How much rates vary
Facilitymedian $2,754 · 10th to 90th $1,259 to $8,128Professionalmedian $2,884 · 10th to 90th $1,380 to $5,248
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 $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | None | $1,380.38 | $1,380.38 | $1,380.38 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | 54 · Surgery only | $1,047.13 | $1,047.13 | $1,047.13 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $977.24 Median $977.24 Typical High $977.24 | Facility | 78 · Unplanned return to OR | $977.24 | $977.24 | $977.24 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,412.54 | Professional | None | $1,380.38 | $1,380.38 | $1,412.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | 54 · Surgery only | $1,047.13 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | 78 · Unplanned return to OR | $977.24 | $977.24 | $977.24 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,801.89 Median $8,128.31 Typical High $14,454.40 | Facility | None | $3,801.89 | $8,128.31 | $14,454.40 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,187.76 Median $2,951.21 Typical High $4,786.30 | Professional | None | $2,187.76 | $2,951.21 | $4,786.30 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,737.80 Median $2,398.83 Typical High $3,890.45 | Professional | 54 · Surgery only | $1,737.80 | $2,398.83 | $3,890.45 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,862.09 Median $2,511.89 Typical High $4,073.80 | Professional | 78 · Unplanned return to OR | $1,862.09 | $2,511.89 | $4,073.80 |
Cigna Setting Facility Modifier None Typical Low $2,290.87 Median $3,548.13 Typical High $6,760.83 | Facility | None | $2,290.87 | $3,548.13 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $2,187.76 Median $3,715.35 Typical High $5,888.44 | Professional | None | $2,187.76 | $3,715.35 | $5,888.44 |
Health Partners Setting Facility Modifier None Typical Low $2,041.74 Median $3,311.31 Typical High $5,754.40 | Facility | None | $2,041.74 | $3,311.31 | $5,754.40 |
Health Partners Setting Professional Modifier None Typical Low $1,949.84 Median $3,388.44 Typical High $5,495.41 | Professional | None | $1,949.84 | $3,388.44 | $5,495.41 |
Medica Setting Facility Modifier None Typical Low $794.33 Median $1,819.70 Typical High $4,168.69 | Facility | None | $794.33 | $1,819.70 | $4,168.69 |
Medica Setting Professional Modifier None Typical Low $1,380.38 Median $2,570.40 Typical High $10,964.78 | Professional | None | $1,380.38 | $2,570.40 | $10,964.78 |
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 $1,258.93 Median $2,398.83 Typical High $4,897.79 | Professional | None | $1,258.93 | $2,398.83 | $4,897.79 |
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 $691.83 Median $691.83 Typical High $691.83 | Facility | 52 · Reduced service | $691.83 | $691.83 | $691.83 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | 53 · Discontinued | $275.42 | $275.42 | $275.42 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | 55 · Aftercare only | $208.93 | $208.93 | $208.93 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | 56 · Pre-op care only | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | 52 · Reduced service | $691.83 | $691.83 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $275.42 Typical High $281.84 | Professional | 53 · Discontinued | $275.42 | $275.42 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | 55 · Aftercare only | $208.93 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | 56 · Pre-op care only | $138.04 | $138.04 | $138.04 |
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 $3,311.31 Median $4,466.84 Typical High $7,244.36 | Professional | 50 · Both sides | $3,311.31 | $4,466.84 | $7,244.36 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $436.52 Median $588.84 Typical High $954.99 | Professional | 55 · Aftercare only | $436.52 | $588.84 | $954.99 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,380.38 Median $1,862.09 Typical High $3,019.95 | Professional | 62 · Two surgeons | $1,380.38 | $1,862.09 | $3,019.95 |
Where Minnesota sits
The same service costs 3.7 times more in Alaska 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
AK $8,917DE $2,410
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.