How much rates vary
Facilitymedian $3,236 · 10th to 90th $724 to $10,965Professionalmedian $1,514 · 10th to 90th $724 to $2,754
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 $724.44 Median $724.44 Typical High $5,754.40 | Facility | None | $724.44 | $724.44 | $5,754.40 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $537.03 Median $537.03 Typical High $537.03 | Facility | 54 · Surgery only | $537.03 | $537.03 | $537.03 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | 78 · Unplanned return to OR | $501.19 | $501.19 | $501.19 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $870.96 | Professional | None | $724.44 | $724.44 | $870.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $537.03 Typical High $562.34 | Professional | 54 · Surgery only | $537.03 | $537.03 | $562.34 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $501.19 Median $501.19 Typical High $524.81 | Professional | 78 · Unplanned return to OR | $501.19 | $501.19 | $524.81 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,981.07 Median $11,748.98 Typical High $26,915.35 | Facility | None | $3,981.07 | $11,748.98 | $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 $1,148.15 Median $1,548.82 Typical High $2,511.89 | Professional | None | $1,148.15 | $1,548.82 | $2,511.89 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $1,737.80 Median $2,344.23 Typical High $3,715.35 | Professional | 50 · Both sides | $1,737.80 | $2,344.23 | $3,715.35 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $1,230.27 Typical High $1,995.26 | Professional | 54 · Surgery only | $912.01 | $1,230.27 | $1,995.26 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $954.99 Median $1,318.26 Typical High $2,089.30 | Professional | 78 · Unplanned return to OR | $954.99 | $1,318.26 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $1,862.09 Typical High $3,548.13 | Facility | None | $1,174.90 | $1,862.09 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,905.46 Typical High $3,019.95 | Professional | None | $1,122.02 | $1,905.46 | $3,019.95 |
Health Partners Setting Facility Modifier None Typical Low $1,047.13 Median $1,698.24 Typical High $2,951.21 | Facility | None | $1,047.13 | $1,698.24 | $2,951.21 |
Health Partners Setting Professional Modifier None Typical Low $1,000.00 Median $1,778.28 Typical High $2,884.03 | Professional | None | $1,000.00 | $1,778.28 | $2,884.03 |
Medica Setting Facility Modifier None Typical Low $1,258.93 Median $4,677.35 Typical High $9,332.54 | Facility | None | $1,258.93 | $4,677.35 | $9,332.54 |
Medica Setting Professional Modifier None Typical Low $776.25 Median $1,445.44 Typical High $5,370.32 | Professional | None | $776.25 | $1,445.44 | $5,370.32 |
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 $741.31 Median $1,288.25 Typical High $2,630.27 | Professional | None | $741.31 | $1,288.25 | $2,630.27 |
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 $229.09 Median $309.03 Typical High $501.19 | Professional | 55 · Aftercare only | $229.09 | $309.03 | $501.19 |
Where Minnesota sits
The same service costs 6.1 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 $14,183KY $2,314
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.