How much rates vary
Facilitymedian $1,514 · 10th to 90th $513 to $6,166Professionalmedian $1,047 · 10th to 90th $513 to $1,950
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 $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | 54 · Surgery only | $389.05 | $389.05 | $389.05 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | 55 · Aftercare only | $77.62 | $77.62 | $77.62 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | 78 · Unplanned return to OR | $363.08 | $363.08 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $602.56 | Professional | None | $512.86 | $512.86 | $602.56 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $389.05 Typical High $446.68 | Professional | 54 · Surgery only | $389.05 | $389.05 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $77.62 Typical High $89.13 | Professional | 55 · Aftercare only | $77.62 | $77.62 | $89.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $363.08 Median $363.08 Typical High $416.87 | Professional | 78 · Unplanned return to OR | $363.08 | $363.08 | $416.87 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,344.23 Median $5,623.41 Typical High $12,302.69 | Facility | None | $2,344.23 | $5,623.41 | $12,302.69 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $6,456.54 Median $11,481.54 Typical High $21,379.62 | Facility | 50 · Both sides | $6,456.54 | $11,481.54 | $21,379.62 |
BCBS Minnesota Setting Professional Modifier None Typical Low $741.31 Median $1,000.00 Typical High $1,659.59 | Professional | None | $741.31 | $1,000.00 | $1,659.59 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $1,096.48 Median $1,513.56 Typical High $2,511.89 | Professional | 50 · Both sides | $1,096.48 | $1,513.56 | $2,511.89 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $588.84 Median $794.33 Typical High $1,318.26 | Professional | 54 · Surgery only | $588.84 | $794.33 | $1,318.26 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $199.53 Typical High $323.59 | Professional | 55 · Aftercare only | $147.91 | $199.53 | $323.59 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $831.76 Typical High $1,380.38 | Professional | 78 · Unplanned return to OR | $616.60 | $831.76 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $1,202.26 Typical High $2,290.87 | Facility | None | $776.25 | $1,202.26 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $1,380.38 Typical High $2,187.76 | Professional | None | $891.25 | $1,380.38 | $2,187.76 |
Health Partners Setting Facility Modifier None Typical Low $691.83 Median $1,122.02 Typical High $1,949.84 | Facility | None | $691.83 | $1,122.02 | $1,949.84 |
Health Partners Setting Professional Modifier None Typical Low $776.25 Median $1,258.93 Typical High $1,905.46 | Professional | None | $776.25 | $1,258.93 | $1,905.46 |
Medica Setting Facility Modifier None Typical Low $831.76 Median $2,137.96 Typical High $6,760.83 | Facility | None | $831.76 | $2,137.96 | $6,760.83 |
Medica Setting Professional Modifier None Typical Low $501.19 Median $977.24 Typical High $3,467.37 | Professional | None | $501.19 | $977.24 | $3,467.37 |
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 $1,862.09 | Professional | None | $478.63 | $933.25 | $1,862.09 |
6 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 $257.04 Median $257.04 Typical High $257.04 | Facility | 52 · Reduced service | $257.04 | $257.04 | $257.04 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | 53 · Discontinued | $102.33 | $102.33 | $102.33 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | 56 · Pre-op care only | $51.29 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $257.04 Median $257.04 Typical High $302.00 | Professional | 52 · Reduced service | $257.04 | $257.04 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $102.33 Typical High $120.23 | Professional | 53 · Discontinued | $102.33 | $102.33 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $51.29 Typical High $60.26 | Professional | 56 · Pre-op care only | $51.29 | $51.29 | $60.26 |
Where Minnesota sits
The same service costs 3.6 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 $5,175MT $1,450
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.