How much rates vary
Facilitymedian $2,291 · 10th to 90th $589 to $10,233Professionalmedian $1,259 · 10th to 90th $617 to $2,399
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 $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | 54 · Surgery only | $436.52 | $436.52 | $436.52 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | 55 · Aftercare only | $87.10 | $87.10 | $87.10 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | 78 · Unplanned return to OR | $407.38 | $407.38 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $794.33 | Professional | None | $588.84 | $588.84 | $794.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $436.52 Typical High $562.34 | Professional | 54 · Surgery only | $436.52 | $436.52 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $87.10 Typical High $112.20 | Professional | 55 · Aftercare only | $87.10 | $87.10 | $112.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $407.38 Median $407.38 Typical High $524.81 | Professional | 78 · Unplanned return to OR | $407.38 | $407.38 | $524.81 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,467.37 Median $9,549.93 Typical High $21,877.62 | Facility | None | $3,467.37 | $9,549.93 | $21,877.62 |
BCBS Minnesota Setting Professional Modifier None Typical Low $977.24 Median $1,288.25 Typical High $2,041.74 | Professional | None | $977.24 | $1,288.25 | $2,041.74 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $794.33 Median $1,023.29 Typical High $1,621.81 | Professional | 54 · Surgery only | $794.33 | $1,023.29 | $1,621.81 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $257.04 Typical High $407.38 | Professional | 55 · Aftercare only | $199.53 | $257.04 | $407.38 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $1,071.52 Typical High $1,698.24 | Professional | 78 · Unplanned return to OR | $831.76 | $1,071.52 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $1,548.82 Typical High $3,019.95 | Facility | None | $1,000.00 | $1,548.82 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $1,445.44 Typical High $2,454.71 | Professional | None | $912.01 | $1,445.44 | $2,454.71 |
Health Partners Setting Facility Modifier None Typical Low $891.25 Median $1,445.44 Typical High $2,511.89 | Facility | None | $891.25 | $1,445.44 | $2,511.89 |
Health Partners Setting Professional Modifier None Typical Low $1,023.29 Median $1,348.96 Typical High $2,238.72 | Professional | None | $1,023.29 | $1,348.96 | $2,238.72 |
Medica Setting Facility Modifier None Typical Low $977.24 Median $3,630.78 Typical High $9,772.37 | Facility | None | $977.24 | $3,630.78 | $9,772.37 |
Medica Setting Professional Modifier None Typical Low $691.83 Median $1,445.44 Typical High $4,677.35 | Professional | None | $691.83 | $1,445.44 | $4,677.35 |
United Setting Facility Modifier None Typical Low $2,818.38 Median $4,265.80 Typical High $11,220.18 | Facility | None | $2,818.38 | $4,265.80 | $11,220.18 |
United Setting Professional Modifier None Typical Low $660.69 Median $1,096.48 Typical High $2,344.23 | Professional | None | $660.69 | $1,096.48 | $2,344.23 |
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 $295.12 Median $295.12 Typical High $295.12 | Facility | 52 · Reduced service | $295.12 | $295.12 | $295.12 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $117.49 Median $117.49 Typical High $117.49 | Facility | 53 · Discontinued | $117.49 | $117.49 | $117.49 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | 56 · Pre-op care only | $58.88 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $295.12 Median $295.12 Typical High $371.54 | Professional | 52 · Reduced service | $295.12 | $295.12 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $117.49 Typical High $147.91 | Professional | 53 · Discontinued | $117.49 | $117.49 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $58.88 Typical High $74.13 | Professional | 56 · Pre-op care only | $58.88 | $58.88 | $74.13 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $616.60 Median $794.33 Typical High $1,258.93 | Professional | 62 · Two surgeons | $616.60 | $794.33 | $1,258.93 |
Where Minnesota sits
The same service costs 5.4 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 $11,084MT $2,070
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.