How much rates vary
Facilitymedian $1,288 · 10th to 90th $339 to $6,026Professionalmedian $851 · 10th to 90th $437 to $1,622
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 $338.84 Median $478.63 Typical High $478.63 | Facility | None | $338.84 | $478.63 | $478.63 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $257.04 Median $354.81 Typical High $354.81 | Facility | 54 · Surgery only | $257.04 | $354.81 | $354.81 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $239.88 Median $331.13 Typical High $331.13 | Facility | 78 · Unplanned return to OR | $239.88 | $331.13 | $331.13 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $467.74 Typical High $512.86 | Professional | None | $338.84 | $467.74 | $512.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $346.74 Typical High $354.81 | Professional | 54 · Surgery only | $257.04 | $346.74 | $354.81 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $239.88 Median $323.59 Typical High $331.13 | Professional | 78 · Unplanned return to OR | $239.88 | $323.59 | $331.13 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,801.89 Median $6,760.83 Typical High $13,182.57 | Facility | None | $3,801.89 | $6,760.83 | $13,182.57 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $5,754.40 Median $10,471.29 Typical High $19,054.61 | Facility | 50 · Both sides | $5,754.40 | $10,471.29 | $19,054.61 |
BCBS Minnesota Setting Professional Modifier None Typical Low $537.03 Median $912.01 Typical High $1,445.44 | Professional | None | $537.03 | $912.01 | $1,445.44 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $812.83 Median $1,348.96 Typical High $2,187.76 | Professional | 50 · Both sides | $812.83 | $1,348.96 | $2,187.76 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $724.44 Typical High $1,174.90 | Professional | 54 · Surgery only | $426.58 | $724.44 | $1,174.90 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $758.58 Typical High $1,230.27 | Professional | 78 · Unplanned return to OR | $446.68 | $758.58 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $1,202.26 Typical High $2,344.23 | Facility | None | $776.25 | $1,202.26 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $1,047.13 Typical High $1,698.24 | Professional | None | $562.34 | $1,047.13 | $1,698.24 |
Health Partners Setting Facility Modifier None Typical Low $691.83 Median $1,148.15 Typical High $1,949.84 | Facility | None | $691.83 | $1,148.15 | $1,949.84 |
Health Partners Setting Professional Modifier None Typical Low $562.34 Median $977.24 Typical High $1,584.89 | Professional | None | $562.34 | $977.24 | $1,584.89 |
Medica Setting Facility Modifier None Typical Low $588.84 Median $1,737.80 Typical High $4,786.30 | Facility | None | $588.84 | $1,737.80 | $4,786.30 |
Medica Setting Professional Modifier None Typical Low $562.34 Median $1,148.15 Typical High $3,548.13 | Professional | None | $562.34 | $1,148.15 | $3,548.13 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $7,585.78 | Facility | None | $1,513.56 | $2,511.89 | $7,585.78 |
United Setting Professional Modifier None Typical Low $398.11 Median $776.25 Typical High $1,584.89 | Professional | None | $398.11 | $776.25 | $1,584.89 |
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 $117.49 Median $181.97 Typical High $288.40 | Professional | 55 · Aftercare only | $117.49 | $181.97 | $288.40 |
Where Minnesota sits
The same service costs 6.0 times more in Colorado than in West Virginia. 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 $6,136WV $1,026
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.