How much rates vary
Facilitymedian $2,951 · 10th to 90th $1,230 to $9,333Professionalmedian $2,570 · 10th to 90th $1,230 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 $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | 54 · Surgery only | $933.25 | $933.25 | $933.25 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | 55 · Aftercare only | $186.21 | $186.21 | $186.21 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $870.96 Typical High $870.96 | Facility | 78 · Unplanned return to OR | $870.96 | $870.96 | $870.96 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,288.25 | Professional | None | $1,230.27 | $1,230.27 | $1,288.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | 54 · Surgery only | $933.25 | $933.25 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $186.21 Typical High $190.55 | Professional | 55 · Aftercare only | $186.21 | $186.21 | $190.55 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $870.96 | $870.96 | $870.96 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,365.16 Median $7,943.28 Typical High $14,454.40 | Facility | None | $4,365.16 | $7,943.28 | $14,454.40 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,949.84 Median $2,630.27 Typical High $4,265.80 | Professional | None | $1,949.84 | $2,630.27 | $4,265.80 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,548.82 Median $2,137.96 Typical High $3,388.44 | Professional | 54 · Surgery only | $1,548.82 | $2,137.96 | $3,388.44 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $389.05 Median $524.81 Typical High $851.14 | Professional | 55 · Aftercare only | $389.05 | $524.81 | $851.14 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,621.81 Median $2,238.72 Typical High $3,630.78 | Professional | 78 · Unplanned return to OR | $1,621.81 | $2,238.72 | $3,630.78 |
Cigna Setting Facility Modifier None Typical Low $2,041.74 Median $3,162.28 Typical High $6,025.60 | Facility | None | $2,041.74 | $3,162.28 | $6,025.60 |
Cigna Setting Professional Modifier None Typical Low $1,905.46 Median $3,311.31 Typical High $5,128.61 | Professional | None | $1,905.46 | $3,311.31 | $5,128.61 |
Health Partners Setting Facility Modifier None Typical Low $1,778.28 Median $2,884.03 Typical High $5,011.87 | Facility | None | $1,778.28 | $2,884.03 | $5,011.87 |
Health Partners Setting Professional Modifier None Typical Low $1,698.24 Median $3,019.95 Typical High $4,897.79 | Professional | None | $1,698.24 | $3,019.95 | $4,897.79 |
Medica Setting Facility Modifier None Typical Low $1,995.26 Median $2,818.38 Typical High $7,762.47 | Facility | None | $1,995.26 | $2,818.38 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $1,230.27 Median $2,454.71 Typical High $9,332.54 | Professional | None | $1,230.27 | $2,454.71 | $9,332.54 |
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 $1,148.15 Median $2,238.72 Typical High $4,570.88 | Professional | None | $1,148.15 | $2,238.72 | $4,570.88 |
9 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 $616.60 Median $616.60 Typical High $616.60 | Facility | 52 · Reduced service | $616.60 | $616.60 | $616.60 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | 53 · Discontinued | $245.47 | $245.47 | $245.47 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | 56 · Pre-op care only | $123.03 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $616.60 Median $616.60 Typical High $630.96 | Professional | 52 · Reduced service | $616.60 | $616.60 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $245.47 Typical High $251.19 | Professional | 53 · Discontinued | $245.47 | $245.47 | $251.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $123.03 Typical High $125.89 | Professional | 56 · Pre-op care only | $123.03 | $123.03 | $125.89 |
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 $2,951.21 Median $3,981.07 Typical High $6,456.54 | Professional | 50 · Both sides | $2,951.21 | $3,981.07 | $6,456.54 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,230.27 Median $1,659.59 Typical High $2,691.53 | Professional | 62 · Two surgeons | $1,230.27 | $1,659.59 | $2,691.53 |
Where Minnesota sits
The same service costs 3.7 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 $9,494KY $2,537
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.