How much rates vary
Facilitymedian $1,047 · 10th to 90th $437 to $3,162Professionalmedian $912 · 10th to 90th $490 to $1,660
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 $436.52 Median $489.78 Typical High $489.78 | Facility | None | $436.52 | $489.78 | $489.78 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $323.59 Median $363.08 Typical High $363.08 | Facility | 54 · Surgery only | $323.59 | $363.08 | $363.08 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $64.57 Median $74.13 Typical High $74.13 | Facility | 55 · Aftercare only | $64.57 | $74.13 | $74.13 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $302.00 Median $338.84 Typical High $338.84 | Facility | 78 · Unplanned return to OR | $302.00 | $338.84 | $338.84 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $489.78 Typical High $489.78 | Professional | None | $436.52 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $323.59 Median $363.08 Typical High $363.08 | Professional | 54 · Surgery only | $323.59 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $74.13 Typical High $74.13 | Professional | 55 · Aftercare only | $64.57 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $302.00 Median $338.84 Typical High $338.84 | Professional | 78 · Unplanned return to OR | $302.00 | $338.84 | $338.84 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,288.25 Median $2,398.83 Typical High $4,365.16 | Facility | None | $1,288.25 | $2,398.83 | $4,365.16 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $1,905.46 Median $3,548.13 Typical High $6,456.54 | Facility | 50 · Both sides | $1,905.46 | $3,548.13 | $6,456.54 |
BCBS Minnesota Setting Professional Modifier None Typical Low $630.96 Median $954.99 Typical High $1,445.44 | Professional | None | $630.96 | $954.99 | $1,445.44 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $954.99 Median $1,445.44 Typical High $2,137.96 | Professional | 50 · Both sides | $954.99 | $1,445.44 | $2,137.96 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $776.25 Typical High $1,148.15 | Professional | 54 · Surgery only | $512.86 | $776.25 | $1,148.15 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $194.98 Typical High $281.84 | Professional | 55 · Aftercare only | $131.83 | $194.98 | $281.84 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $812.83 Typical High $1,202.26 | Professional | 78 · Unplanned return to OR | $537.03 | $812.83 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,174.90 Typical High $2,238.72 | Facility | None | $758.58 | $1,174.90 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $1,096.48 Typical High $1,862.09 | Professional | None | $676.08 | $1,096.48 | $1,862.09 |
Health Partners Setting Facility Modifier None Typical Low $676.08 Median $1,122.02 Typical High $1,905.46 | Facility | None | $676.08 | $1,122.02 | $1,905.46 |
Health Partners Setting Professional Modifier None Typical Low $660.69 Median $1,023.29 Typical High $1,698.24 | Professional | None | $660.69 | $1,023.29 | $1,698.24 |
Medica Setting Facility Modifier None Typical Low $630.96 Median $1,202.26 Typical High $3,090.30 | Facility | None | $630.96 | $1,202.26 | $3,090.30 |
Medica Setting Professional Modifier None Typical Low $512.86 Median $912.01 Typical High $3,388.44 | Professional | None | $512.86 | $912.01 | $3,388.44 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,659.59 Typical High $4,265.80 | Facility | None | $776.25 | $1,659.59 | $4,265.80 |
United Setting Professional Modifier None Typical Low $457.09 Median $758.58 Typical High $1,584.89 | Professional | None | $457.09 | $758.58 | $1,584.89 |
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 $218.78 Median $245.47 Typical High $245.47 | Facility | 52 · Reduced service | $218.78 | $245.47 | $245.47 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $87.10 Median $97.72 Typical High $97.72 | Facility | 53 · Discontinued | $87.10 | $97.72 | $97.72 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $43.65 Median $48.98 Typical High $48.98 | Facility | 56 · Pre-op care only | $43.65 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $218.78 Median $245.47 Typical High $245.47 | Professional | 52 · Reduced service | $218.78 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $97.72 Typical High $97.72 | Professional | 53 · Discontinued | $87.10 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $48.98 Typical High $48.98 | Professional | 56 · Pre-op care only | $43.65 | $48.98 | $48.98 |
Where Minnesota sits
The same service costs 4.7 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 $4,902MD $1,048
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.