How much rates vary
Facilitymedian $2,291 · 10th to 90th $724 to $9,772Professionalmedian $1,318 · 10th to 90th $724 to $2,692
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 $724.44 Median $724.44 Typical High $6,025.60 | Facility | None | $724.44 | $724.44 | $6,025.60 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | 54 · Surgery only | $549.54 | $549.54 | $549.54 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | 55 · Aftercare only | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $724.44 Typical High $933.25 | Professional | None | $676.08 | $724.44 | $933.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $549.54 Typical High $602.56 | Professional | 54 · Surgery only | $549.54 | $549.54 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $109.65 Typical High $120.23 | Professional | 55 · Aftercare only | $109.65 | $109.65 | $120.23 |
BCBS Minnesota Setting Facility Modifier None Typical Low $6,309.57 Median $12,022.64 Typical High $19,952.62 | Facility | None | $6,309.57 | $12,022.64 | $19,952.62 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $10,232.93 Median $18,620.87 Typical High $34,673.69 | Facility | 50 · Both sides | $10,232.93 | $18,620.87 | $34,673.69 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,000.00 Median $1,318.26 Typical High $2,290.87 | Professional | None | $1,000.00 | $1,318.26 | $2,290.87 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $1,479.11 Median $1,949.84 Typical High $3,467.37 | Professional | 50 · Both sides | $1,479.11 | $1,949.84 | $3,467.37 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $794.33 Median $1,047.13 Typical High $1,862.09 | Professional | 54 · Surgery only | $794.33 | $1,047.13 | $1,862.09 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $251.19 Typical High $446.68 | Professional | 55 · Aftercare only | $213.80 | $251.19 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $1,122.02 Median $1,737.80 Typical High $3,388.44 | Facility | None | $1,122.02 | $1,737.80 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,698.24 Typical High $2,884.03 | Professional | None | $1,023.29 | $1,698.24 | $2,884.03 |
Health Partners Setting Facility Modifier None Typical Low $1,000.00 Median $1,621.81 Typical High $2,818.38 | Facility | None | $1,000.00 | $1,621.81 | $2,818.38 |
Health Partners Setting Professional Modifier None Typical Low $977.24 Median $1,584.89 Typical High $2,754.23 | Professional | None | $977.24 | $1,584.89 | $2,754.23 |
Medica Setting Facility Modifier None Typical Low $1,202.26 Median $3,388.44 Typical High $7,943.28 | Facility | None | $1,202.26 | $3,388.44 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $776.25 Median $1,318.26 Typical High $5,128.61 | Professional | None | $776.25 | $1,318.26 | $5,128.61 |
United Setting Facility Modifier None Typical Low $2,818.38 Median $4,466.84 Typical High $11,220.18 | Facility | None | $2,818.38 | $4,466.84 | $11,220.18 |
United Setting Professional Modifier None Typical Low $776.25 Median $1,230.27 Typical High $2,454.71 | Professional | None | $776.25 | $1,230.27 | $2,454.71 |
7 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 $363.08 Median $363.08 Typical High $363.08 | Facility | 52 · Reduced service | $363.08 | $363.08 | $363.08 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | 53 · Discontinued | $144.54 | $144.54 | $144.54 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | 56 · Pre-op care only | $72.44 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $363.08 Median $363.08 Typical High $407.38 | Professional | 52 · Reduced service | $363.08 | $363.08 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $144.54 Typical High $162.18 | Professional | 53 · Discontinued | $144.54 | $144.54 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $72.44 Typical High $81.28 | Professional | 56 · Pre-op care only | $72.44 | $72.44 | $81.28 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $1,096.48 Typical High $1,949.84 | Professional | 78 · Unplanned return to OR | $831.76 | $1,096.48 | $1,949.84 |
Where Minnesota sits
The same service costs 5.9 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 $12,304MT $2,095
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.