How much rates vary
Facilitymedian $1,288 · 10th to 90th $302 to $5,888Professionalmedian $708 · 10th to 90th $339 to $1,318
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 $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | 54 · Surgery only | $223.87 | $223.87 | $223.87 |
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 $208.93 Median $208.93 Typical High $208.93 | Facility | 78 · Unplanned return to OR | $208.93 | $208.93 | $208.93 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $416.87 | Professional | None | $302.00 | $302.00 | $416.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $223.87 Median $223.87 Typical High $275.42 | Professional | 54 · Surgery only | $223.87 | $223.87 | $275.42 |
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 $208.93 Median $208.93 Typical High $257.04 | Professional | 78 · Unplanned return to OR | $208.93 | $208.93 | $257.04 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,754.23 Median $5,888.44 Typical High $13,803.84 | Facility | None | $2,754.23 | $5,888.44 | $13,803.84 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $4,073.80 Median $7,413.10 Typical High $13,489.63 | Facility | 50 · Both sides | $4,073.80 | $7,413.10 | $13,489.63 |
BCBS Minnesota Setting Professional Modifier None Typical Low $512.86 Median $691.83 Typical High $1,148.15 | Professional | None | $512.86 | $691.83 | $1,148.15 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $758.58 Median $1,023.29 Typical High $1,737.80 | Professional | 50 · Both sides | $758.58 | $1,023.29 | $1,737.80 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $549.54 Typical High $912.01 | Professional | 54 · Surgery only | $407.38 | $549.54 | $912.01 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $138.04 Typical High $229.09 | Professional | 55 · Aftercare only | $102.33 | $138.04 | $229.09 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $575.44 Typical High $954.99 | Professional | 78 · Unplanned return to OR | $426.58 | $575.44 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $831.76 Typical High $1,584.89 | Facility | None | $524.81 | $831.76 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $954.99 Typical High $1,479.11 | Professional | None | $602.56 | $954.99 | $1,479.11 |
Health Partners Setting Facility Modifier None Typical Low $467.74 Median $758.58 Typical High $1,318.26 | Facility | None | $467.74 | $758.58 | $1,318.26 |
Health Partners Setting Professional Modifier None Typical Low $537.03 Median $851.14 Typical High $1,318.26 | Professional | None | $537.03 | $851.14 | $1,318.26 |
Medica Setting Facility Modifier None Typical Low $562.34 Median $2,187.76 Typical High $5,495.41 | Facility | None | $562.34 | $2,187.76 | $5,495.41 |
Medica Setting Professional Modifier None Typical Low $389.05 Median $707.95 Typical High $3,235.94 | Professional | None | $389.05 | $707.95 | $3,235.94 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $5,888.44 | Facility | None | $1,513.56 | $2,511.89 | $5,888.44 |
United Setting Professional Modifier None Typical Low $363.08 Median $660.69 Typical High $1,258.93 | Professional | None | $363.08 | $660.69 | $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 $60.26 Median $60.26 Typical High $60.26 | Facility | 53 · Discontinued | $60.26 | $60.26 | $60.26 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | 56 · Pre-op care only | $30.20 | $30.20 | $30.20 |
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 $60.26 Median $60.26 Typical High $74.13 | Professional | 53 · Discontinued | $60.26 | $60.26 | $74.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $30.20 Typical High $37.15 | Professional | 56 · Pre-op care only | $30.20 | $30.20 | $37.15 |
Where Minnesota sits
The same service costs 5.1 times more in Oklahoma 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
OK $5,094MT $991
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.