How much rates vary
Facilitymedian $4,571 · 10th to 90th $1,738 to $22,909Professionalmedian $3,631 · 10th to 90th $1,738 to $6,761
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 $1,737.80 Median $1,737.80 Typical High $7,244.36 | Facility | None | $1,737.80 | $1,737.80 | $7,244.36 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | 54 · Surgery only | $1,288.25 | $1,288.25 | $1,288.25 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | 55 · Aftercare only | $257.04 | $257.04 | $257.04 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Facility | 78 · Unplanned return to OR | $1,202.26 | $1,202.26 | $1,202.26 |
Aetna Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,819.70 | Professional | None | $1,737.80 | $1,737.80 | $1,819.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,288.25 Median $1,288.25 Typical High $1,348.96 | Professional | 54 · Surgery only | $1,288.25 | $1,288.25 | $1,348.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $257.04 Median $257.04 Typical High $269.15 | Professional | 55 · Aftercare only | $257.04 | $257.04 | $269.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,202.26 Median $1,202.26 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $1,202.26 | $1,202.26 | $1,258.93 |
BCBS Minnesota Setting Facility Modifier None Typical Low $9,772.37 Median $31,622.78 Typical High $69,183.10 | Facility | None | $9,772.37 | $31,622.78 | $69,183.10 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,691.53 Median $3,630.78 Typical High $6,025.60 | Professional | None | $2,691.53 | $3,630.78 | $6,025.60 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $2,137.96 Median $2,884.03 Typical High $4,786.30 | Professional | 54 · Surgery only | $2,137.96 | $2,884.03 | $4,786.30 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $537.03 Median $724.44 Typical High $1,202.26 | Professional | 55 · Aftercare only | $537.03 | $724.44 | $1,202.26 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,238.72 Median $3,019.95 Typical High $5,128.61 | Professional | 78 · Unplanned return to OR | $2,238.72 | $3,019.95 | $5,128.61 |
Cigna Setting Facility Modifier None Typical Low $2,818.38 Median $4,365.16 Typical High $8,317.64 | Facility | None | $2,818.38 | $4,365.16 | $8,317.64 |
Cigna Setting Professional Modifier None Typical Low $2,691.53 Median $4,570.88 Typical High $7,244.36 | Professional | None | $2,691.53 | $4,570.88 | $7,244.36 |
Health Partners Setting Facility Modifier None Typical Low $2,511.89 Median $4,073.80 Typical High $7,079.46 | Facility | None | $2,511.89 | $4,073.80 | $7,079.46 |
Health Partners Setting Professional Modifier None Typical Low $2,398.83 Median $4,265.80 Typical High $6,760.83 | Professional | None | $2,398.83 | $4,265.80 | $6,760.83 |
Medica Setting Facility Modifier None Typical Low $2,951.21 Median $5,128.61 Typical High $13,489.63 | Facility | None | $2,951.21 | $5,128.61 | $13,489.63 |
Medica Setting Professional Modifier None Typical Low $1,905.46 Median $3,467.37 Typical High $12,882.50 | Professional | None | $1,905.46 | $3,467.37 | $12,882.50 |
United Setting Facility Modifier None Typical Low $3,981.07 Median $5,623.41 Typical High $16,218.10 | Facility | None | $3,981.07 | $5,623.41 | $16,218.10 |
United Setting Professional Modifier None Typical Low $1,819.70 Median $3,162.28 Typical High $6,456.54 | Professional | None | $1,819.70 | $3,162.28 | $6,456.54 |
8 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 $851.14 Median $851.14 Typical High $851.14 | Facility | 52 · Reduced service | $851.14 | $851.14 | $851.14 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | 53 · Discontinued | $346.74 | $346.74 | $346.74 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | 56 · Pre-op care only | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $851.14 Median $851.14 Typical High $912.01 | Professional | 52 · Reduced service | $851.14 | $851.14 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $346.74 Median $346.74 Typical High $363.08 | Professional | 53 · Discontinued | $346.74 | $346.74 | $363.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $173.78 Median $173.78 Typical High $181.97 | Professional | 56 · Pre-op care only | $173.78 | $173.78 | $181.97 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $36,307.81 Median $69,183.10 Typical High $123,026.88 | Facility | 50 · Both sides | $36,307.81 | $69,183.10 | $123,026.88 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $3,981.07 Median $5,370.32 Typical High $9,332.54 | Professional | 50 · Both sides | $3,981.07 | $5,370.32 | $9,332.54 |
Where Minnesota sits
The same service costs 7.8 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 $31,233KY $3,989
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.