How much rates vary
Facilitymedian $2,692 · 10th to 90th $676 to $11,749Professionalmedian $1,413 · 10th to 90th $676 to $2,570
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 $676.08 Median $676.08 Typical High $676.08 | Facility | None | $676.08 | $676.08 | $676.08 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | 54 · Surgery only | $512.86 | $512.86 | $512.86 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | 78 · Unplanned return to OR | $478.63 | $478.63 | $478.63 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $676.08 Typical High $870.96 | Professional | None | $660.69 | $676.08 | $870.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | 54 · Surgery only | $512.86 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | 78 · Unplanned return to OR | $478.63 | $478.63 | $478.63 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,630.78 Median $11,748.98 Typical High $26,915.35 | Facility | None | $3,630.78 | $11,748.98 | $26,915.35 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,071.52 Median $1,445.44 Typical High $2,344.23 | Professional | None | $1,071.52 | $1,445.44 | $2,344.23 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $1,174.90 Typical High $1,862.09 | Professional | 54 · Surgery only | $870.96 | $1,174.90 | $1,862.09 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $912.01 Median $1,230.27 Typical High $1,995.26 | Professional | 78 · Unplanned return to OR | $912.01 | $1,230.27 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $1,122.02 Median $1,737.80 Typical High $3,311.31 | Facility | None | $1,122.02 | $1,737.80 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,819.70 Typical High $2,818.38 | Professional | None | $1,047.13 | $1,819.70 | $2,818.38 |
Health Partners Setting Facility Modifier None Typical Low $977.24 Median $1,584.89 Typical High $2,754.23 | Facility | None | $977.24 | $1,584.89 | $2,754.23 |
Health Partners Setting Professional Modifier None Typical Low $933.25 Median $1,659.59 Typical High $2,691.53 | Professional | None | $933.25 | $1,659.59 | $2,691.53 |
Medica Setting Facility Modifier None Typical Low $1,174.90 Median $4,677.35 Typical High $10,715.19 | Facility | None | $1,174.90 | $4,677.35 | $10,715.19 |
Medica Setting Professional Modifier None Typical Low $724.44 Median $1,348.96 Typical High $5,011.87 | Professional | None | $724.44 | $1,348.96 | $5,011.87 |
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 $676.08 Median $1,174.90 Typical High $2,454.71 | Professional | None | $676.08 | $1,174.90 | $2,454.71 |
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 $338.84 Median $338.84 Typical High $338.84 | Facility | 52 · Reduced service | $338.84 | $338.84 | $338.84 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | 53 · Discontinued | $134.90 | $134.90 | $134.90 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | 55 · Aftercare only | $102.33 | $102.33 | $102.33 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | 56 · Pre-op care only | $67.61 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $338.84 Median $338.84 Typical High $346.74 | Professional | 52 · Reduced service | $338.84 | $338.84 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $134.90 Typical High $138.04 | Professional | 53 · Discontinued | $134.90 | $134.90 | $138.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | 55 · Aftercare only | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $67.61 Typical High $69.18 | Professional | 56 · Pre-op care only | $67.61 | $67.61 | $69.18 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $14,125.38 Median $26,302.68 Typical High $47,863.01 | Facility | 50 · Both sides | $14,125.38 | $26,302.68 | $47,863.01 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $1,621.81 Median $2,187.76 Typical High $3,548.13 | Professional | 50 · Both sides | $1,621.81 | $2,187.76 | $3,548.13 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $295.12 Typical High $467.74 | Professional | 55 · Aftercare only | $213.80 | $295.12 | $467.74 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $676.08 Median $912.01 Typical High $1,479.11 | Professional | 62 · Two surgeons | $676.08 | $912.01 | $1,479.11 |
Where Minnesota sits
The same service costs 6.4 times more in Colorado 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
CO $13,816MT $2,168
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.