How much rates vary
Facilitymedian $2,818 · 10th to 90th $794 to $10,471Professionalmedian $1,622 · 10th to 90th $794 to $3,090
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 $794.33 Median $794.33 Typical High $794.33 | Facility | None | $794.33 | $794.33 | $794.33 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | 54 · Surgery only | $602.56 | $602.56 | $602.56 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | 78 · Unplanned return to OR | $562.34 | $562.34 | $562.34 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $954.99 | Professional | None | $794.33 | $794.33 | $954.99 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | 54 · Surgery only | $602.56 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $562.34 | $562.34 | $562.34 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,365.16 Median $10,232.93 Typical High $22,387.21 | Facility | None | $4,365.16 | $10,232.93 | $22,387.21 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,202.26 Median $1,621.81 Typical High $2,691.53 | Professional | None | $1,202.26 | $1,621.81 | $2,691.53 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $954.99 Median $1,318.26 Typical High $2,137.96 | Professional | 54 · Surgery only | $954.99 | $1,318.26 | $2,137.96 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,000.00 Median $1,380.38 Typical High $2,290.87 | Professional | 78 · Unplanned return to OR | $1,000.00 | $1,380.38 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $2,041.74 Typical High $3,890.45 | Facility | None | $1,318.26 | $2,041.74 | $3,890.45 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $2,137.96 Typical High $3,388.44 | Professional | None | $1,258.93 | $2,137.96 | $3,388.44 |
Health Partners Setting Facility Modifier None Typical Low $1,174.90 Median $1,905.46 Typical High $3,311.31 | Facility | None | $1,174.90 | $1,905.46 | $3,311.31 |
Health Partners Setting Professional Modifier None Typical Low $1,122.02 Median $1,995.26 Typical High $3,162.28 | Professional | None | $1,122.02 | $1,995.26 | $3,162.28 |
Medica Setting Facility Modifier None Typical Low $1,380.38 Median $3,467.37 Typical High $7,943.28 | Facility | None | $1,380.38 | $3,467.37 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $851.14 Median $1,584.89 Typical High $6,918.31 | Professional | None | $851.14 | $1,584.89 | $6,918.31 |
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 $812.83 Median $1,412.54 Typical High $2,884.03 | Professional | None | $812.83 | $1,412.54 | $2,884.03 |
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 $398.11 Median $398.11 Typical High $398.11 | Facility | 52 · Reduced service | $398.11 | $398.11 | $398.11 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | 53 · Discontinued | $162.18 | $162.18 | $162.18 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | 55 · Aftercare only | $120.23 | $120.23 | $120.23 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | 56 · Pre-op care only | $79.43 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $398.11 Median $398.11 Typical High $407.38 | Professional | 52 · Reduced service | $398.11 | $398.11 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | 53 · Discontinued | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | 55 · Aftercare only | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $79.43 Typical High $81.28 | Professional | 56 · Pre-op care only | $79.43 | $79.43 | $81.28 |
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 $1,819.70 Median $2,454.71 Typical High $4,168.69 | Professional | 50 · Both sides | $1,819.70 | $2,454.71 | $4,168.69 |
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 $758.58 Median $1,023.29 Typical High $1,698.24 | Professional | 62 · Two surgeons | $758.58 | $1,023.29 | $1,698.24 |
Where Minnesota sits
The same service costs 4.9 times more in Alaska than in Kentucky. 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 $10,315KY $2,095
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.