How much rates vary
Facilitymedian $3,467 · 10th to 90th $589 to $10,715Professionalmedian $933 · 10th to 90th $479 to $1,738
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 $398.11 Median $6,760.83 Typical High $10,715.19 | Facility | None | $398.11 | $6,760.83 | $10,715.19 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | 54 · Surgery only | $302.00 | $302.00 | $302.00 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | 78 · Unplanned return to OR | $281.84 | $281.84 | $281.84 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $562.34 | Professional | None | $398.11 | $398.11 | $562.34 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $302.00 Median $302.00 Typical High $371.54 | Professional | 54 · Surgery only | $302.00 | $302.00 | $371.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $281.84 Median $281.84 Typical High $346.74 | Professional | 78 · Unplanned return to OR | $281.84 | $281.84 | $346.74 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,677.35 Median $7,943.28 Typical High $15,488.17 | Facility | None | $4,677.35 | $7,943.28 | $15,488.17 |
BCBS Minnesota Setting Professional Modifier None Typical Low $676.08 Median $912.01 Typical High $1,548.82 | Professional | None | $676.08 | $912.01 | $1,548.82 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $724.44 Typical High $1,230.27 | Professional | 54 · Surgery only | $537.03 | $724.44 | $1,230.27 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $758.58 Typical High $1,288.25 | Professional | 78 · Unplanned return to OR | $562.34 | $758.58 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,096.48 Typical High $2,089.30 | Facility | None | $707.95 | $1,096.48 | $2,089.30 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $1,258.93 Typical High $1,995.26 | Professional | None | $794.33 | $1,258.93 | $1,995.26 |
Health Partners Setting Facility Modifier None Typical Low $616.60 Median $1,000.00 Typical High $1,737.80 | Facility | None | $616.60 | $1,000.00 | $1,737.80 |
Health Partners Setting Professional Modifier None Typical Low $707.95 Median $1,122.02 Typical High $1,737.80 | Professional | None | $707.95 | $1,122.02 | $1,737.80 |
Medica Setting Facility Modifier None Typical Low $741.31 Median $2,818.38 Typical High $6,918.31 | Facility | None | $741.31 | $2,818.38 | $6,918.31 |
Medica Setting Professional Modifier None Typical Low $537.03 Median $954.99 Typical High $6,025.60 | Professional | None | $537.03 | $954.99 | $6,025.60 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $9,332.54 | Facility | None | $1,995.26 | $3,090.30 | $9,332.54 |
United Setting Professional Modifier None Typical Low $501.19 Median $933.25 Typical High $1,659.59 | Professional | None | $501.19 | $933.25 | $1,659.59 |
11 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 $199.53 Median $199.53 Typical High $199.53 | Facility | 52 · Reduced service | $199.53 | $199.53 | $199.53 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | 53 · Discontinued | $79.43 | $79.43 | $79.43 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | 55 · Aftercare only | $60.26 | $60.26 | $60.26 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | 56 · Pre-op care only | $39.81 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $199.53 Median $199.53 Typical High $245.47 | Professional | 52 · Reduced service | $199.53 | $199.53 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $79.43 Typical High $97.72 | Professional | 53 · Discontinued | $79.43 | $79.43 | $97.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $60.26 Typical High $74.13 | Professional | 55 · Aftercare only | $60.26 | $60.26 | $74.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $39.81 Typical High $48.98 | Professional | 56 · Pre-op care only | $39.81 | $39.81 | $48.98 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $7,079.46 Median $13,182.57 Typical High $23,442.29 | Facility | 50 · Both sides | $7,079.46 | $13,182.57 | $23,442.29 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $1,000.00 Median $1,348.96 Typical High $2,290.87 | Professional | 50 · Both sides | $1,000.00 | $1,348.96 | $2,290.87 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $181.97 Typical High $302.00 | Professional | 55 · Aftercare only | $134.90 | $181.97 | $302.00 |
Where Minnesota sits
The same service costs 5.5 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 $7,406MT $1,352
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.