How much rates vary
Facilitymedian $2,399 · 10th to 90th $759 to $10,965Professionalmedian $1,585 · 10th to 90th $759 to $2,951
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 $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $831.76 | Professional | None | $758.58 | $758.58 | $831.76 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,905.46 Median $26,302.68 Typical High $69,183.10 | Facility | None | $1,905.46 | $26,302.68 | $69,183.10 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,174.90 Median $1,584.89 Typical High $2,630.27 | Professional | None | $1,174.90 | $1,584.89 | $2,630.27 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $724.44 Median $977.24 Typical High $1,584.89 | Professional | 62 · Two surgeons | $724.44 | $977.24 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $1,949.84 Typical High $3,715.35 | Facility | None | $1,230.27 | $1,949.84 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,995.26 Typical High $3,162.28 | Professional | None | $1,174.90 | $1,995.26 | $3,162.28 |
Health Partners Setting Facility Modifier None Typical Low $1,096.48 Median $1,778.28 Typical High $3,090.30 | Facility | None | $1,096.48 | $1,778.28 | $3,090.30 |
Health Partners Setting Professional Modifier None Typical Low $1,047.13 Median $1,862.09 Typical High $3,019.95 | Professional | None | $1,047.13 | $1,862.09 | $3,019.95 |
Medica Setting Facility Modifier None Typical Low $1,318.26 Median $4,677.35 Typical High $9,332.54 | Facility | None | $1,318.26 | $4,677.35 | $9,332.54 |
Medica Setting Professional Modifier None Typical Low $870.96 Median $1,584.89 Typical High $13,182.57 | Professional | None | $870.96 | $1,584.89 | $13,182.57 |
United Setting Facility Modifier None Typical Low $3,235.94 Median $5,248.07 Typical High $10,964.78 | Facility | None | $3,235.94 | $5,248.07 | $10,964.78 |
United Setting Professional Modifier None Typical Low $812.83 Median $1,445.44 Typical High $2,951.21 | Professional | None | $812.83 | $1,445.44 | $2,951.21 |
10 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 $380.19 Median $380.19 Typical High $380.19 | Facility | 52 · Reduced service | $380.19 | $380.19 | $380.19 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | 53 · Discontinued | $151.36 | $151.36 | $151.36 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | 54 · Surgery only | $562.34 | $562.34 | $562.34 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $114.82 Median $114.82 Typical High $114.82 | Facility | 55 · Aftercare only | $114.82 | $114.82 | $114.82 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | 56 · Pre-op care only | $75.86 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $380.19 Median $380.19 Typical High $407.38 | Professional | 52 · Reduced service | $380.19 | $380.19 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $151.36 Typical High $165.96 | Professional | 53 · Discontinued | $151.36 | $151.36 | $165.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $562.34 Typical High $616.60 | Professional | 54 · Surgery only | $562.34 | $562.34 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $114.82 Typical High $123.03 | Professional | 55 · Aftercare only | $114.82 | $114.82 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $75.86 Typical High $83.18 | Professional | 56 · Pre-op care only | $75.86 | $75.86 | $83.18 |
Where Minnesota sits
The same service costs 4.6 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 $9,843KY $2,122
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.