How much rates vary
Facilitymedian $1,318 · 10th to 90th $501 to $3,548Professionalmedian $1,148 · 10th to 90th $562 to $2,042
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 $501.19 Median $562.34 Typical High $2,951.21 | Facility | None | $501.19 | $562.34 | $2,951.21 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $371.54 Median $416.87 Typical High $416.87 | Facility | 54 · Surgery only | $371.54 | $416.87 | $416.87 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $74.13 Median $83.18 Typical High $83.18 | Facility | 55 · Aftercare only | $74.13 | $83.18 | $83.18 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $346.74 Median $389.05 Typical High $389.05 | Facility | 78 · Unplanned return to OR | $346.74 | $389.05 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $549.54 Typical High $575.44 | Professional | None | $501.19 | $549.54 | $575.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $407.38 Typical High $416.87 | Professional | 54 · Surgery only | $371.54 | $407.38 | $416.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $81.28 Typical High $83.18 | Professional | 55 · Aftercare only | $74.13 | $81.28 | $83.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $346.74 Median $380.19 Typical High $389.05 | Professional | 78 · Unplanned return to OR | $346.74 | $380.19 | $389.05 |
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 Professional Modifier None Typical Low $812.83 Median $1,258.93 Typical High $1,778.28 | Professional | None | $812.83 | $1,258.93 | $1,778.28 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $1,000.00 Typical High $1,445.44 | Professional | 54 · Surgery only | $645.65 | $1,000.00 | $1,445.44 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $257.04 Typical High $363.08 | Professional | 55 · Aftercare only | $173.78 | $257.04 | $363.08 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $1,047.13 Typical High $1,513.56 | Professional | 78 · Unplanned return to OR | $676.08 | $1,047.13 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $1,412.54 Typical High $2,754.23 | Facility | None | $912.01 | $1,412.54 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $1,380.38 Typical High $2,238.72 | Professional | None | $776.25 | $1,380.38 | $2,238.72 |
Health Partners Setting Facility Modifier None Typical Low $812.83 Median $1,348.96 Typical High $2,290.87 | Facility | None | $812.83 | $1,348.96 | $2,290.87 |
Health Partners Setting Professional Modifier None Typical Low $691.83 Median $1,288.25 Typical High $1,995.26 | Professional | None | $691.83 | $1,288.25 | $1,995.26 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,230.27 Typical High $3,467.37 | Facility | None | $758.58 | $1,230.27 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $602.56 Median $1,230.27 Typical High $4,073.80 | Professional | None | $602.56 | $1,230.27 | $4,073.80 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,659.59 Typical High $4,265.80 | Facility | None | $776.25 | $1,659.59 | $4,265.80 |
United Setting Professional Modifier None Typical Low $524.81 Median $954.99 Typical High $1,949.84 | Professional | None | $524.81 | $954.99 | $1,949.84 |
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 $251.19 Median $281.84 Typical High $281.84 | Facility | 52 · Reduced service | $251.19 | $281.84 | $281.84 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $100.00 Median $112.20 Typical High $112.20 | Facility | 53 · Discontinued | $100.00 | $112.20 | $112.20 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $50.12 Median $56.23 Typical High $56.23 | Facility | 56 · Pre-op care only | $50.12 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $251.19 Median $275.42 Typical High $281.84 | Professional | 52 · Reduced service | $251.19 | $275.42 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $109.65 Typical High $112.20 | Professional | 53 · Discontinued | $100.00 | $109.65 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $54.95 Typical High $56.23 | Professional | 56 · Pre-op care only | $50.12 | $54.95 | $56.23 |
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 50 · Both sides Typical Low $1,230.27 Median $1,862.09 Typical High $2,691.53 | Professional | 50 · Both sides | $1,230.27 | $1,862.09 | $2,691.53 |
Where Minnesota sits
The same service costs 4.0 times more in Colorado than in Alabama. 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 $5,057AL $1,277
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.