How much rates vary
Facilitymedian $1,479 · 10th to 90th $372 to $8,318Professionalmedian $955 · 10th to 90th $479 to $1,862
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 $371.54 Median $562.34 Typical High $562.34 | Facility | None | $371.54 | $562.34 | $562.34 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $281.84 Median $416.87 Typical High $416.87 | Facility | 54 · Surgery only | $281.84 | $416.87 | $416.87 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $56.23 Median $83.18 Typical High $83.18 | Facility | 55 · Aftercare only | $56.23 | $83.18 | $83.18 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $263.03 Median $389.05 Typical High $389.05 | Facility | 78 · Unplanned return to OR | $263.03 | $389.05 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $537.03 Typical High $562.34 | Professional | None | $371.54 | $537.03 | $562.34 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $407.38 Typical High $416.87 | Professional | 54 · Surgery only | $281.84 | $407.38 | $416.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $81.28 Typical High $83.18 | Professional | 55 · Aftercare only | $56.23 | $81.28 | $83.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $263.03 Median $380.19 Typical High $389.05 | Professional | 78 · Unplanned return to OR | $263.03 | $380.19 | $389.05 |
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 $602.56 Median $1,047.13 Typical High $1,698.24 | Professional | None | $602.56 | $1,047.13 | $1,698.24 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $831.76 Typical High $1,348.96 | Professional | 54 · Surgery only | $478.63 | $831.76 | $1,348.96 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $208.93 Typical High $338.84 | Professional | 55 · Aftercare only | $128.82 | $208.93 | $338.84 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $501.19 Median $870.96 Typical High $1,445.44 | Professional | 78 · Unplanned return to OR | $501.19 | $870.96 | $1,445.44 |
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 $616.60 Median $1,202.26 Typical High $1,949.84 | Professional | None | $616.60 | $1,202.26 | $1,949.84 |
Health Partners Setting Facility Modifier None Typical Low $812.83 Median $1,318.26 Typical High $2,290.87 | Facility | None | $812.83 | $1,318.26 | $2,290.87 |
Health Partners Setting Professional Modifier None Typical Low $616.60 Median $1,071.52 Typical High $1,862.09 | Professional | None | $616.60 | $1,071.52 | $1,862.09 |
Medica Setting Facility Modifier None Typical Low $645.65 Median $1,698.24 Typical High $5,011.87 | Facility | None | $645.65 | $1,698.24 | $5,011.87 |
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 $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 $426.58 Median $851.14 Typical High $1,737.80 | Professional | None | $426.58 | $851.14 | $1,737.80 |
9 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 $186.21 Median $281.84 Typical High $281.84 | Facility | 52 · Reduced service | $186.21 | $281.84 | $281.84 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $74.13 Median $112.20 Typical High $112.20 | Facility | 53 · Discontinued | $74.13 | $112.20 | $112.20 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $37.15 Median $56.23 Typical High $56.23 | Facility | 56 · Pre-op care only | $37.15 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $186.21 Median $269.15 Typical High $281.84 | Professional | 52 · Reduced service | $186.21 | $269.15 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $107.15 Typical High $112.20 | Professional | 53 · Discontinued | $74.13 | $107.15 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $53.70 Typical High $56.23 | Professional | 56 · Pre-op care only | $37.15 | $53.70 | $56.23 |
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 $912.01 Median $1,548.82 Typical High $2,570.40 | Professional | 50 · Both sides | $912.01 | $1,548.82 | $2,570.40 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $407.38 Median $660.69 Typical High $1,023.29 | Professional | 62 · Two surgeons | $407.38 | $660.69 | $1,023.29 |
Where Minnesota sits
The same service costs 6.4 times more in Alaska 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
AK $8,723MT $1,361
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.