How much rates vary
Facilitymedian $1,445 · 10th to 90th $363 to $7,079Professionalmedian $955 · 10th to 90th $479 to $1,862
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 $363.08 Median $549.54 Typical High $549.54 | Facility | None | $363.08 | $549.54 | $549.54 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $275.42 Median $416.87 Typical High $416.87 | Facility | 54 · Surgery only | $275.42 | $416.87 | $416.87 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $54.95 Median $83.18 Typical High $83.18 | Facility | 55 · Aftercare only | $54.95 | $83.18 | $83.18 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $257.04 Median $389.05 Typical High $389.05 | Facility | 78 · Unplanned return to OR | $257.04 | $389.05 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $537.03 Typical High $575.44 | Professional | None | $363.08 | $537.03 | $575.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $398.11 Typical High $416.87 | Professional | 54 · Surgery only | $275.42 | $398.11 | $416.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $79.43 Typical High $83.18 | Professional | 55 · Aftercare only | $54.95 | $79.43 | $83.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $257.04 Median $371.54 Typical High $389.05 | Professional | 78 · Unplanned return to OR | $257.04 | $371.54 | $389.05 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,365.16 Median $7,943.28 Typical High $16,595.87 | Facility | None | $4,365.16 | $7,943.28 | $16,595.87 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $6,456.54 Median $12,022.64 Typical High $21,379.62 | Facility | 50 · Both sides | $6,456.54 | $12,022.64 | $21,379.62 |
BCBS Minnesota Setting Professional Modifier None Typical Low $588.84 Median $1,023.29 Typical High $1,659.59 | Professional | None | $588.84 | $1,023.29 | $1,659.59 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $891.25 Median $1,548.82 Typical High $2,511.89 | Professional | 50 · Both sides | $891.25 | $1,548.82 | $2,511.89 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $812.83 Typical High $1,348.96 | Professional | 54 · Surgery only | $478.63 | $812.83 | $1,348.96 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $208.93 Typical High $331.13 | Professional | 55 · Aftercare only | $128.82 | $208.93 | $331.13 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $501.19 Median $870.96 Typical High $1,412.54 | Professional | 78 · Unplanned return to OR | $501.19 | $870.96 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $1,412.54 Typical High $2,691.53 | Facility | None | $912.01 | $1,412.54 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $1,148.15 Typical High $1,905.46 | Professional | None | $616.60 | $1,148.15 | $1,905.46 |
Health Partners Setting Facility Modifier None Typical Low $794.33 Median $1,288.25 Typical High $2,238.72 | Facility | None | $794.33 | $1,288.25 | $2,238.72 |
Health Partners Setting Professional Modifier None Typical Low $602.56 Median $1,047.13 Typical High $1,862.09 | Professional | None | $602.56 | $1,047.13 | $1,862.09 |
Medica Setting Facility Modifier None Typical Low $660.69 Median $1,737.80 Typical High $6,606.93 | Facility | None | $660.69 | $1,737.80 | $6,606.93 |
Medica Setting Professional Modifier None Typical Low $616.60 Median $1,230.27 Typical High $3,981.07 | Professional | None | $616.60 | $1,230.27 | $3,981.07 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $8,317.64 | Facility | None | $1,513.56 | $2,511.89 | $8,317.64 |
United Setting Professional Modifier None Typical Low $426.58 Median $851.14 Typical High $1,737.80 | Professional | None | $426.58 | $851.14 | $1,737.80 |
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 $181.97 Median $275.42 Typical High $275.42 | Facility | 52 · Reduced service | $181.97 | $275.42 | $275.42 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $72.44 Median $109.65 Typical High $109.65 | Facility | 53 · Discontinued | $72.44 | $109.65 | $109.65 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $36.31 Median $54.95 Typical High $54.95 | Facility | 56 · Pre-op care only | $36.31 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $181.97 Median $263.03 Typical High $275.42 | Professional | 52 · Reduced service | $181.97 | $263.03 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $107.15 Typical High $109.65 | Professional | 53 · Discontinued | $72.44 | $107.15 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $53.70 Typical High $54.95 | Professional | 56 · Pre-op care only | $36.31 | $53.70 | $54.95 |
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 $6,438MT $1,383
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.