How much rates vary
Facilitymedian $2,188 · 10th to 90th $589 to $6,607Professionalmedian $1,230 · 10th to 90th $589 to $2,291
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 $588.84 Median $588.84 Typical High $4,677.35 | Facility | None | $588.84 | $588.84 | $4,677.35 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | 54 · Surgery only | $446.68 | $446.68 | $446.68 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | 78 · Unplanned return to OR | $416.87 | $416.87 | $416.87 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $588.84 Typical High $758.58 | Professional | None | $575.44 | $588.84 | $758.58 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | 54 · Surgery only | $446.68 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | 78 · Unplanned return to OR | $416.87 | $416.87 | $416.87 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,162.28 Median $6,165.95 Typical High $12,302.69 | Facility | None | $3,162.28 | $6,165.95 | $12,302.69 |
BCBS Minnesota Setting Professional Modifier None Typical Low $954.99 Median $1,288.25 Typical High $2,089.30 | Professional | None | $954.99 | $1,288.25 | $2,089.30 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $758.58 Median $1,047.13 Typical High $1,621.81 | Professional | 54 · Surgery only | $758.58 | $1,047.13 | $1,621.81 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $1,096.48 Typical High $1,737.80 | Professional | 78 · Unplanned return to OR | $794.33 | $1,096.48 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $977.24 Median $1,513.56 Typical High $2,884.03 | Facility | None | $977.24 | $1,513.56 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $1,584.89 Typical High $2,511.89 | Professional | None | $933.25 | $1,584.89 | $2,511.89 |
Health Partners Setting Facility Modifier None Typical Low $870.96 Median $1,412.54 Typical High $2,454.71 | Facility | None | $870.96 | $1,412.54 | $2,454.71 |
Health Partners Setting Professional Modifier None Typical Low $831.76 Median $1,445.44 Typical High $2,344.23 | Professional | None | $831.76 | $1,445.44 | $2,344.23 |
Medica Setting Facility Modifier None Typical Low $1,047.13 Median $2,818.38 Typical High $7,762.47 | Facility | None | $1,047.13 | $2,818.38 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $630.96 Median $1,230.27 Typical High $4,365.16 | Professional | None | $630.96 | $1,230.27 | $4,365.16 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $8,511.38 | Facility | None | $1,995.26 | $3,090.30 | $8,511.38 |
United Setting Professional Modifier None Typical Low $588.84 Median $1,047.13 Typical High $2,137.96 | Professional | None | $588.84 | $1,047.13 | $2,137.96 |
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 $295.12 Median $295.12 Typical High $295.12 | Facility | 52 · Reduced service | $295.12 | $295.12 | $295.12 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $117.49 Median $117.49 Typical High $117.49 | Facility | 53 · Discontinued | $117.49 | $117.49 | $117.49 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | 55 · Aftercare only | $89.13 | $89.13 | $89.13 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | 56 · Pre-op care only | $58.88 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $295.12 Median $295.12 Typical High $302.00 | Professional | 52 · Reduced service | $295.12 | $295.12 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $117.49 Typical High $120.23 | Professional | 53 · Discontinued | $117.49 | $117.49 | $120.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $89.13 Typical High $91.20 | Professional | 55 · Aftercare only | $89.13 | $89.13 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $58.88 Typical High $60.26 | Professional | 56 · Pre-op care only | $58.88 | $58.88 | $60.26 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $6,456.54 Median $12,022.64 Typical High $21,379.62 | Facility | 50 · Both sides | $6,456.54 | $12,022.64 | $21,379.62 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $1,445.44 Median $1,949.84 Typical High $3,162.28 | Professional | 50 · Both sides | $1,445.44 | $1,949.84 | $3,162.28 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $257.04 Typical High $407.38 | Professional | 55 · Aftercare only | $190.55 | $257.04 | $407.38 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $602.56 Median $812.83 Typical High $1,258.93 | Professional | 62 · Two surgeons | $602.56 | $812.83 | $1,258.93 |
Where Minnesota sits
The same service costs 3.9 times more in Wisconsin than in Montana. 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
WI $7,471MT $1,932
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.