How much rates vary
Facilitymedian $3,236 · 10th to 90th $955 to $11,749Professionalmedian $1,950 · 10th to 90th $955 to $3,631
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 $954.99 Median $954.99 Typical High $954.99 | Facility | None | $954.99 | $954.99 | $954.99 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | 54 · Surgery only | $707.95 | $707.95 | $707.95 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | 78 · Unplanned return to OR | $660.69 | $660.69 | $660.69 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,148.15 | Professional | None | $954.99 | $954.99 | $1,148.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $707.95 Typical High $724.44 | Professional | 54 · Surgery only | $707.95 | $707.95 | $724.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $660.69 Typical High $676.08 | Professional | 78 · Unplanned return to OR | $660.69 | $660.69 | $676.08 |
BCBS Minnesota Setting Facility Modifier None Typical Low $5,248.07 Median $12,302.69 Typical High $26,915.35 | Facility | None | $5,248.07 | $12,302.69 | $26,915.35 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $14,125.38 Median $26,302.68 Typical High $47,863.01 | Facility | 50 · Both sides | $14,125.38 | $26,302.68 | $47,863.01 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,479.11 Median $1,995.26 Typical High $3,235.94 | Professional | None | $1,479.11 | $1,995.26 | $3,235.94 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $2,238.72 Median $3,019.95 Typical High $4,897.79 | Professional | 50 · Both sides | $2,238.72 | $3,019.95 | $4,897.79 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,202.26 Median $1,584.89 Typical High $2,630.27 | Professional | 54 · Surgery only | $1,202.26 | $1,584.89 | $2,630.27 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,258.93 Median $1,698.24 Typical High $2,754.23 | Professional | 78 · Unplanned return to OR | $1,258.93 | $1,698.24 | $2,754.23 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $2,398.83 Typical High $4,570.88 | Facility | None | $1,548.82 | $2,398.83 | $4,570.88 |
Cigna Setting Professional Modifier None Typical Low $1,479.11 Median $2,511.89 Typical High $3,981.07 | Professional | None | $1,479.11 | $2,511.89 | $3,981.07 |
Health Partners Setting Facility Modifier None Typical Low $1,380.38 Median $2,238.72 Typical High $3,890.45 | Facility | None | $1,380.38 | $2,238.72 | $3,890.45 |
Health Partners Setting Professional Modifier None Typical Low $1,318.26 Median $2,344.23 Typical High $3,715.35 | Professional | None | $1,318.26 | $2,344.23 | $3,715.35 |
Medica Setting Facility Modifier None Typical Low $1,659.59 Median $4,677.35 Typical High $10,715.19 | Facility | None | $1,659.59 | $4,677.35 | $10,715.19 |
Medica Setting Professional Modifier None Typical Low $1,023.29 Median $1,905.46 Typical High $7,244.36 | Professional | None | $1,023.29 | $1,905.46 | $7,244.36 |
United Setting Facility Modifier None Typical Low $3,235.94 Median $5,370.32 Typical High $12,882.50 | Facility | None | $3,235.94 | $5,370.32 | $12,882.50 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,698.24 Typical High $3,467.37 | Professional | None | $977.24 | $1,698.24 | $3,467.37 |
2 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 |
|---|---|---|---|---|---|
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $295.12 Median $407.38 Typical High $660.69 | Professional | 55 · Aftercare only | $295.12 | $407.38 | $660.69 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $933.25 Median $1,230.27 Typical High $1,949.84 | Professional | 62 · Two surgeons | $933.25 | $1,230.27 | $1,949.84 |
Where Minnesota sits
The same service costs 5.8 times more in Colorado than in Kentucky. 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 $14,501KY $2,497
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.