How much rates vary
Facilitymedian $3,981 · 10th to 90th $1,622 to $22,387Professionalmedian $3,388 · 10th to 90th $1,622 to $6,310
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 $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,621.81 | $1,621.81 | $1,621.81 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | 54 · Surgery only | $1,230.27 | $1,230.27 | $1,230.27 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Facility | 78 · Unplanned return to OR | $1,148.15 | $1,148.15 | $1,148.15 |
Aetna Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,659.59 | Professional | None | $1,621.81 | $1,621.81 | $1,659.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | 54 · Surgery only | $1,230.27 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | 78 · Unplanned return to OR | $1,148.15 | $1,148.15 | $1,148.15 |
BCBS Minnesota Setting Facility Modifier None Typical Low $9,120.11 Median $31,622.78 Typical High $70,794.58 | Facility | None | $9,120.11 | $31,622.78 | $70,794.58 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,454.71 Median $3,388.44 Typical High $5,495.41 | Professional | None | $2,454.71 | $3,388.44 | $5,495.41 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,995.26 Median $2,691.53 Typical High $4,365.16 | Professional | 54 · Surgery only | $1,995.26 | $2,691.53 | $4,365.16 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,089.30 Median $2,818.38 Typical High $4,570.88 | Professional | 78 · Unplanned return to OR | $2,089.30 | $2,818.38 | $4,570.88 |
Cigna Setting Facility Modifier None Typical Low $2,691.53 Median $4,168.69 Typical High $7,943.28 | Facility | None | $2,691.53 | $4,168.69 | $7,943.28 |
Cigna Setting Professional Modifier None Typical Low $2,570.40 Median $4,365.16 Typical High $6,760.83 | Professional | None | $2,570.40 | $4,365.16 | $6,760.83 |
Health Partners Setting Facility Modifier None Typical Low $2,398.83 Median $3,801.89 Typical High $6,606.93 | Facility | None | $2,398.83 | $3,801.89 | $6,606.93 |
Health Partners Setting Professional Modifier None Typical Low $2,290.87 Median $3,981.07 Typical High $6,456.54 | Professional | None | $2,290.87 | $3,981.07 | $6,456.54 |
Medica Setting Facility Modifier None Typical Low $2,818.38 Median $3,890.45 Typical High $10,471.29 | Facility | None | $2,818.38 | $3,890.45 | $10,471.29 |
Medica Setting Professional Modifier None Typical Low $1,819.70 Median $3,388.44 Typical High $16,218.10 | Professional | None | $1,819.70 | $3,388.44 | $16,218.10 |
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 $1,659.59 Median $3,019.95 Typical High $5,888.44 | Professional | None | $1,659.59 | $3,019.95 | $5,888.44 |
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 $812.83 Median $812.83 Typical High $812.83 | Facility | 52 · Reduced service | $812.83 | $812.83 | $812.83 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $323.59 Median $323.59 Typical High $323.59 | Facility | 53 · Discontinued | $323.59 | $323.59 | $323.59 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | 55 · Aftercare only | $245.47 | $245.47 | $245.47 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | 56 · Pre-op care only | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $812.83 Median $812.83 Typical High $831.76 | Professional | 52 · Reduced service | $812.83 | $812.83 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $323.59 Median $323.59 Typical High $331.13 | Professional | 53 · Discontinued | $323.59 | $323.59 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | 55 · Aftercare only | $245.47 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $162.18 Median $162.18 Typical High $165.96 | Professional | 56 · Pre-op care only | $162.18 | $162.18 | $165.96 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $36,307.81 Median $69,183.10 Typical High $125,892.54 | Facility | 50 · Both sides | $36,307.81 | $69,183.10 | $125,892.54 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $3,715.35 Median $5,011.87 Typical High $8,511.38 | Professional | 50 · Both sides | $3,715.35 | $5,011.87 | $8,511.38 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $489.78 Median $676.08 Typical High $1,096.48 | Professional | 55 · Aftercare only | $489.78 | $676.08 | $1,096.48 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,548.82 Median $2,089.30 Typical High $3,388.44 | Professional | 62 · Two surgeons | $1,548.82 | $2,089.30 | $3,388.44 |
Where Minnesota sits
The same service costs 7.4 times more in Alaska 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
AK $30,203HI $4,083
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.