How much rates vary
Facilitymedian $1,820 · 10th to 90th $457 to $6,457Professionalmedian $977 · 10th to 90th $457 to $1,778
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 $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | 54 · Surgery only | $346.74 | $346.74 | $346.74 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | 55 · Aftercare only | $69.18 | $69.18 | $69.18 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $323.59 Typical High $323.59 | Facility | 78 · Unplanned return to OR | $323.59 | $323.59 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $467.74 | Professional | None | $457.09 | $457.09 | $467.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | 54 · Surgery only | $346.74 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $69.18 Typical High $70.79 | Professional | 55 · Aftercare only | $69.18 | $69.18 | $70.79 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | 78 · Unplanned return to OR | $323.59 | $323.59 | $323.59 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,454.71 Median $5,623.41 Typical High $12,022.64 | Facility | None | $2,454.71 | $5,623.41 | $12,022.64 |
BCBS Minnesota Setting Professional Modifier None Typical Low $741.31 Median $1,023.29 Typical High $1,621.81 | Professional | None | $741.31 | $1,023.29 | $1,621.81 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $588.84 Median $812.83 Typical High $1,258.93 | Professional | 54 · Surgery only | $588.84 | $812.83 | $1,258.93 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $204.17 Typical High $316.23 | Professional | 55 · Aftercare only | $151.36 | $204.17 | $316.23 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $851.14 Typical High $1,348.96 | Professional | 78 · Unplanned return to OR | $616.60 | $851.14 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,174.90 Typical High $2,238.72 | Facility | None | $758.58 | $1,174.90 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $1,230.27 Typical High $1,949.84 | Professional | None | $724.44 | $1,230.27 | $1,949.84 |
Health Partners Setting Facility Modifier None Typical Low $676.08 Median $1,096.48 Typical High $1,905.46 | Facility | None | $676.08 | $1,096.48 | $1,905.46 |
Health Partners Setting Professional Modifier None Typical Low $645.65 Median $1,148.15 Typical High $1,819.70 | Professional | None | $645.65 | $1,148.15 | $1,819.70 |
Medica Setting Facility Modifier None Typical Low $812.83 Median $2,818.38 Typical High $7,762.47 | Facility | None | $812.83 | $2,818.38 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $489.78 Median $891.25 Typical High $3,388.44 | Professional | None | $489.78 | $891.25 | $3,388.44 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $8,511.38 | Facility | None | $1,995.26 | $3,090.30 | $8,511.38 |
United Setting Professional Modifier None Typical Low $457.09 Median $794.33 Typical High $1,621.81 | Professional | None | $457.09 | $794.33 | $1,621.81 |
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 $229.09 Median $229.09 Typical High $229.09 | Facility | 52 · Reduced service | $229.09 | $229.09 | $229.09 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | 53 · Discontinued | $91.20 | $91.20 | $91.20 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $45.71 Median $45.71 Typical High $45.71 | Facility | 56 · Pre-op care only | $45.71 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $229.09 Median $229.09 Typical High $234.42 | Professional | 52 · Reduced service | $229.09 | $229.09 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $91.20 Typical High $93.33 | Professional | 53 · Discontinued | $91.20 | $91.20 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $45.71 Typical High $46.77 | Professional | 56 · Pre-op care only | $45.71 | $45.71 | $46.77 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $4,897.79 Median $11,481.54 Typical High $19,054.61 | Facility | 50 · Both sides | $4,897.79 | $11,481.54 | $19,054.61 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $1,122.02 Median $1,513.56 Typical High $2,454.71 | Professional | 50 · Both sides | $1,122.02 | $1,513.56 | $2,454.71 |
Where Minnesota sits
The same service costs 4.9 times more in Wisconsin 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
WI $7,341MT $1,483
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.