How much rates vary
Facilitymedian $1,778 · 10th to 90th $692 to $5,623Professionalmedian $1,479 · 10th to 90th $776 to $2,754
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 $691.83 Median $831.76 Typical High $831.76 | Facility | None | $691.83 | $831.76 | $831.76 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $524.81 Median $616.60 Typical High $616.60 | Facility | 54 · Surgery only | $524.81 | $616.60 | $616.60 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $104.71 Median $123.03 Typical High $123.03 | Facility | 55 · Aftercare only | $104.71 | $123.03 | $123.03 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $575.44 Typical High $575.44 | Facility | 78 · Unplanned return to OR | $489.78 | $575.44 | $575.44 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $776.25 Typical High $891.25 | Professional | None | $691.83 | $776.25 | $891.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $616.60 Typical High $616.60 | Professional | 54 · Surgery only | $524.81 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $123.03 Typical High $123.03 | Professional | 55 · Aftercare only | $104.71 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $575.44 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $489.78 | $575.44 | $575.44 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,090.30 Median $4,897.79 Typical High $9,120.11 | Facility | None | $3,090.30 | $4,897.79 | $9,120.11 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $4,677.35 Median $8,511.38 Typical High $15,488.17 | Facility | 50 · Both sides | $4,677.35 | $8,511.38 | $15,488.17 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,047.13 Median $1,621.81 Typical High $2,398.83 | Professional | None | $1,047.13 | $1,621.81 | $2,398.83 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $1,584.89 Median $2,398.83 Typical High $3,630.78 | Professional | 50 · Both sides | $1,584.89 | $2,398.83 | $3,630.78 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $831.76 Median $1,288.25 Typical High $1,905.46 | Professional | 54 · Surgery only | $831.76 | $1,288.25 | $1,905.46 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $323.59 Typical High $478.63 | Professional | 55 · Aftercare only | $208.93 | $323.59 | $478.63 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $891.25 Median $1,348.96 Typical High $1,995.26 | Professional | 78 · Unplanned return to OR | $891.25 | $1,348.96 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $1,995.26 Typical High $3,801.89 | Facility | None | $1,288.25 | $1,995.26 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,778.28 Typical High $3,090.30 | Professional | None | $1,071.52 | $1,778.28 | $3,090.30 |
Health Partners Setting Facility Modifier None Typical Low $1,148.15 Median $1,905.46 Typical High $3,235.94 | Facility | None | $1,148.15 | $1,905.46 | $3,235.94 |
Health Partners Setting Professional Modifier None Typical Low $1,096.48 Median $1,698.24 Typical High $2,754.23 | Professional | None | $1,096.48 | $1,698.24 | $2,754.23 |
Medica Setting Facility Modifier None Typical Low $1,071.52 Median $1,819.70 Typical High $5,011.87 | Facility | None | $1,071.52 | $1,819.70 | $5,011.87 |
Medica Setting Professional Modifier None Typical Low $870.96 Median $1,548.82 Typical High $5,754.40 | Professional | None | $870.96 | $1,548.82 | $5,754.40 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $6,456.54 | Facility | None | $1,513.56 | $2,511.89 | $6,456.54 |
United Setting Professional Modifier None Typical Low $758.58 Median $1,258.93 Typical High $2,754.23 | Professional | None | $758.58 | $1,258.93 | $2,754.23 |
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 $346.74 Median $416.87 Typical High $416.87 | Facility | 52 · Reduced service | $346.74 | $416.87 | $416.87 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $138.04 Median $165.96 Typical High $165.96 | Facility | 53 · Discontinued | $138.04 | $165.96 | $165.96 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $69.18 Median $83.18 Typical High $83.18 | Facility | 56 · Pre-op care only | $69.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $346.74 Median $416.87 Typical High $416.87 | Professional | 52 · Reduced service | $346.74 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $165.96 Typical High $165.96 | Professional | 53 · Discontinued | $138.04 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $83.18 Typical High $83.18 | Professional | 56 · Pre-op care only | $69.18 | $83.18 | $83.18 |
Where Minnesota sits
The same service costs 3.7 times more in Alaska than in West Virginia. 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 $6,098WV $1,627
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.