How much rates vary
Facilitymedian $1,698 · 10th to 90th $447 to $4,898Professionalmedian $1,288 · 10th to 90th $646 to $2,570
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 $446.68 Median $741.31 Typical High $741.31 | Facility | None | $446.68 | $741.31 | $741.31 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $338.84 Median $549.54 Typical High $549.54 | Facility | 54 · Surgery only | $338.84 | $549.54 | $549.54 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $67.61 Median $109.65 Typical High $109.65 | Facility | 55 · Aftercare only | $67.61 | $109.65 | $109.65 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $316.23 Median $512.86 Typical High $512.86 | Facility | 78 · Unplanned return to OR | $316.23 | $512.86 | $512.86 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $676.08 Typical High $741.31 | Professional | None | $446.68 | $676.08 | $741.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $338.84 Median $512.86 Typical High $549.54 | Professional | 54 · Surgery only | $338.84 | $512.86 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $102.33 Typical High $109.65 | Professional | 55 · Aftercare only | $67.61 | $102.33 | $109.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $316.23 Median $478.63 Typical High $512.86 | Professional | 78 · Unplanned return to OR | $316.23 | $478.63 | $512.86 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,570.40 Median $3,981.07 Typical High $7,413.10 | Facility | None | $2,570.40 | $3,981.07 | $7,413.10 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $3,890.45 Median $7,244.36 Typical High $12,882.50 | Facility | 50 · Both sides | $3,890.45 | $7,244.36 | $12,882.50 |
BCBS Minnesota Setting Professional Modifier None Typical Low $758.58 Median $1,445.44 Typical High $2,344.23 | Professional | None | $758.58 | $1,445.44 | $2,344.23 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $1,148.15 Median $2,187.76 Typical High $3,548.13 | Professional | 50 · Both sides | $1,148.15 | $2,187.76 | $3,548.13 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $1,174.90 Typical High $1,905.46 | Professional | 54 · Surgery only | $616.60 | $1,174.90 | $1,905.46 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $295.12 Typical High $467.74 | Professional | 55 · Aftercare only | $169.82 | $295.12 | $467.74 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $1,230.27 Typical High $1,995.26 | Professional | 78 · Unplanned return to OR | $645.65 | $1,230.27 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $1,905.46 Typical High $3,630.78 | Facility | None | $1,230.27 | $1,905.46 | $3,630.78 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $1,479.11 Typical High $2,630.27 | Professional | None | $776.25 | $1,479.11 | $2,630.27 |
Health Partners Setting Facility Modifier None Typical Low $1,071.52 Median $1,737.80 Typical High $3,019.95 | Facility | None | $1,071.52 | $1,737.80 | $3,019.95 |
Health Partners Setting Professional Modifier None Typical Low $741.31 Median $1,348.96 Typical High $2,511.89 | Professional | None | $741.31 | $1,348.96 | $2,511.89 |
Medica Setting Facility Modifier None Typical Low $831.76 Median $1,737.80 Typical High $4,786.30 | Facility | None | $831.76 | $1,737.80 | $4,786.30 |
Medica Setting Professional Modifier None Typical Low $831.76 Median $1,698.24 Typical High $5,623.41 | Professional | None | $831.76 | $1,698.24 | $5,623.41 |
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 $575.44 Median $1,122.02 Typical High $2,454.71 | Professional | None | $575.44 | $1,122.02 | $2,454.71 |
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 $223.87 Median $371.54 Typical High $371.54 | Facility | 52 · Reduced service | $223.87 | $371.54 | $371.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $89.13 Median $147.91 Typical High $147.91 | Facility | 53 · Discontinued | $89.13 | $147.91 | $147.91 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $44.67 Median $74.13 Typical High $74.13 | Facility | 56 · Pre-op care only | $44.67 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $223.87 Median $338.84 Typical High $371.54 | Professional | 52 · Reduced service | $223.87 | $338.84 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $134.90 Typical High $147.91 | Professional | 53 · Discontinued | $89.13 | $134.90 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $67.61 Typical High $74.13 | Professional | 56 · Pre-op care only | $44.67 | $67.61 | $74.13 |
Where Minnesota sits
The same service costs 3.0 times more in Colorado than in Maryland. 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 $5,106MD $1,697
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.