How much rates vary
Facilitymedian $1,288 · 10th to 90th $309 to $8,128Professionalmedian $724 · 10th to 90th $347 to $1,349
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 $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | 54 · Surgery only | $229.09 | $229.09 | $229.09 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $45.71 Median $45.71 Typical High $45.71 | Facility | 55 · Aftercare only | $45.71 | $45.71 | $45.71 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | 78 · Unplanned return to OR | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $416.87 | Professional | None | $309.03 | $309.03 | $416.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $229.09 Median $229.09 Typical High $281.84 | Professional | 54 · Surgery only | $229.09 | $229.09 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $45.71 Typical High $56.23 | Professional | 55 · Aftercare only | $45.71 | $45.71 | $56.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $213.80 Median $213.80 Typical High $263.03 | Professional | 78 · Unplanned return to OR | $213.80 | $213.80 | $263.03 |
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 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 None Typical Low $524.81 Median $707.95 Typical High $1,174.90 | Professional | None | $524.81 | $707.95 | $1,174.90 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $776.25 Median $1,047.13 Typical High $1,737.80 | Professional | 50 · Both sides | $776.25 | $1,047.13 | $1,737.80 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $562.34 Typical High $933.25 | Professional | 54 · Surgery only | $416.87 | $562.34 | $933.25 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $141.25 Typical High $229.09 | Professional | 55 · Aftercare only | $104.71 | $141.25 | $229.09 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $588.84 Typical High $977.24 | Professional | 78 · Unplanned return to OR | $436.52 | $588.84 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $831.76 Typical High $1,584.89 | Facility | None | $537.03 | $831.76 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $954.99 Typical High $1,513.56 | Professional | None | $616.60 | $954.99 | $1,513.56 |
Health Partners Setting Facility Modifier None Typical Low $478.63 Median $776.25 Typical High $1,348.96 | Facility | None | $478.63 | $776.25 | $1,348.96 |
Health Partners Setting Professional Modifier None Typical Low $537.03 Median $870.96 Typical High $1,318.26 | Professional | None | $537.03 | $870.96 | $1,318.26 |
Medica Setting Facility Modifier None Typical Low $575.44 Median $2,818.38 Typical High $8,317.64 | Facility | None | $575.44 | $2,818.38 | $8,317.64 |
Medica Setting Professional Modifier None Typical Low $389.05 Median $724.44 Typical High $2,951.21 | Professional | None | $389.05 | $724.44 | $2,951.21 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $9,120.11 | Facility | None | $1,995.26 | $3,090.30 | $9,120.11 |
United Setting Professional Modifier None Typical Low $363.08 Median $676.08 Typical High $1,258.93 | Professional | None | $363.08 | $676.08 | $1,258.93 |
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 $151.36 Median $151.36 Typical High $151.36 | Facility | 52 · Reduced service | $151.36 | $151.36 | $151.36 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | 53 · Discontinued | $61.66 | $61.66 | $61.66 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $30.90 Median $30.90 Typical High $30.90 | Facility | 56 · Pre-op care only | $30.90 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $151.36 Median $151.36 Typical High $186.21 | Professional | 52 · Reduced service | $151.36 | $151.36 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $75.86 | Professional | 53 · Discontinued | $61.66 | $61.66 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $30.90 Typical High $38.02 | Professional | 56 · Pre-op care only | $30.90 | $30.90 | $38.02 |
Where Minnesota sits
The same service costs 5.3 times more in Alaska 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
AK $5,518MT $1,050
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.