How much rates vary
Facilitymedian $1,585 · 10th to 90th $603 to $5,129Professionalmedian $1,259 · 10th to 90th $603 to $2,291
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 $602.56 Median $602.56 Typical High $5,128.61 | Facility | None | $602.56 | $602.56 | $5,128.61 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | 54 · Surgery only | $457.09 | $457.09 | $457.09 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | 78 · Unplanned return to OR | $426.58 | $426.58 | $426.58 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $602.56 Typical High $660.69 | Professional | None | $588.84 | $602.56 | $660.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $457.09 Typical High $467.74 | Professional | 54 · Surgery only | $457.09 | $457.09 | $467.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $426.58 Typical High $436.52 | Professional | 78 · Unplanned return to OR | $426.58 | $426.58 | $436.52 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,445.44 Median $4,570.88 Typical High $10,715.19 | Facility | None | $1,445.44 | $4,570.88 | $10,715.19 |
BCBS Minnesota Setting Professional Modifier None Typical Low $977.24 Median $1,348.96 Typical High $2,137.96 | Professional | None | $977.24 | $1,348.96 | $2,137.96 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $794.33 Median $1,071.52 Typical High $1,698.24 | Professional | 54 · Surgery only | $794.33 | $1,071.52 | $1,698.24 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $1,122.02 Typical High $1,778.28 | Professional | 78 · Unplanned return to OR | $831.76 | $1,122.02 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $1,548.82 Typical High $2,951.21 | Facility | None | $1,000.00 | $1,548.82 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $1,621.81 Typical High $2,511.89 | Professional | None | $954.99 | $1,621.81 | $2,511.89 |
Health Partners Setting Facility Modifier None Typical Low $870.96 Median $1,412.54 Typical High $2,454.71 | Facility | None | $870.96 | $1,412.54 | $2,454.71 |
Health Partners Setting Professional Modifier None Typical Low $851.14 Median $1,479.11 Typical High $2,398.83 | Professional | None | $851.14 | $1,479.11 | $2,398.83 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,258.93 Typical High $3,981.07 | Facility | None | $758.58 | $1,258.93 | $3,981.07 |
Medica Setting Professional Modifier None Typical Low $630.96 Median $1,202.26 Typical High $4,466.84 | Professional | None | $630.96 | $1,202.26 | $4,466.84 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,659.59 Typical High $4,897.79 | Facility | None | $776.25 | $1,659.59 | $4,897.79 |
United Setting Professional Modifier None Typical Low $575.44 Median $1,071.52 Typical High $2,238.72 | Professional | None | $575.44 | $1,071.52 | $2,238.72 |
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 $302.00 Median $302.00 Typical High $302.00 | Facility | 52 · Reduced service | $302.00 | $302.00 | $302.00 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | 53 · Discontinued | $120.23 | $120.23 | $120.23 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | 55 · Aftercare only | $91.20 | $91.20 | $91.20 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | 56 · Pre-op care only | $60.26 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $302.00 Median $302.00 Typical High $309.03 | Professional | 52 · Reduced service | $302.00 | $302.00 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $120.23 Typical High $125.89 | Professional | 53 · Discontinued | $120.23 | $120.23 | $125.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $91.20 Typical High $93.33 | Professional | 55 · Aftercare only | $91.20 | $91.20 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $60.26 Typical High $61.66 | Professional | 56 · Pre-op care only | $60.26 | $60.26 | $61.66 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $5,754.40 Median $10,471.29 Typical High $19,054.61 | Facility | 50 · Both sides | $5,754.40 | $10,471.29 | $19,054.61 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $1,479.11 Median $2,041.74 Typical High $3,235.94 | Professional | 50 · Both sides | $1,479.11 | $2,041.74 | $3,235.94 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $269.15 Typical High $426.58 | Professional | 55 · Aftercare only | $199.53 | $269.15 | $426.58 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $616.60 Median $851.14 Typical High $1,318.26 | Professional | 62 · Two surgeons | $616.60 | $851.14 | $1,318.26 |
Where Minnesota sits
The same service costs 4.6 times more in Colorado than in Delaware. 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 $6,475DE $1,401
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.