How much rates vary
Facilitymedian $2,344 · 10th to 90th $575 to $11,749Professionalmedian $1,148 · 10th to 90th $575 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 $575.44 Median $575.44 Typical High $575.44 | Facility | None | $575.44 | $575.44 | $575.44 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | 54 · Surgery only | $426.58 | $426.58 | $426.58 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | 55 · Aftercare only | $85.11 | $85.11 | $85.11 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | 78 · Unplanned return to OR | $398.11 | $398.11 | $398.11 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $575.44 Typical High $707.95 | Professional | None | $562.34 | $575.44 | $707.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | 54 · Surgery only | $426.58 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 55 · Aftercare only | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | 78 · Unplanned return to OR | $398.11 | $398.11 | $398.11 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,162.28 Median $11,748.98 Typical High $26,915.35 | Facility | None | $3,162.28 | $11,748.98 | $26,915.35 |
BCBS Minnesota Setting Professional Modifier None Typical Low $912.01 Median $1,174.90 Typical High $1,862.09 | Professional | None | $912.01 | $1,174.90 | $1,862.09 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $933.25 Typical High $1,479.11 | Professional | 54 · Surgery only | $741.31 | $933.25 | $1,479.11 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $234.42 Typical High $363.08 | Professional | 55 · Aftercare only | $186.21 | $234.42 | $363.08 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $776.25 Median $977.24 Typical High $1,548.82 | Professional | 78 · Unplanned return to OR | $776.25 | $977.24 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $1,445.44 Typical High $2,818.38 | Facility | None | $933.25 | $1,445.44 | $2,818.38 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $1,513.56 Typical High $2,398.83 | Professional | None | $891.25 | $1,513.56 | $2,398.83 |
Health Partners Setting Facility Modifier None Typical Low $831.76 Median $1,348.96 Typical High $2,344.23 | Facility | None | $831.76 | $1,348.96 | $2,344.23 |
Health Partners Setting Professional Modifier None Typical Low $794.33 Median $1,412.54 Typical High $2,290.87 | Professional | None | $794.33 | $1,412.54 | $2,290.87 |
Medica Setting Facility Modifier None Typical Low $1,047.13 Median $4,365.16 Typical High $9,332.54 | Facility | None | $1,047.13 | $4,365.16 | $9,332.54 |
Medica Setting Professional Modifier None Typical Low $588.84 Median $1,174.90 Typical High $4,265.80 | Professional | None | $588.84 | $1,174.90 | $4,265.80 |
United Setting Facility Modifier None Typical Low $3,235.94 Median $5,370.32 Typical High $12,882.50 | Facility | None | $3,235.94 | $5,370.32 | $12,882.50 |
United Setting Professional Modifier None Typical Low $562.34 Median $977.24 Typical High $1,995.26 | Professional | None | $562.34 | $977.24 | $1,995.26 |
7 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 $288.40 Median $288.40 Typical High $288.40 | Facility | 52 · Reduced service | $288.40 | $288.40 | $288.40 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $114.82 Median $114.82 Typical High $114.82 | Facility | 53 · Discontinued | $114.82 | $114.82 | $114.82 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | 56 · Pre-op care only | $57.54 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | 52 · Reduced service | $288.40 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 53 · Discontinued | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | 56 · Pre-op care only | $57.54 | $57.54 | $57.54 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $575.44 Median $741.31 Typical High $1,148.15 | Professional | 62 · Two surgeons | $575.44 | $741.31 | $1,148.15 |
Where Minnesota sits
The same service costs 7.5 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 $13,659MT $1,825
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.