How much rates vary
Facilitymedian $1,514 · 10th to 90th $407 to $7,079Professionalmedian $851 · 10th to 90th $407 to $1,549
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 $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | 54 · Surgery only | $302.00 | $302.00 | $302.00 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | 78 · Unplanned return to OR | $281.84 | $281.84 | $281.84 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $446.68 | Professional | None | $407.38 | $407.38 | $446.68 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $302.00 Median $302.00 Typical High $316.23 | Professional | 54 · Surgery only | $302.00 | $302.00 | $316.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $281.84 Median $281.84 Typical High $295.12 | Professional | 78 · Unplanned return to OR | $281.84 | $281.84 | $295.12 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,801.89 Median $7,244.36 Typical High $16,595.87 | Facility | None | $3,801.89 | $7,244.36 | $16,595.87 |
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 $660.69 Median $891.25 Typical High $1,412.54 | Professional | None | $660.69 | $891.25 | $1,412.54 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $1,000.00 Median $1,318.26 Typical High $2,089.30 | Professional | 50 · Both sides | $1,000.00 | $1,318.26 | $2,089.30 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $707.95 Typical High $1,122.02 | Professional | 54 · Surgery only | $537.03 | $707.95 | $1,122.02 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $741.31 Typical High $1,174.90 | Professional | 78 · Unplanned return to OR | $562.34 | $741.31 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,023.29 Typical High $1,949.84 | Facility | None | $660.69 | $1,023.29 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $1,071.52 Typical High $1,698.24 | Professional | None | $630.96 | $1,071.52 | $1,698.24 |
Health Partners Setting Facility Modifier None Typical Low $588.84 Median $954.99 Typical High $1,659.59 | Facility | None | $588.84 | $954.99 | $1,659.59 |
Health Partners Setting Professional Modifier None Typical Low $562.34 Median $1,000.00 Typical High $1,584.89 | Professional | None | $562.34 | $1,000.00 | $1,584.89 |
Medica Setting Facility Modifier None Typical Low $707.95 Median $2,137.96 Typical High $5,011.87 | Facility | None | $707.95 | $2,137.96 | $5,011.87 |
Medica Setting Professional Modifier None Typical Low $446.68 Median $812.83 Typical High $3,019.95 | Professional | None | $446.68 | $812.83 | $3,019.95 |
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 $416.87 Median $724.44 Typical High $1,513.56 | Professional | None | $416.87 | $724.44 | $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 $134.90 Median $181.97 Typical High $281.84 | Professional | 55 · Aftercare only | $134.90 | $181.97 | $281.84 |
Where Minnesota sits
The same service costs 5.1 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 $6,741MT $1,322
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.