How much rates vary
Facilitymedian $2,884 · 10th to 90th $1,000 to $10,965Professionalmedian $2,239 · 10th to 90th $1,047 to $4,169
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 $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | 54 · Surgery only | $758.58 | $758.58 | $758.58 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | 55 · Aftercare only | $151.36 | $151.36 | $151.36 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | 78 · Unplanned return to OR | $707.95 | $707.95 | $707.95 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,148.15 | Professional | None | $1,000.00 | $1,000.00 | $1,148.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $758.58 Median $758.58 Typical High $831.76 | Professional | 54 · Surgery only | $758.58 | $758.58 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $151.36 Typical High $165.96 | Professional | 55 · Aftercare only | $151.36 | $151.36 | $165.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $707.95 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $707.95 | $707.95 | $776.25 |
BCBS Minnesota Setting Facility Modifier None Typical Low $5,623.41 Median $11,220.18 Typical High $22,387.21 | Facility | None | $5,623.41 | $11,220.18 | $22,387.21 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,548.82 Median $2,089.30 Typical High $3,630.78 | Professional | None | $1,548.82 | $2,089.30 | $3,630.78 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,230.27 Median $1,659.59 Typical High $2,951.21 | Professional | 54 · Surgery only | $1,230.27 | $1,659.59 | $2,951.21 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $309.03 Median $416.87 Typical High $724.44 | Professional | 55 · Aftercare only | $309.03 | $416.87 | $724.44 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,288.25 Median $1,737.80 Typical High $3,090.30 | Professional | 78 · Unplanned return to OR | $1,288.25 | $1,737.80 | $3,090.30 |
Cigna Setting Facility Modifier None Typical Low $1,659.59 Median $2,570.40 Typical High $5,011.87 | Facility | None | $1,659.59 | $2,570.40 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $1,905.46 Median $3,019.95 Typical High $4,677.35 | Professional | None | $1,905.46 | $3,019.95 | $4,677.35 |
Health Partners Setting Facility Modifier None Typical Low $1,479.11 Median $2,398.83 Typical High $4,168.69 | Facility | None | $1,479.11 | $2,398.83 | $4,168.69 |
Health Partners Setting Professional Modifier None Typical Low $1,698.24 Median $2,691.53 Typical High $4,168.69 | Professional | None | $1,698.24 | $2,691.53 | $4,168.69 |
Medica Setting Facility Modifier None Typical Low $1,698.24 Median $3,630.78 Typical High $10,471.29 | Facility | None | $1,698.24 | $3,630.78 | $10,471.29 |
Medica Setting Professional Modifier None Typical Low $1,202.26 Median $2,238.72 Typical High $8,511.38 | Professional | None | $1,202.26 | $2,238.72 | $8,511.38 |
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 $1,148.15 Median $2,137.96 Typical High $3,890.45 | Professional | None | $1,148.15 | $2,137.96 | $3,890.45 |
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 $501.19 Median $501.19 Typical High $501.19 | Facility | 52 · Reduced service | $501.19 | $501.19 | $501.19 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | 53 · Discontinued | $199.53 | $199.53 | $199.53 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | 56 · Pre-op care only | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $501.19 Median $501.19 Typical High $549.54 | Professional | 52 · Reduced service | $501.19 | $501.19 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $199.53 Typical High $218.78 | Professional | 53 · Discontinued | $199.53 | $199.53 | $218.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $100.00 Typical High $109.65 | Professional | 56 · Pre-op care only | $100.00 | $100.00 | $109.65 |
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 $2,290.87 Median $3,162.28 Typical High $5,495.41 | Professional | 50 · Both sides | $2,290.87 | $3,162.28 | $5,495.41 |
Where Minnesota sits
The same service costs 3.6 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 $11,248MT $3,134
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.