How much rates vary
Facilitymedian $1,698 · 10th to 90th $427 to $7,943Professionalmedian $871 · 10th to 90th $427 to $1,585
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 $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $323.59 Median $323.59 Typical High $323.59 | Facility | 54 · Surgery only | $323.59 | $323.59 | $323.59 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | 55 · Aftercare only | $64.57 | $64.57 | $64.57 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | 78 · Unplanned return to OR | $302.00 | $302.00 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $537.03 | Professional | None | $426.58 | $426.58 | $537.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | 54 · Surgery only | $323.59 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | 55 · Aftercare only | $64.57 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | 78 · Unplanned return to OR | $302.00 | $302.00 | $302.00 |
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 $691.83 Median $891.25 Typical High $1,412.54 | Professional | None | $691.83 | $891.25 | $1,412.54 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $707.95 Typical High $1,122.02 | Professional | 54 · Surgery only | $549.54 | $707.95 | $1,122.02 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $177.83 Typical High $281.84 | Professional | 55 · Aftercare only | $138.04 | $177.83 | $281.84 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $588.84 Median $741.31 Typical High $1,174.90 | Professional | 78 · Unplanned return to OR | $588.84 | $741.31 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,096.48 Typical High $2,089.30 | Facility | None | $707.95 | $1,096.48 | $2,089.30 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $1,148.15 Typical High $1,819.70 | Professional | None | $676.08 | $1,148.15 | $1,819.70 |
Health Partners Setting Facility Modifier None Typical Low $630.96 Median $1,023.29 Typical High $1,778.28 | Facility | None | $630.96 | $1,023.29 | $1,778.28 |
Health Partners Setting Professional Modifier None Typical Low $602.56 Median $1,047.13 Typical High $1,698.24 | Professional | None | $602.56 | $1,047.13 | $1,698.24 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $2,754.23 Typical High $7,762.47 | Facility | None | $758.58 | $2,754.23 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $467.74 Median $851.14 Typical High $3,235.94 | Professional | None | $467.74 | $851.14 | $3,235.94 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $8,511.38 | Facility | None | $1,995.26 | $3,090.30 | $8,511.38 |
United Setting Professional Modifier None Typical Low $426.58 Median $758.58 Typical High $1,548.82 | Professional | None | $426.58 | $758.58 | $1,548.82 |
7 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 $213.80 Median $213.80 Typical High $213.80 | Facility | 52 · Reduced service | $213.80 | $213.80 | $213.80 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | 53 · Discontinued | $85.11 | $85.11 | $85.11 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | 56 · Pre-op care only | $42.66 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $87.10 | Professional | 53 · Discontinued | $85.11 | $85.11 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $42.66 Typical High $43.65 | Professional | 56 · Pre-op care only | $42.66 | $42.66 | $43.65 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $436.52 Median $549.54 Typical High $851.14 | Professional | 62 · Two surgeons | $436.52 | $549.54 | $851.14 |
Where Minnesota sits
The same service costs 5.1 times more in Wisconsin 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
WI $7,097MT $1,384
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.