How much rates vary
Facilitymedian $832 · 10th to 90th $195 to $7,943Professionalmedian $457 · 10th to 90th $229 to $851
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 $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | 54 · Surgery only | $147.91 | $147.91 | $147.91 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $29.51 Median $29.51 Typical High $29.51 | Facility | 55 · Aftercare only | $29.51 | $29.51 | $29.51 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | 78 · Unplanned return to OR | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $269.15 | Professional | None | $194.98 | $194.98 | $269.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $147.91 Median $147.91 Typical High $181.97 | Professional | 54 · Surgery only | $147.91 | $147.91 | $181.97 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $29.51 Typical High $36.31 | Professional | 55 · Aftercare only | $29.51 | $29.51 | $36.31 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $138.04 Median $138.04 Typical High $169.82 | Professional | 78 · Unplanned return to OR | $138.04 | $138.04 | $169.82 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,570.88 Median $7,943.28 Typical High $15,135.61 | Facility | None | $4,570.88 | $7,943.28 | $15,135.61 |
BCBS Minnesota Setting Professional Modifier None Typical Low $331.13 Median $446.68 Typical High $741.31 | Professional | None | $331.13 | $446.68 | $741.31 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $263.03 Median $354.81 Typical High $588.84 | Professional | 54 · Surgery only | $263.03 | $354.81 | $588.84 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $89.13 Typical High $151.36 | Professional | 55 · Aftercare only | $66.07 | $89.13 | $151.36 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $275.42 Median $371.54 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $275.42 | $371.54 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $537.03 Typical High $1,023.29 | Facility | None | $346.74 | $537.03 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $616.60 Typical High $954.99 | Professional | None | $389.05 | $616.60 | $954.99 |
Health Partners Setting Facility Modifier None Typical Low $302.00 Median $489.78 Typical High $851.14 | Facility | None | $302.00 | $489.78 | $851.14 |
Health Partners Setting Professional Modifier None Typical Low $346.74 Median $549.54 Typical High $851.14 | Professional | None | $346.74 | $549.54 | $851.14 |
Medica Setting Facility Modifier None Typical Low $363.08 Median $2,187.76 Typical High $7,762.47 | Facility | None | $363.08 | $2,187.76 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $251.19 Median $467.74 Typical High $1,778.28 | Professional | None | $251.19 | $467.74 | $1,778.28 |
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 $234.42 Median $436.52 Typical High $812.83 | Professional | None | $234.42 | $436.52 | $812.83 |
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 $97.72 Median $97.72 Typical High $97.72 | Facility | 52 · Reduced service | $97.72 | $97.72 | $97.72 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $38.90 Median $38.90 Typical High $38.90 | Facility | 53 · Discontinued | $38.90 | $38.90 | $38.90 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $19.50 Median $19.50 Typical High $19.50 | Facility | 56 · Pre-op care only | $19.50 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $97.72 Typical High $120.23 | Professional | 52 · Reduced service | $97.72 | $97.72 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $38.90 Typical High $47.86 | Professional | 53 · Discontinued | $38.90 | $38.90 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.50 Median $19.50 Typical High $23.99 | Professional | 56 · Pre-op care only | $19.50 | $19.50 | $23.99 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $6,918.31 Median $12,882.50 Typical High $22,908.68 | Facility | 50 · Both sides | $6,918.31 | $12,882.50 | $22,908.68 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $489.78 Median $660.69 Typical High $1,122.02 | Professional | 50 · Both sides | $489.78 | $660.69 | $1,122.02 |
Where Minnesota sits
The same service costs 9.6 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 $6,197MT $647
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.