How much rates vary
Facilitymedian $4,786 · 10th to 90th $2,291 to $9,333Professionalmedian $4,898 · 10th to 90th $2,344 to $8,913
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 $2,290.87 Median $2,290.87 Typical High $2,290.87 | Facility | None | $2,290.87 | $2,290.87 | $2,290.87 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | 54 · Surgery only | $1,737.80 | $1,737.80 | $1,737.80 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | 55 · Aftercare only | $346.74 | $346.74 | $346.74 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | 78 · Unplanned return to OR | $1,621.81 | $1,621.81 | $1,621.81 |
Aetna Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,511.89 | Professional | None | $2,290.87 | $2,290.87 | $2,511.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,737.80 Median $1,737.80 Typical High $1,862.09 | Professional | 54 · Surgery only | $1,737.80 | $1,737.80 | $1,862.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $346.74 Median $346.74 Typical High $371.54 | Professional | 55 · Aftercare only | $346.74 | $346.74 | $371.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,621.81 Median $1,621.81 Typical High $1,737.80 | Professional | 78 · Unplanned return to OR | $1,621.81 | $1,621.81 | $1,737.80 |
BCBS Minnesota Setting Facility Modifier None Typical Low $363.08 Median $891.25 Typical High $8,709.64 | Facility | None | $363.08 | $891.25 | $8,709.64 |
BCBS Minnesota Setting Professional Modifier None Typical Low $3,890.45 Median $5,128.61 Typical High $8,128.31 | Professional | None | $3,890.45 | $5,128.61 | $8,128.31 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $3,090.30 Median $4,073.80 Typical High $6,456.54 | Professional | 54 · Surgery only | $3,090.30 | $4,073.80 | $6,456.54 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $776.25 Median $1,023.29 Typical High $1,584.89 | Professional | 55 · Aftercare only | $776.25 | $1,023.29 | $1,584.89 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $3,235.94 Median $4,365.16 Typical High $6,760.83 | Professional | 78 · Unplanned return to OR | $3,235.94 | $4,365.16 | $6,760.83 |
Cigna Setting Facility Modifier None Typical Low $3,801.89 Median $5,888.44 Typical High $11,220.18 | Facility | None | $3,801.89 | $5,888.44 | $11,220.18 |
Cigna Setting Professional Modifier None Typical Low $3,630.78 Median $6,165.95 Typical High $9,549.93 | Professional | None | $3,630.78 | $6,165.95 | $9,549.93 |
Health Partners Setting Facility Modifier None Typical Low $3,311.31 Median $5,370.32 Typical High $9,332.54 | Facility | None | $3,311.31 | $5,370.32 | $9,332.54 |
Health Partners Setting Professional Modifier None Typical Low $3,235.94 Median $5,623.41 Typical High $9,120.11 | Professional | None | $3,235.94 | $5,623.41 | $9,120.11 |
Medica Setting Facility Modifier None Typical Low $3,235.94 Median $4,897.79 Typical High $9,332.54 | Facility | None | $3,235.94 | $4,897.79 | $9,332.54 |
Medica Setting Professional Modifier None Typical Low $2,630.27 Median $4,786.30 Typical High $18,620.87 | Professional | None | $2,630.27 | $4,786.30 | $18,620.87 |
United Setting Facility Modifier None Typical Low $3,235.94 Median $5,370.32 Typical High $12,882.50 | Facility | None | $3,235.94 | $5,370.32 | $12,882.50 |
United Setting Professional Modifier None Typical Low $2,511.89 Median $4,265.80 Typical High $8,912.51 | Professional | None | $2,511.89 | $4,265.80 | $8,912.51 |
7 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 $1,148.15 Median $1,148.15 Typical High $1,148.15 | Facility | 52 · Reduced service | $1,148.15 | $1,148.15 | $1,148.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | 53 · Discontinued | $457.09 | $457.09 | $457.09 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | 56 · Pre-op care only | $229.09 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,148.15 Median $1,148.15 Typical High $1,230.27 | Professional | 52 · Reduced service | $1,148.15 | $1,148.15 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $457.09 Median $457.09 Typical High $501.19 | Professional | 53 · Discontinued | $457.09 | $457.09 | $501.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $229.09 Median $229.09 Typical High $245.47 | Professional | 56 · Pre-op care only | $229.09 | $229.09 | $245.47 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $2,454.71 Median $3,235.94 Typical High $5,011.87 | Professional | 62 · Two surgeons | $2,454.71 | $3,235.94 | $5,011.87 |
Where Minnesota sits
The same service costs 4.0 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.
Physician feeFacility fee
AK $19,772TX $4,915
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.