How much rates vary
Facilitymedian $3,631 · 10th to 90th $1,380 to $11,482Professionalmedian $3,090 · 10th to 90th $1,413 to $5,754
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 $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | None | $1,380.38 | $1,380.38 | $1,380.38 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | 54 · Surgery only | $1,047.13 | $1,047.13 | $1,047.13 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | 55 · Aftercare only | $208.93 | $208.93 | $208.93 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $977.24 Median $977.24 Typical High $977.24 | Facility | 78 · Unplanned return to OR | $977.24 | $977.24 | $977.24 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,584.89 | Professional | None | $1,380.38 | $1,380.38 | $1,584.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,047.13 Median $1,047.13 Typical High $1,148.15 | Professional | 54 · Surgery only | $1,047.13 | $1,047.13 | $1,148.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $208.93 Typical High $229.09 | Professional | 55 · Aftercare only | $208.93 | $208.93 | $229.09 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $977.24 Median $977.24 Typical High $1,071.52 | Professional | 78 · Unplanned return to OR | $977.24 | $977.24 | $1,071.52 |
BCBS Minnesota Setting Facility Modifier None Typical Low $7,413.10 Median $11,481.54 Typical High $22,387.21 | Facility | None | $7,413.10 | $11,481.54 | $22,387.21 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,187.76 Median $2,951.21 Typical High $5,011.87 | Professional | None | $2,187.76 | $2,951.21 | $5,011.87 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,737.80 Median $2,398.83 Typical High $3,981.07 | Professional | 54 · Surgery only | $1,737.80 | $2,398.83 | $3,981.07 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $436.52 Median $588.84 Typical High $977.24 | Professional | 55 · Aftercare only | $436.52 | $588.84 | $977.24 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,819.70 Median $2,511.89 Typical High $4,168.69 | Professional | 78 · Unplanned return to OR | $1,819.70 | $2,511.89 | $4,168.69 |
Cigna Setting Facility Modifier None Typical Low $2,344.23 Median $3,630.78 Typical High $6,918.31 | Facility | None | $2,344.23 | $3,630.78 | $6,918.31 |
Cigna Setting Professional Modifier None Typical Low $2,630.27 Median $4,168.69 Typical High $6,606.93 | Professional | None | $2,630.27 | $4,168.69 | $6,606.93 |
Health Partners Setting Facility Modifier None Typical Low $2,089.30 Median $3,311.31 Typical High $5,754.40 | Facility | None | $2,089.30 | $3,311.31 | $5,754.40 |
Health Partners Setting Professional Modifier None Typical Low $2,344.23 Median $3,801.89 Typical High $5,754.40 | Professional | None | $2,344.23 | $3,801.89 | $5,754.40 |
Medica Setting Facility Modifier None Typical Low $2,398.83 Median $3,801.89 Typical High $9,772.37 | Facility | None | $2,398.83 | $3,801.89 | $9,772.37 |
Medica Setting Professional Modifier None Typical Low $1,584.89 Median $3,019.95 Typical High $10,471.29 | Professional | None | $1,584.89 | $3,019.95 | $10,471.29 |
United Setting Facility Modifier None Typical Low $2,818.38 Median $4,265.80 Typical High $11,220.18 | Facility | None | $2,818.38 | $4,265.80 | $11,220.18 |
United Setting Professional Modifier None Typical Low $1,513.56 Median $2,818.38 Typical High $5,370.32 | Professional | None | $1,513.56 | $2,818.38 | $5,370.32 |
8 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 $691.83 Median $691.83 Typical High $691.83 | Facility | 52 · Reduced service | $691.83 | $691.83 | $691.83 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | 53 · Discontinued | $275.42 | $275.42 | $275.42 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | 56 · Pre-op care only | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $691.83 Median $691.83 Typical High $758.58 | Professional | 52 · Reduced service | $691.83 | $691.83 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $275.42 Typical High $309.03 | Professional | 53 · Discontinued | $275.42 | $275.42 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $138.04 Typical High $151.36 | Professional | 56 · Pre-op care only | $138.04 | $138.04 | $151.36 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $11,748.98 Median $21,379.62 Typical High $38,904.51 | Facility | 50 · Both sides | $11,748.98 | $21,379.62 | $38,904.51 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $3,311.31 Median $4,466.84 Typical High $7,585.78 | Professional | 50 · Both sides | $3,311.31 | $4,466.84 | $7,585.78 |
Where Minnesota sits
The same service costs 3.1 times more in Alaska than in Delaware. 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 $12,999DE $4,240
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.