How much rates vary
Facilitymedian $1,514 · 10th to 90th $407 to $8,318Professionalmedian $1,072 · 10th to 90th $525 to $2,089
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 $407.38 Median $616.60 Typical High $616.60 | Facility | None | $407.38 | $616.60 | $616.60 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $309.03 Median $457.09 Typical High $457.09 | Facility | 54 · Surgery only | $309.03 | $457.09 | $457.09 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $426.58 Typical High $426.58 | Facility | 78 · Unplanned return to OR | $288.40 | $426.58 | $426.58 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $588.84 Typical High $630.96 | Professional | None | $407.38 | $588.84 | $630.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $309.03 Median $446.68 Typical High $457.09 | Professional | 54 · Surgery only | $309.03 | $446.68 | $457.09 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $416.87 Typical High $426.58 | Professional | 78 · Unplanned return to OR | $288.40 | $416.87 | $426.58 |
BCBS Minnesota Setting Facility Modifier None Typical Low $5,128.61 Median $13,182.57 Typical High $26,915.35 | Facility | None | $5,128.61 | $13,182.57 | $26,915.35 |
BCBS Minnesota 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 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $933.25 Typical High $1,513.56 | Professional | 54 · Surgery only | $537.03 | $933.25 | $1,513.56 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $977.24 Typical High $1,584.89 | Professional | 78 · Unplanned return to OR | $562.34 | $977.24 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $1,548.82 Typical High $3,019.95 | Facility | None | $1,000.00 | $1,548.82 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $1,288.25 Typical High $2,187.76 | Professional | None | $691.83 | $1,288.25 | $2,187.76 |
Health Partners Setting Facility Modifier None Typical Low $891.25 Median $1,445.44 Typical High $2,511.89 | Facility | None | $891.25 | $1,445.44 | $2,511.89 |
Health Partners Setting Professional Modifier None Typical Low $676.08 Median $1,174.90 Typical High $2,041.74 | Professional | None | $676.08 | $1,174.90 | $2,041.74 |
Medica Setting Facility Modifier None Typical Low $724.44 Median $1,737.80 Typical High $5,011.87 | Facility | None | $724.44 | $1,737.80 | $5,011.87 |
Medica Setting Professional Modifier None Typical Low $660.69 Median $1,380.38 Typical High $4,570.88 | Professional | None | $660.69 | $1,380.38 | $4,570.88 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $8,317.64 | Facility | None | $1,513.56 | $2,511.89 | $8,317.64 |
United Setting Professional Modifier None Typical Low $478.63 Median $933.25 Typical High $1,949.84 | Professional | None | $478.63 | $933.25 | $1,949.84 |
12 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 $204.17 Median $309.03 Typical High $309.03 | Facility | 52 · Reduced service | $204.17 | $309.03 | $309.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $83.18 Median $123.03 Typical High $123.03 | Facility | 53 · Discontinued | $83.18 | $123.03 | $123.03 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $61.66 Median $91.20 Typical High $91.20 | Facility | 55 · Aftercare only | $61.66 | $91.20 | $91.20 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $40.74 Median $61.66 Typical High $61.66 | Facility | 56 · Pre-op care only | $40.74 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $204.17 Median $295.12 Typical High $309.03 | Professional | 52 · Reduced service | $204.17 | $295.12 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $120.23 Typical High $123.03 | Professional | 53 · Discontinued | $83.18 | $120.23 | $123.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $89.13 Typical High $91.20 | Professional | 55 · Aftercare only | $61.66 | $89.13 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $58.88 Typical High $61.66 | Professional | 56 · Pre-op care only | $40.74 | $58.88 | $61.66 |
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 50 · Both sides Typical Low $1,000.00 Median $1,737.80 Typical High $2,818.38 | Professional | 50 · Both sides | $1,000.00 | $1,737.80 | $2,818.38 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $234.42 Typical High $371.54 | Professional | 55 · Aftercare only | $141.25 | $234.42 | $371.54 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $446.68 Median $724.44 Typical High $1,174.90 | Professional | 62 · Two surgeons | $446.68 | $724.44 | $1,174.90 |
Where Minnesota sits
The same service costs 6.5 times more in Colorado than in Montana. 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 $9,949MT $1,532
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.