How much rates vary
Facilitymedian $3,090 · 10th to 90th $1,549 to $7,762Professionalmedian $3,236 · 10th to 90th $1,549 to $6,026
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 $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | None | $1,548.82 | $1,548.82 | $1,548.82 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | 54 · Surgery only | $1,174.90 | $1,174.90 | $1,174.90 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | 78 · Unplanned return to OR | $1,096.48 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,659.59 | Professional | None | $1,548.82 | $1,548.82 | $1,659.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,174.90 Median $1,174.90 Typical High $1,230.27 | Professional | 54 · Surgery only | $1,174.90 | $1,174.90 | $1,230.27 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,096.48 Median $1,096.48 Typical High $1,148.15 | Professional | 78 · Unplanned return to OR | $1,096.48 | $1,096.48 | $1,148.15 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,137.96 Median $5,888.44 Typical High $13,803.84 | Facility | None | $2,137.96 | $5,888.44 | $13,803.84 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,454.71 Median $3,311.31 Typical High $5,495.41 | Professional | None | $2,454.71 | $3,311.31 | $5,495.41 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,949.84 Median $2,630.27 Typical High $4,365.16 | Professional | 54 · Surgery only | $1,949.84 | $2,630.27 | $4,365.16 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,041.74 Median $2,754.23 Typical High $4,570.88 | Professional | 78 · Unplanned return to OR | $2,041.74 | $2,754.23 | $4,570.88 |
Cigna Setting Facility Modifier None Typical Low $2,570.40 Median $3,981.07 Typical High $7,585.78 | Facility | None | $2,570.40 | $3,981.07 | $7,585.78 |
Cigna Setting Professional Modifier None Typical Low $2,398.83 Median $4,168.69 Typical High $6,456.54 | Professional | None | $2,398.83 | $4,168.69 | $6,456.54 |
Health Partners Setting Facility Modifier None Typical Low $2,238.72 Median $3,630.78 Typical High $6,309.57 | Facility | None | $2,238.72 | $3,630.78 | $6,309.57 |
Health Partners Setting Professional Modifier None Typical Low $2,137.96 Median $3,801.89 Typical High $6,165.95 | Professional | None | $2,137.96 | $3,801.89 | $6,165.95 |
Medica Setting Facility Modifier None Typical Low $1,513.56 Median $2,398.83 Typical High $4,677.35 | Facility | None | $1,513.56 | $2,398.83 | $4,677.35 |
Medica Setting Professional Modifier None Typical Low $1,698.24 Median $3,162.28 Typical High $11,748.98 | Professional | None | $1,698.24 | $3,162.28 | $11,748.98 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $8,317.64 | Facility | None | $1,513.56 | $2,511.89 | $8,317.64 |
United Setting Professional Modifier None Typical Low $1,621.81 Median $2,818.38 Typical High $5,754.40 | Professional | None | $1,621.81 | $2,818.38 | $5,754.40 |
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 $776.25 Median $776.25 Typical High $776.25 | Facility | 52 · Reduced service | $776.25 | $776.25 | $776.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $309.03 Median $309.03 Typical High $309.03 | Facility | 53 · Discontinued | $309.03 | $309.03 | $309.03 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | 55 · Aftercare only | $234.42 | $234.42 | $234.42 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $154.88 Median $154.88 Typical High $154.88 | Facility | 56 · Pre-op care only | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $776.25 Median $776.25 Typical High $812.83 | Professional | 52 · Reduced service | $776.25 | $776.25 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $309.03 Median $309.03 Typical High $323.59 | Professional | 53 · Discontinued | $309.03 | $309.03 | $323.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $234.42 Median $234.42 Typical High $245.47 | Professional | 55 · Aftercare only | $234.42 | $234.42 | $245.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $154.88 Median $154.88 Typical High $162.18 | Professional | 56 · Pre-op care only | $154.88 | $154.88 | $162.18 |
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 $3,630.78 Median $5,011.87 Typical High $8,317.64 | Professional | 50 · Both sides | $3,630.78 | $5,011.87 | $8,317.64 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $489.78 Median $660.69 Typical High $1,096.48 | Professional | 55 · Aftercare only | $489.78 | $660.69 | $1,096.48 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,513.56 Median $2,089.30 Typical High $3,467.37 | Professional | 62 · Two surgeons | $1,513.56 | $2,089.30 | $3,467.37 |
Where Minnesota sits
The same service costs 6.3 times more in Alaska than in Texas. 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 $16,928TX $2,675
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.