How much rates vary
Facilitymedian $5,129 · 10th to 90th $2,089 to $22,387Professionalmedian $4,266 · 10th to 90th $2,089 to $7,943
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 $2,089.30 Median $2,089.30 Typical High $2,089.30 | Facility | None | $2,089.30 | $2,089.30 | $2,089.30 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | 54 · Surgery only | $1,548.82 | $1,548.82 | $1,548.82 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $309.03 Median $309.03 Typical High $309.03 | Facility | 55 · Aftercare only | $309.03 | $309.03 | $309.03 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | 78 · Unplanned return to OR | $1,445.44 | $1,445.44 | $1,445.44 |
Aetna Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,238.72 | Professional | None | $2,089.30 | $2,089.30 | $2,238.72 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,548.82 Median $1,548.82 Typical High $1,659.59 | Professional | 54 · Surgery only | $1,548.82 | $1,548.82 | $1,659.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $309.03 Median $309.03 Typical High $331.13 | Professional | 55 · Aftercare only | $309.03 | $309.03 | $331.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,445.44 Median $1,445.44 Typical High $1,548.82 | Professional | 78 · Unplanned return to OR | $1,445.44 | $1,445.44 | $1,548.82 |
BCBS Setting Facility Modifier None Typical Low $11,748.98 Median $31,622.78 Typical High $69,183.10 | Facility | None | $11,748.98 | $31,622.78 | $69,183.10 |
BCBS Setting Professional Modifier None Typical Low $3,235.94 Median $4,265.80 Typical High $6,918.31 | Professional | None | $3,235.94 | $4,265.80 | $6,918.31 |
BCBS Setting Professional Modifier 54 · Surgery only Typical Low $2,570.40 Median $3,467.37 Typical High $5,623.41 | Professional | 54 · Surgery only | $2,570.40 | $3,467.37 | $5,623.41 |
BCBS Setting Professional Modifier 55 · Aftercare only Typical Low $645.65 Median $870.96 Typical High $1,380.38 | Professional | 55 · Aftercare only | $645.65 | $870.96 | $1,380.38 |
BCBS Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,754.23 Median $3,630.78 Typical High $5,888.44 | Professional | 78 · Unplanned return to OR | $2,754.23 | $3,630.78 | $5,888.44 |
Cigna Setting Facility Modifier None Typical Low $3,388.44 Median $5,248.07 Typical High $10,232.93 | Facility | None | $3,388.44 | $5,248.07 | $10,232.93 |
Cigna Setting Professional Modifier None Typical Low $3,235.94 Median $5,495.41 Typical High $8,709.64 | Professional | None | $3,235.94 | $5,495.41 | $8,709.64 |
Health Partners Setting Facility Modifier None Typical Low $3,019.95 Median $4,897.79 Typical High $8,511.38 | Facility | None | $3,019.95 | $4,897.79 | $8,511.38 |
Health Partners Setting Professional Modifier None Typical Low $2,884.03 Median $5,128.61 Typical High $8,128.31 | Professional | None | $2,884.03 | $5,128.61 | $8,128.31 |
Medica Setting Facility Modifier None Typical Low $2,884.03 Median $5,011.87 Typical High $11,481.54 | Facility | None | $2,884.03 | $5,011.87 | $11,481.54 |
Medica Setting Professional Modifier None Typical Low $2,344.23 Median $4,265.80 Typical High $31,622.78 | Professional | None | $2,344.23 | $4,265.80 | $31,622.78 |
United Setting Facility Modifier None Typical Low $3,981.07 Median $5,623.41 Typical High $13,803.84 | Facility | None | $3,981.07 | $5,623.41 | $13,803.84 |
United Setting Professional Modifier None Typical Low $2,187.76 Median $3,801.89 Typical High $7,943.28 | Professional | None | $2,187.76 | $3,801.89 | $7,943.28 |
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 $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | 52 · Reduced service | $1,047.13 | $1,047.13 | $1,047.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | 53 · Discontinued | $416.87 | $416.87 | $416.87 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | 56 · Pre-op care only | $208.93 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,047.13 Median $1,047.13 Typical High $1,096.48 | Professional | 52 · Reduced service | $1,047.13 | $1,047.13 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $416.87 Typical High $446.68 | Professional | 53 · Discontinued | $416.87 | $416.87 | $446.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $208.93 Median $208.93 Typical High $218.78 | Professional | 56 · Pre-op care only | $208.93 | $208.93 | $218.78 |
BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $2,041.74 Median $2,691.53 Typical High $4,265.80 | Professional | 62 · Two surgeons | $2,041.74 | $2,691.53 | $4,265.80 |
Where Minnesota sits
The same service costs 6.5 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· 7th of 51
$4,365
AK $8,710TX $1,349
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.