How much rates vary
Facilitymedian $3,388 · 10th to 90th $1,259 to $12,303Professionalmedian $2,630 · 10th to 90th $1,259 to $4,786
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 $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | None | $1,258.93 | $1,258.93 | $1,258.93 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $954.99 Median $954.99 Typical High $954.99 | Facility | 54 · Surgery only | $954.99 | $954.99 | $954.99 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | 55 · Aftercare only | $190.55 | $190.55 | $190.55 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | 78 · Unplanned return to OR | $891.25 | $891.25 | $891.25 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,659.59 | Professional | None | $1,258.93 | $1,258.93 | $1,659.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $954.99 Median $954.99 Typical High $977.24 | Professional | 54 · Surgery only | $954.99 | $954.99 | $977.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $190.55 Typical High $194.98 | Professional | 55 · Aftercare only | $190.55 | $190.55 | $194.98 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $891.25 Median $891.25 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $891.25 | $891.25 | $912.01 |
BCBS Minnesota Setting Facility Modifier None Typical Low $6,918.31 Median $13,489.63 Typical High $27,542.29 | Facility | None | $6,918.31 | $13,489.63 | $27,542.29 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,995.26 Median $2,630.27 Typical High $4,265.80 | Professional | None | $1,995.26 | $2,630.27 | $4,265.80 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,584.89 Median $2,137.96 Typical High $3,388.44 | Professional | 54 · Surgery only | $1,584.89 | $2,137.96 | $3,388.44 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $398.11 Median $537.03 Typical High $851.14 | Professional | 55 · Aftercare only | $398.11 | $537.03 | $851.14 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,698.24 Median $2,238.72 Typical High $3,630.78 | Professional | 78 · Unplanned return to OR | $1,698.24 | $2,238.72 | $3,630.78 |
Cigna Setting Facility Modifier None Typical Low $2,089.30 Median $3,235.94 Typical High $6,165.95 | Facility | None | $2,089.30 | $3,235.94 | $6,165.95 |
Cigna Setting Professional Modifier None Typical Low $1,995.26 Median $3,388.44 Typical High $5,370.32 | Professional | None | $1,995.26 | $3,388.44 | $5,370.32 |
Health Partners Setting Facility Modifier None Typical Low $1,862.09 Median $2,951.21 Typical High $5,128.61 | Facility | None | $1,862.09 | $2,951.21 | $5,128.61 |
Health Partners Setting Professional Modifier None Typical Low $1,778.28 Median $3,090.30 Typical High $5,011.87 | Professional | None | $1,778.28 | $3,090.30 | $5,011.87 |
Medica Setting Facility Modifier None Typical Low $2,137.96 Median $3,801.89 Typical High $9,772.37 | Facility | None | $2,137.96 | $3,801.89 | $9,772.37 |
Medica Setting Professional Modifier None Typical Low $1,380.38 Median $2,511.89 Typical High $9,549.93 | Professional | None | $1,380.38 | $2,511.89 | $9,549.93 |
United Setting Facility Modifier None Typical Low $2,818.38 Median $4,265.80 Typical High $11,220.18 | Facility | None | $2,818.38 | $4,265.80 | $11,220.18 |
United Setting Professional Modifier None Typical Low $1,288.25 Median $2,290.87 Typical High $4,677.35 | Professional | None | $1,288.25 | $2,290.87 | $4,677.35 |
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 $630.96 Median $630.96 Typical High $630.96 | Facility | 52 · Reduced service | $630.96 | $630.96 | $630.96 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | 53 · Discontinued | $251.19 | $251.19 | $251.19 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | 56 · Pre-op care only | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $630.96 Median $630.96 Typical High $660.69 | Professional | 52 · Reduced service | $630.96 | $630.96 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $251.19 Typical High $263.03 | Professional | 53 · Discontinued | $251.19 | $251.19 | $263.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $125.89 Typical High $131.83 | Professional | 56 · Pre-op care only | $125.89 | $125.89 | $131.83 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,258.93 Median $1,659.59 Typical High $2,630.27 | Professional | 62 · Two surgeons | $1,258.93 | $1,659.59 | $2,630.27 |
Where Minnesota sits
The same service costs 4.0 times more in Colorado than in Hawaii. 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
CO $14,661HI $3,664
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.