How much rates vary
Facilitymedian $1,380 · 10th to 90th $347 to $6,918Professionalmedian $933 · 10th to 90th $501 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 $346.74 Median $537.03 Typical High $537.03 | Facility | None | $346.74 | $537.03 | $537.03 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $257.04 Median $398.11 Typical High $398.11 | Facility | 54 · Surgery only | $257.04 | $398.11 | $398.11 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $51.29 Median $79.43 Typical High $79.43 | Facility | 55 · Aftercare only | $51.29 | $79.43 | $79.43 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $239.88 Median $371.54 Typical High $371.54 | Facility | 78 · Unplanned return to OR | $239.88 | $371.54 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $512.86 Typical High $549.54 | Professional | None | $346.74 | $512.86 | $549.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $389.05 Typical High $398.11 | Professional | 54 · Surgery only | $257.04 | $389.05 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $77.62 Typical High $79.43 | Professional | 55 · Aftercare only | $51.29 | $77.62 | $79.43 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $239.88 Median $363.08 Typical High $371.54 | Professional | 78 · Unplanned return to OR | $239.88 | $363.08 | $371.54 |
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 Professional Modifier None Typical Low $549.54 Median $977.24 Typical High $1,584.89 | Professional | None | $549.54 | $977.24 | $1,584.89 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $776.25 Typical High $1,258.93 | Professional | 54 · Surgery only | $446.68 | $776.25 | $1,258.93 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $199.53 Typical High $323.59 | Professional | 55 · Aftercare only | $117.49 | $199.53 | $323.59 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $467.74 Median $812.83 Typical High $1,348.96 | Professional | 78 · Unplanned return to OR | $467.74 | $812.83 | $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 $588.84 Median $1,096.48 Typical High $1,862.09 | Professional | None | $588.84 | $1,096.48 | $1,862.09 |
Health Partners Setting Facility Modifier None Typical Low $776.25 Median $1,258.93 Typical High $2,187.76 | Facility | None | $776.25 | $1,258.93 | $2,187.76 |
Health Partners Setting Professional Modifier None Typical Low $575.44 Median $1,000.00 Typical High $1,778.28 | Professional | None | $575.44 | $1,000.00 | $1,778.28 |
Medica Setting Facility Modifier None Typical Low $630.96 Median $1,698.24 Typical High $4,786.30 | Facility | None | $630.96 | $1,698.24 | $4,786.30 |
Medica Setting Professional Modifier None Typical Low $676.08 Median $1,445.44 Typical High $3,890.45 | Professional | None | $676.08 | $1,445.44 | $3,890.45 |
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 $457.09 Median $933.25 Typical High $1,995.26 | Professional | None | $457.09 | $933.25 | $1,995.26 |
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 $173.78 Median $269.15 Typical High $269.15 | Facility | 52 · Reduced service | $173.78 | $269.15 | $269.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $69.18 Median $107.15 Typical High $107.15 | Facility | 53 · Discontinued | $69.18 | $107.15 | $107.15 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $34.67 Median $53.70 Typical High $53.70 | Facility | 56 · Pre-op care only | $34.67 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $173.78 Median $257.04 Typical High $269.15 | Professional | 52 · Reduced service | $173.78 | $257.04 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $102.33 Typical High $107.15 | Professional | 53 · Discontinued | $69.18 | $102.33 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $51.29 Typical High $53.70 | Professional | 56 · Pre-op care only | $34.67 | $51.29 | $53.70 |
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 50 · Both sides Typical Low $831.76 Median $1,445.44 Typical High $2,398.83 | Professional | 50 · Both sides | $831.76 | $1,445.44 | $2,398.83 |
Where Minnesota sits
The same service costs 4.4 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 $6,451MT $1,460
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.