How much rates vary
Facilitymedian $2,344 · 10th to 90th $692 to $7,413Professionalmedian $1,445 · 10th to 90th $692 to $2,692
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 $691.83 Median $724.44 Typical High $7,413.10 | Facility | None | $691.83 | $724.44 | $7,413.10 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | 54 · Surgery only | $512.86 | $512.86 | $512.86 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | 55 · Aftercare only | $102.33 | $102.33 | $102.33 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | 78 · Unplanned return to OR | $478.63 | $478.63 | $478.63 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $1,047.13 | Professional | None | $691.83 | $691.83 | $1,047.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $512.86 Typical High $524.81 | Professional | 54 · Surgery only | $512.86 | $512.86 | $524.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $102.33 Typical High $104.71 | Professional | 55 · Aftercare only | $102.33 | $102.33 | $104.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $478.63 Typical High $489.78 | Professional | 78 · Unplanned return to OR | $478.63 | $478.63 | $489.78 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,162.28 Median $5,623.41 Typical High $12,022.64 | Facility | None | $3,162.28 | $5,623.41 | $12,022.64 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,096.48 Median $1,479.11 Typical High $2,398.83 | Professional | None | $1,096.48 | $1,479.11 | $2,398.83 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $1,174.90 Typical High $1,905.46 | Professional | 54 · Surgery only | $870.96 | $1,174.90 | $1,905.46 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $218.78 Median $295.12 Typical High $478.63 | Professional | 55 · Aftercare only | $218.78 | $295.12 | $478.63 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $912.01 Median $1,230.27 Typical High $2,041.74 | Professional | 78 · Unplanned return to OR | $912.01 | $1,230.27 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $1,122.02 Median $1,737.80 Typical High $3,311.31 | Facility | None | $1,122.02 | $1,737.80 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,819.70 Typical High $2,884.03 | Professional | None | $1,071.52 | $1,819.70 | $2,884.03 |
Health Partners Setting Facility Modifier None Typical Low $1,000.00 Median $1,621.81 Typical High $2,818.38 | Facility | None | $1,000.00 | $1,621.81 | $2,818.38 |
Health Partners Setting Professional Modifier None Typical Low $954.99 Median $1,698.24 Typical High $2,691.53 | Professional | None | $954.99 | $1,698.24 | $2,691.53 |
Medica Setting Facility Modifier None Typical Low $1,202.26 Median $2,454.71 Typical High $7,244.36 | Facility | None | $1,202.26 | $2,454.71 | $7,244.36 |
Medica Setting Professional Modifier None Typical Low $794.33 Median $1,513.56 Typical High $5,754.40 | Professional | None | $794.33 | $1,513.56 | $5,754.40 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,235.94 Typical High $8,511.38 | Facility | None | $1,995.26 | $3,235.94 | $8,511.38 |
United Setting Professional Modifier None Typical Low $691.83 Median $1,230.27 Typical High $2,511.89 | Professional | None | $691.83 | $1,230.27 | $2,511.89 |
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 $346.74 Median $346.74 Typical High $346.74 | Facility | 52 · Reduced service | $346.74 | $346.74 | $346.74 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | 53 · Discontinued | $138.04 | $138.04 | $138.04 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | 56 · Pre-op care only | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $346.74 Median $346.74 Typical High $354.81 | Professional | 52 · Reduced service | $346.74 | $346.74 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $138.04 Typical High $141.25 | Professional | 53 · Discontinued | $138.04 | $138.04 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $69.18 Typical High $70.79 | Professional | 56 · Pre-op care only | $69.18 | $69.18 | $70.79 |
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 $1,621.81 Median $2,238.72 Typical High $3,630.78 | Professional | 50 · Both sides | $1,621.81 | $2,238.72 | $3,630.78 |
Where Minnesota sits
The same service costs 3.6 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 $7,904MT $2,218
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.