How much rates vary
Facilitymedian $2,884 · 10th to 90th $1,000 to $10,471Professionalmedian $2,042 · 10th to 90th $1,000 to $3,890
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 $741.31 Median $741.31 Typical High $741.31 | Facility | 54 · Surgery only | $741.31 | $741.31 | $741.31 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $691.83 Typical High $691.83 | Facility | 78 · Unplanned return to OR | $691.83 | $691.83 | $691.83 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,023.29 | Professional | None | $1,000.00 | $1,000.00 | $1,023.29 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $741.31 Typical High $776.25 | Professional | 54 · Surgery only | $741.31 | $741.31 | $776.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $691.83 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $691.83 | $691.83 | $724.44 |
BCBS Setting Facility Modifier None Typical Low $5,495.41 Median $10,964.78 Typical High $22,387.21 | Facility | None | $5,495.41 | $10,964.78 | $22,387.21 |
BCBS Setting Professional Modifier None Typical Low $1,513.56 Median $2,041.74 Typical High $3,388.44 | Professional | None | $1,513.56 | $2,041.74 | $3,388.44 |
BCBS Setting Professional Modifier 54 · Surgery only Typical Low $1,230.27 Median $1,659.59 Typical High $2,754.23 | Professional | 54 · Surgery only | $1,230.27 | $1,659.59 | $2,754.23 |
BCBS Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,288.25 Median $1,737.80 Typical High $2,884.03 | Professional | 78 · Unplanned return to OR | $1,288.25 | $1,737.80 | $2,884.03 |
Cigna Setting Facility Modifier None Typical Low $1,621.81 Median $2,511.89 Typical High $4,786.30 | Facility | None | $1,621.81 | $2,511.89 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $1,548.82 Median $2,630.27 Typical High $4,168.69 | Professional | None | $1,548.82 | $2,630.27 | $4,168.69 |
Health Partners Setting Facility Modifier None Typical Low $1,445.44 Median $2,344.23 Typical High $4,073.80 | Facility | None | $1,445.44 | $2,344.23 | $4,073.80 |
Health Partners Setting Professional Modifier None Typical Low $1,380.38 Median $2,454.71 Typical High $3,890.45 | Professional | None | $1,380.38 | $2,454.71 | $3,890.45 |
Medica Setting Facility Modifier None Typical Low $1,698.24 Median $3,467.37 Typical High $7,943.28 | Facility | None | $1,698.24 | $3,467.37 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $1,096.48 Median $1,995.26 Typical High $8,511.38 | Professional | None | $1,096.48 | $1,995.26 | $8,511.38 |
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 $1,023.29 Median $1,819.70 Typical High $3,715.35 | Professional | None | $1,023.29 | $1,819.70 | $3,715.35 |
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 $489.78 Median $489.78 Typical High $489.78 | Facility | 52 · Reduced service | $489.78 | $489.78 | $489.78 |
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 55 · Aftercare only Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | 55 · Aftercare only | $147.91 | $147.91 | $147.91 |
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 $489.78 Median $489.78 Typical High $512.86 | Professional | 52 · Reduced service | $489.78 | $489.78 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $199.53 Typical High $204.17 | Professional | 53 · Discontinued | $199.53 | $199.53 | $204.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $147.91 Typical High $154.88 | Professional | 55 · Aftercare only | $147.91 | $147.91 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $100.00 Typical High $102.33 | Professional | 56 · Pre-op care only | $100.00 | $100.00 | $102.33 |
BCBS 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 Setting Professional Modifier 50 · Both sides Typical Low $2,290.87 Median $3,090.30 Typical High $5,248.07 | Professional | 50 · Both sides | $2,290.87 | $3,090.30 | $5,248.07 |
BCBS Setting Professional Modifier 55 · Aftercare only Typical Low $302.00 Median $416.87 Typical High $691.83 | Professional | 55 · Aftercare only | $302.00 | $416.87 | $691.83 |
BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $954.99 Median $1,288.25 Typical High $2,137.96 | Professional | 62 · Two surgeons | $954.99 | $1,288.25 | $2,137.96 |
Where Minnesota sits
The same service costs 18.2 times more in Alaska than in Texas. 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.
Minnesota· 5th of 51
$2,188
AK $4,074TX $224
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.