How much rates vary
Facilitymedian $5,012 · 10th to 90th $2,089 to $14,791Professionalmedian $4,677 · 10th to 90th $2,138 to $8,128
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 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 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 $9,332.54 Median $15,135.61 Typical High $28,183.83 | Facility | None | $9,332.54 | $15,135.61 | $28,183.83 |
BCBS Setting Professional Modifier None Typical Low $3,801.89 Median $4,897.79 Typical High $7,585.78 | Professional | None | $3,801.89 | $4,897.79 | $7,585.78 |
BCBS Setting Professional Modifier 54 · Surgery only Typical Low $3,019.95 Median $3,890.45 Typical High $6,025.60 | Professional | 54 · Surgery only | $3,019.95 | $3,890.45 | $6,025.60 |
BCBS Setting Professional Modifier 78 · Unplanned return to OR Typical Low $3,162.28 Median $4,073.80 Typical High $6,309.57 | Professional | 78 · Unplanned return to OR | $3,162.28 | $4,073.80 | $6,309.57 |
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 $5,623.41 Typical High $8,709.64 | Professional | None | $3,235.94 | $5,623.41 | $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 $8,317.64 | Professional | None | $2,884.03 | $5,128.61 | $8,317.64 |
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 $2,290.87 Median $4,168.69 Typical High $15,848.93 | Professional | None | $2,290.87 | $4,168.69 | $15,848.93 |
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 $2,187.76 Median $3,715.35 Typical High $8,128.31 | Professional | None | $2,187.76 | $3,715.35 | $8,128.31 |
2 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 |
|---|---|---|---|---|---|
BCBS Setting Professional Modifier 55 · Aftercare only Typical Low $758.58 Median $977.24 Typical High $1,479.11 | Professional | 55 · Aftercare only | $758.58 | $977.24 | $1,479.11 |
BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $2,344.23 Median $3,019.95 Typical High $4,570.88 | Professional | 62 · Two surgeons | $2,344.23 | $3,019.95 | $4,570.88 |
Where Minnesota sits
The same service costs 9.1 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
$4,677
AK $9,333TX $1,023
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.