How much rates vary
Facilitymedian $2,818 · 10th to 90th $501 to $19,953Professionalmedian $1,230 · 10th to 90th $537 to $2,138
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 $501.19 Median $501.19 Typical High $10,471.29 | Facility | None | $501.19 | $501.19 | $10,471.29 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | 54 · Surgery only | $380.19 | $380.19 | $380.19 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | 78 · Unplanned return to OR | $354.81 | $354.81 | $354.81 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $630.96 | Professional | None | $501.19 | $501.19 | $630.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $380.19 Median $380.19 Typical High $407.38 | Professional | 54 · Surgery only | $380.19 | $380.19 | $407.38 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $354.81 Median $354.81 Typical High $380.19 | Professional | 78 · Unplanned return to OR | $354.81 | $354.81 | $380.19 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,019.95 Median $35,481.34 Typical High $81,283.05 | Facility | None | $3,019.95 | $35,481.34 | $81,283.05 |
BCBS Minnesota Setting Professional Modifier None Typical Low $954.99 Median $1,288.25 Typical High $1,905.46 | Professional | None | $954.99 | $1,288.25 | $1,905.46 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $758.58 Median $1,023.29 Typical High $1,548.82 | Professional | 54 · Surgery only | $758.58 | $1,023.29 | $1,548.82 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $1,071.52 Typical High $1,621.81 | Professional | 78 · Unplanned return to OR | $794.33 | $1,071.52 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $1,288.25 Typical High $2,454.71 | Facility | None | $831.76 | $1,288.25 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $1,479.11 Typical High $2,344.23 | Professional | None | $977.24 | $1,479.11 | $2,344.23 |
Health Partners Setting Facility Modifier None Typical Low $741.31 Median $1,202.26 Typical High $2,089.30 | Facility | None | $741.31 | $1,202.26 | $2,089.30 |
Health Partners Setting Professional Modifier None Typical Low $831.76 Median $1,348.96 Typical High $2,041.74 | Professional | None | $831.76 | $1,348.96 | $2,041.74 |
Medica Setting Facility Modifier None Typical Low $870.96 Median $6,456.54 Typical High $16,218.10 | Facility | None | $870.96 | $6,456.54 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $616.60 Median $1,122.02 Typical High $13,489.63 | Professional | None | $616.60 | $1,122.02 | $13,489.63 |
United Setting Facility Modifier None Typical Low $5,623.41 Median $7,762.47 Typical High $22,387.21 | Facility | None | $5,623.41 | $7,762.47 | $22,387.21 |
United Setting Professional Modifier None Typical Low $588.84 Median $1,023.29 Typical High $2,137.96 | Professional | None | $588.84 | $1,023.29 | $2,137.96 |
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 $251.19 Median $251.19 Typical High $251.19 | Facility | 52 · Reduced service | $251.19 | $251.19 | $251.19 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | 53 · Discontinued | $100.00 | $100.00 | $100.00 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | 55 · Aftercare only | $75.86 | $75.86 | $75.86 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | 56 · Pre-op care only | $50.12 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $251.19 Median $251.19 Typical High $269.15 | Professional | 52 · Reduced service | $251.19 | $251.19 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $100.00 Typical High $109.65 | Professional | 53 · Discontinued | $100.00 | $100.00 | $109.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $75.86 Typical High $81.28 | Professional | 55 · Aftercare only | $75.86 | $75.86 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $50.12 Typical High $53.70 | Professional | 56 · Pre-op care only | $50.12 | $50.12 | $53.70 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $42,657.95 Median $79,432.82 Typical High $147,910.84 | Facility | 50 · Both sides | $42,657.95 | $79,432.82 | $147,910.84 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $1,412.54 Median $1,905.46 Typical High $2,884.03 | Professional | 50 · Both sides | $1,412.54 | $1,905.46 | $2,884.03 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $257.04 Typical High $380.19 | Professional | 55 · Aftercare only | $190.55 | $257.04 | $380.19 |
Where Minnesota sits
The same service costs 24.6 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 $43,875MT $1,787
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.