How much rates vary
Facilitymedian $912 · 10th to 90th $417 to $3,311Professionalmedian $933 · 10th to 90th $457 to $1,660
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 $416.87 Median $457.09 Typical High $457.09 | Facility | None | $416.87 | $457.09 | $457.09 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $316.23 Median $338.84 Typical High $338.84 | Facility | 54 · Surgery only | $316.23 | $338.84 | $338.84 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $63.10 Median $69.18 Typical High $69.18 | Facility | 55 · Aftercare only | $63.10 | $69.18 | $69.18 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $316.23 Typical High $316.23 | Facility | 78 · Unplanned return to OR | $295.12 | $316.23 | $316.23 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $446.68 Typical High $457.09 | Professional | None | $416.87 | $446.68 | $457.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $316.23 Median $331.13 Typical High $338.84 | Professional | 54 · Surgery only | $316.23 | $331.13 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $66.07 Typical High $69.18 | Professional | 55 · Aftercare only | $63.10 | $66.07 | $69.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $309.03 Typical High $316.23 | Professional | 78 · Unplanned return to OR | $295.12 | $309.03 | $316.23 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,548.82 Median $3,090.30 Typical High $6,165.95 | Facility | None | $1,548.82 | $3,090.30 | $6,165.95 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $3,162.28 Median $5,754.40 Typical High $10,715.19 | Facility | 50 · Both sides | $3,162.28 | $5,754.40 | $10,715.19 |
BCBS Minnesota Setting Professional Modifier None Typical Low $691.83 Median $1,023.29 Typical High $1,445.44 | Professional | None | $691.83 | $1,023.29 | $1,445.44 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $1,047.13 Median $1,548.82 Typical High $2,238.72 | Professional | 50 · Both sides | $1,047.13 | $1,548.82 | $2,238.72 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $812.83 Typical High $1,174.90 | Professional | 54 · Surgery only | $549.54 | $812.83 | $1,174.90 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $208.93 Typical High $295.12 | Professional | 55 · Aftercare only | $144.54 | $208.93 | $295.12 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $851.14 Typical High $1,230.27 | Professional | 78 · Unplanned return to OR | $575.44 | $851.14 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,174.90 Typical High $2,238.72 | Facility | None | $741.31 | $1,174.90 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $1,148.15 Typical High $1,862.09 | Professional | None | $660.69 | $1,148.15 | $1,862.09 |
Health Partners Setting Facility Modifier None Typical Low $660.69 Median $1,096.48 Typical High $1,862.09 | Facility | None | $660.69 | $1,096.48 | $1,862.09 |
Health Partners Setting Professional Modifier None Typical Low $562.34 Median $1,071.52 Typical High $1,698.24 | Professional | None | $562.34 | $1,071.52 | $1,698.24 |
Medica Setting Facility Modifier None Typical Low $537.03 Median $794.33 Typical High $2,884.03 | Facility | None | $537.03 | $794.33 | $2,884.03 |
Medica Setting Professional Modifier None Typical Low $467.74 Median $977.24 Typical High $3,311.31 | Professional | None | $467.74 | $977.24 | $3,311.31 |
United Setting Facility Modifier None Typical Low $549.54 Median $1,000.00 Typical High $3,548.13 | Facility | None | $549.54 | $1,000.00 | $3,548.13 |
United Setting Professional Modifier None Typical Low $426.58 Median $741.31 Typical High $1,548.82 | Professional | None | $426.58 | $741.31 | $1,548.82 |
6 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 $208.93 Median $229.09 Typical High $229.09 | Facility | 52 · Reduced service | $208.93 | $229.09 | $229.09 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $83.18 Median $91.20 Typical High $91.20 | Facility | 53 · Discontinued | $83.18 | $91.20 | $91.20 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $41.69 Median $45.71 Typical High $45.71 | Facility | 56 · Pre-op care only | $41.69 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $208.93 Median $218.78 Typical High $229.09 | Professional | 52 · Reduced service | $208.93 | $218.78 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $89.13 Typical High $91.20 | Professional | 53 · Discontinued | $83.18 | $89.13 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $44.67 Typical High $45.71 | Professional | 56 · Pre-op care only | $41.69 | $44.67 | $45.71 |
Where Minnesota sits
The same service costs 4.7 times more in Colorado than in Delaware. 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 $4,364DE $926
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.