How much rates vary
Facilitymedian $4,467 · 10th to 90th $1,995 to $11,220Professionalmedian $4,169 · 10th to 90th $1,995 to $7,762
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 $1,995.26 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,995.26 | $1,995.26 | $1,995.26 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Facility | 54 · Surgery only | $1,479.11 | $1,479.11 | $1,479.11 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | 78 · Unplanned return to OR | $1,380.38 | $1,380.38 | $1,380.38 |
Aetna Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $2,137.96 | Professional | None | $1,995.26 | $1,995.26 | $2,137.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,479.11 Median $1,479.11 Typical High $1,584.89 | Professional | 54 · Surgery only | $1,479.11 | $1,479.11 | $1,584.89 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,380.38 Median $1,380.38 Typical High $1,479.11 | Professional | 78 · Unplanned return to OR | $1,380.38 | $1,380.38 | $1,479.11 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,137.96 Median $5,888.44 Typical High $17,782.79 | Facility | None | $2,137.96 | $5,888.44 | $17,782.79 |
BCBS Minnesota Setting Professional Modifier None Typical Low $3,090.30 Median $4,265.80 Typical High $6,918.31 | Professional | None | $3,090.30 | $4,265.80 | $6,918.31 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $2,511.89 Median $3,388.44 Typical High $5,495.41 | Professional | 54 · Surgery only | $2,511.89 | $3,388.44 | $5,495.41 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,630.27 Median $3,548.13 Typical High $5,888.44 | Professional | 78 · Unplanned return to OR | $2,630.27 | $3,548.13 | $5,888.44 |
Cigna Setting Facility Modifier None Typical Low $3,235.94 Median $5,011.87 Typical High $9,772.37 | Facility | None | $3,235.94 | $5,011.87 | $9,772.37 |
Cigna Setting Professional Modifier None Typical Low $3,090.30 Median $5,248.07 Typical High $8,317.64 | Professional | None | $3,090.30 | $5,248.07 | $8,317.64 |
Health Partners Setting Facility Modifier None Typical Low $2,884.03 Median $4,677.35 Typical High $8,128.31 | Facility | None | $2,884.03 | $4,677.35 | $8,128.31 |
Health Partners Setting Professional Modifier None Typical Low $2,754.23 Median $4,897.79 Typical High $7,943.28 | Professional | None | $2,754.23 | $4,897.79 | $7,943.28 |
Medica Setting Facility Modifier None Typical Low $2,951.21 Median $4,466.84 Typical High $9,332.54 | Facility | None | $2,951.21 | $4,466.84 | $9,332.54 |
Medica Setting Professional Modifier None Typical Low $2,041.74 Median $4,073.80 Typical High $15,135.61 | Professional | None | $2,041.74 | $4,073.80 | $15,135.61 |
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 $1,819.70 Median $3,630.78 Typical High $7,585.78 | Professional | None | $1,819.70 | $3,630.78 | $7,585.78 |
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 $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | 52 · Reduced service | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | 53 · Discontinued | $398.11 | $398.11 | $398.11 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | 55 · Aftercare only | $295.12 | $295.12 | $295.12 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | 56 · Pre-op care only | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,000.00 Median $1,000.00 Typical High $1,047.13 | Professional | 52 · Reduced service | $1,000.00 | $1,000.00 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $398.11 Median $398.11 Typical High $416.87 | Professional | 53 · Discontinued | $398.11 | $398.11 | $416.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $295.12 Median $295.12 Typical High $316.23 | Professional | 55 · Aftercare only | $295.12 | $295.12 | $316.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $199.53 Median $199.53 Typical High $208.93 | Professional | 56 · Pre-op care only | $199.53 | $199.53 | $208.93 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $3,162.28 Median $5,754.40 Typical High $10,964.78 | Facility | 50 · Both sides | $3,162.28 | $5,754.40 | $10,964.78 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $4,677.35 Median $6,309.57 Typical High $10,471.29 | Professional | 50 · Both sides | $4,677.35 | $6,309.57 | $10,471.29 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $616.60 Median $851.14 Typical High $1,380.38 | Professional | 55 · Aftercare only | $616.60 | $851.14 | $1,380.38 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,949.84 Median $2,630.27 Typical High $4,365.16 | Professional | 62 · Two surgeons | $1,949.84 | $2,630.27 | $4,365.16 |
Where Minnesota sits
The same service costs 4.9 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 $18,090KY $3,723
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.