How much rates vary
Facilitymedian $3,236 · 10th to 90th $1,000 to $14,454Professionalmedian $2,089 · 10th to 90th $1,000 to $3,890
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 $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | 54 · Surgery only | $758.58 | $758.58 | $758.58 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | 78 · Unplanned return to OR | $707.95 | $707.95 | $707.95 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,047.13 | Professional | None | $1,000.00 | $1,000.00 | $1,047.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $758.58 Median $758.58 Typical High $776.25 | Professional | 54 · Surgery only | $758.58 | $758.58 | $776.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $707.95 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $707.95 | $707.95 | $724.44 |
BCBS Minnesota Setting Facility Modifier None Typical Low $5,888.44 Median $22,387.21 Typical High $48,977.88 | Facility | None | $5,888.44 | $22,387.21 | $48,977.88 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,584.89 Median $2,137.96 Typical High $3,548.13 | Professional | None | $1,584.89 | $2,137.96 | $3,548.13 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,288.25 Median $1,737.80 Typical High $2,754.23 | Professional | 54 · Surgery only | $1,288.25 | $1,737.80 | $2,754.23 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,348.96 Median $1,819.70 Typical High $2,951.21 | Professional | 78 · Unplanned return to OR | $1,348.96 | $1,819.70 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $1,659.59 Median $2,570.40 Typical High $4,897.79 | Facility | None | $1,659.59 | $2,570.40 | $4,897.79 |
Cigna Setting Professional Modifier None Typical Low $1,584.89 Median $2,691.53 Typical High $4,168.69 | Professional | None | $1,584.89 | $2,691.53 | $4,168.69 |
Health Partners Setting Facility Modifier None Typical Low $1,445.44 Median $2,344.23 Typical High $4,073.80 | Facility | None | $1,445.44 | $2,344.23 | $4,073.80 |
Health Partners Setting Professional Modifier None Typical Low $1,412.54 Median $2,454.71 Typical High $3,981.07 | Professional | None | $1,412.54 | $2,454.71 | $3,981.07 |
Medica Setting Facility Modifier None Typical Low $1,737.80 Median $4,897.79 Typical High $12,022.64 | Facility | None | $1,737.80 | $4,897.79 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $1,096.48 Median $1,995.26 Typical High $7,585.78 | Professional | None | $1,096.48 | $1,995.26 | $7,585.78 |
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 $1,023.29 Median $1,819.70 Typical High $3,715.35 | Professional | None | $1,023.29 | $1,819.70 | $3,715.35 |
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 $501.19 Median $501.19 Typical High $501.19 | Facility | 52 · Reduced service | $501.19 | $501.19 | $501.19 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | 53 · Discontinued | $199.53 | $199.53 | $199.53 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | 55 · Aftercare only | $151.36 | $151.36 | $151.36 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | 56 · Pre-op care only | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $501.19 Median $501.19 Typical High $524.81 | Professional | 52 · Reduced service | $501.19 | $501.19 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $199.53 Typical High $208.93 | Professional | 53 · Discontinued | $199.53 | $199.53 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $151.36 Typical High $154.88 | Professional | 55 · Aftercare only | $151.36 | $151.36 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $100.00 Typical High $104.71 | Professional | 56 · Pre-op care only | $100.00 | $100.00 | $104.71 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $25,703.96 Median $47,863.01 Typical High $85,113.80 | Facility | 50 · Both sides | $25,703.96 | $47,863.01 | $85,113.80 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $2,398.83 Median $3,235.94 Typical High $5,370.32 | Professional | 50 · Both sides | $2,398.83 | $3,235.94 | $5,370.32 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $316.23 Median $436.52 Typical High $691.83 | Professional | 55 · Aftercare only | $316.23 | $436.52 | $691.83 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,000.00 Median $1,348.96 Typical High $2,187.76 | Professional | 62 · Two surgeons | $1,000.00 | $1,348.96 | $2,187.76 |
Where Minnesota sits
The same service costs 7.2 times more in Alaska 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
AK $19,657HI $2,734
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.