How much rates vary
Facilitymedian $1,445 · 10th to 90th $708 to $3,981Professionalmedian $1,514 · 10th to 90th $708 to $2,818
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 $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $537.03 Median $537.03 Typical High $537.03 | Facility | 54 · Surgery only | $537.03 | $537.03 | $537.03 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | 55 · Aftercare only | $107.15 | $107.15 | $107.15 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | 78 · Unplanned return to OR | $501.19 | $501.19 | $501.19 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $758.58 | Professional | None | $707.95 | $707.95 | $758.58 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $537.03 Typical High $562.34 | Professional | 54 · Surgery only | $537.03 | $537.03 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $107.15 Typical High $114.82 | Professional | 55 · Aftercare only | $107.15 | $107.15 | $114.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $501.19 Median $501.19 Typical High $524.81 | Professional | 78 · Unplanned return to OR | $501.19 | $501.19 | $524.81 |
BCBS Minnesota Setting Facility Modifier None Typical Low $363.08 Median $870.96 Typical High $6,025.60 | Facility | None | $363.08 | $870.96 | $6,025.60 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $478.63 Median $851.14 Typical High $1,659.59 | Facility | 50 · Both sides | $478.63 | $851.14 | $1,659.59 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,148.15 Median $1,584.89 Typical High $2,511.89 | Professional | None | $1,148.15 | $1,584.89 | $2,511.89 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $1,737.80 Median $2,398.83 Typical High $3,715.35 | Professional | 50 · Both sides | $1,737.80 | $2,398.83 | $3,715.35 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $933.25 Median $1,288.25 Typical High $1,995.26 | Professional | 54 · Surgery only | $933.25 | $1,288.25 | $1,995.26 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $234.42 Median $323.59 Typical High $501.19 | Professional | 55 · Aftercare only | $234.42 | $323.59 | $501.19 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $977.24 Median $1,348.96 Typical High $2,089.30 | Professional | 78 · Unplanned return to OR | $977.24 | $1,348.96 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $1,819.70 Typical High $3,467.37 | Facility | None | $1,174.90 | $1,819.70 | $3,467.37 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,905.46 Typical High $2,951.21 | Professional | None | $1,122.02 | $1,905.46 | $2,951.21 |
Health Partners Setting Facility Modifier None Typical Low $1,047.13 Median $1,659.59 Typical High $2,884.03 | Facility | None | $1,047.13 | $1,659.59 | $2,884.03 |
Health Partners Setting Professional Modifier None Typical Low $1,000.00 Median $1,737.80 Typical High $2,818.38 | Professional | None | $1,000.00 | $1,737.80 | $2,818.38 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,258.93 Typical High $3,090.30 | Facility | None | $758.58 | $1,258.93 | $3,090.30 |
Medica Setting Professional Modifier None Typical Low $812.83 Median $1,445.44 Typical High $5,370.32 | Professional | None | $812.83 | $1,445.44 | $5,370.32 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,659.59 Typical High $4,265.80 | Facility | None | $776.25 | $1,659.59 | $4,265.80 |
United Setting Professional Modifier None Typical Low $758.58 Median $1,318.26 Typical High $2,754.23 | Professional | None | $758.58 | $1,318.26 | $2,754.23 |
6 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 $354.81 Median $354.81 Typical High $354.81 | Facility | 52 · Reduced service | $354.81 | $354.81 | $354.81 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | 53 · Discontinued | $141.25 | $141.25 | $141.25 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | 56 · Pre-op care only | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $354.81 Median $354.81 Typical High $380.19 | Professional | 52 · Reduced service | $354.81 | $354.81 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $141.25 Typical High $151.36 | Professional | 53 · Discontinued | $141.25 | $141.25 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $70.79 Typical High $75.86 | Professional | 56 · Pre-op care only | $70.79 | $70.79 | $75.86 |
Where Minnesota sits
The same service costs 4.3 times more in Alaska than in Alabama. 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 $6,582AL $1,537
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.