How much rates vary
Facilitymedian $2,754 · 10th to 90th $741 to $7,943Professionalmedian $1,778 · 10th to 90th $776 to $3,467
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 $741.31 Median $2,290.87 Typical High $4,466.84 | Facility | None | $741.31 | $2,290.87 | $4,466.84 |
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 78 · Unplanned return to OR Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | 78 · Unplanned return to OR | $512.86 | $512.86 | $512.86 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $741.31 Typical High $954.99 | Professional | None | $724.44 | $741.31 | $954.99 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $549.54 Typical High $616.60 | Professional | 54 · Surgery only | $549.54 | $549.54 | $616.60 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $512.86 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $512.86 | $512.86 | $575.44 |
BCBS Minnesota Setting Facility Modifier None Typical Low $5,370.32 Median $11,220.18 Typical High $25,118.86 | Facility | None | $5,370.32 | $11,220.18 | $25,118.86 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,202.26 Median $1,621.81 Typical High $2,754.23 | Professional | None | $1,202.26 | $1,621.81 | $2,754.23 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $954.99 Median $1,288.25 Typical High $2,187.76 | Professional | 54 · Surgery only | $954.99 | $1,288.25 | $2,187.76 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,000.00 Median $1,348.96 Typical High $2,290.87 | Professional | 78 · Unplanned return to OR | $1,000.00 | $1,348.96 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $1,905.46 Typical High $3,630.78 | Facility | None | $1,230.27 | $1,905.46 | $3,630.78 |
Cigna Setting Professional Modifier None Typical Low $1,445.44 Median $2,187.76 Typical High $3,467.37 | Professional | None | $1,445.44 | $2,187.76 | $3,467.37 |
Health Partners Setting Facility Modifier None Typical Low $1,096.48 Median $1,778.28 Typical High $3,090.30 | Facility | None | $1,096.48 | $1,778.28 | $3,090.30 |
Health Partners Setting Professional Modifier None Typical Low $1,230.27 Median $1,995.26 Typical High $3,019.95 | Professional | None | $1,230.27 | $1,995.26 | $3,019.95 |
Medica Setting Facility Modifier None Typical Low $1,230.27 Median $3,630.78 Typical High $10,471.29 | Facility | None | $1,230.27 | $3,630.78 | $10,471.29 |
Medica Setting Professional Modifier None Typical Low $1,122.02 Median $2,137.96 Typical High $5,623.41 | Professional | None | $1,122.02 | $2,137.96 | $5,623.41 |
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 $977.24 Median $1,949.84 Typical High $3,890.45 | Professional | None | $977.24 | $1,949.84 | $3,890.45 |
12 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 $371.54 Median $371.54 Typical High $371.54 | Facility | 52 · Reduced service | $371.54 | $371.54 | $371.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | 53 · Discontinued | $147.91 | $147.91 | $147.91 |
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 Facility Modifier 56 · Pre-op care only Typical Low $74.13 Median $74.13 Typical High $74.13 | Facility | 56 · Pre-op care only | $74.13 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $371.54 Median $371.54 Typical High $407.38 | Professional | 52 · Reduced service | $371.54 | $371.54 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $147.91 Typical High $165.96 | Professional | 53 · Discontinued | $147.91 | $147.91 | $165.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $109.65 Typical High $123.03 | Professional | 55 · Aftercare only | $109.65 | $109.65 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $74.13 Typical High $83.18 | Professional | 56 · Pre-op care only | $74.13 | $74.13 | $83.18 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $12,882.50 Median $23,988.33 Typical High $43,651.58 | Facility | 50 · Both sides | $12,882.50 | $23,988.33 | $43,651.58 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $1,778.28 Median $2,398.83 Typical High $4,073.80 | Professional | 50 · Both sides | $1,778.28 | $2,398.83 | $4,073.80 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $239.88 Median $323.59 Typical High $537.03 | Professional | 55 · Aftercare only | $239.88 | $323.59 | $537.03 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $741.31 Median $1,000.00 Typical High $1,659.59 | Professional | 62 · Two surgeons | $741.31 | $1,000.00 | $1,659.59 |
Where Minnesota sits
The same service costs 6.0 times more in Colorado than in Hawaii. 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 $12,924HI $2,150
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.