659.59 | $4,786.30 |
Medica Setting Professional Modifier None Typical Low $380.19 Median $831.76 Typical High $2,818.38 | Professional | None | $380.19 | $831.76 | $2,818.38 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $5,888.44 | Facility | None | $1,513.56 | $2,511.89 | $5,888.44 |
United Setting Professional Modifier None Typical Low $223.87 Median $478.63 Typical High $1,071.52 | Professional | None | $223.87 | $478.63 | $1,071.52 |
8 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 $93.33 Median $165.96 Typical High $165.96 | Facility | 52 · Reduced service | $93.33 | $165.96 | $165.96 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $37.15 Median $67.61 Typical High $67.61 | Facility | 53 · Discontinued | $37.15 | $67.61 | $67.61 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $18.62 Median $33.11 Typical High $33.11 | Facility | 56 · Pre-op care only | $18.62 | $33.11 | $33.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $93.33 Median $162.18 Typical High $165.96 | Professional | 52 · Reduced service | $93.33 | $162.18 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $64.57 Typical High $67.61 | Professional | 53 · Discontinued | $37.15 | $64.57 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $32.36 Typical High $33.11 | Professional | 56 · Pre-op care only | $18.62 | $32.36 | $33.11 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $3,162.28 Median $5,754.40 Typical High $10,715.19 | Facility | 50 · Both sides | $3,162.28 | $5,754.40 | $10,715.19 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $446.68 Median $851.14 Typical High $1,445.44 | Professional | 50 · Both sides | $446.68 | $851.14 | $1,445.44 |
Where Minnesota sits
The same service costs 6.4 times more in Oklahoma than in North Dakota. 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
OK $5,125ND $804
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.