How much rates vary
Facilitymedian $4,169 · 10th to 90th $1,622 to $12,882Professionalmedian $3,388 · 10th to 90th $1,622 to $6,310
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 $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,621.81 | $1,621.81 | $1,621.81 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Facility | 54 · Surgery only | $1,202.26 | $1,202.26 | $1,202.26 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | 78 · Unplanned return to OR | $1,122.02 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,995.26 | Professional | None | $1,621.81 | $1,621.81 | $1,995.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,202.26 Median $1,202.26 Typical High $1,258.93 | Professional | 54 · Surgery only | $1,202.26 | $1,202.26 | $1,258.93 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,122.02 Median $1,122.02 Typical High $1,174.90 | Professional | 78 · Unplanned return to OR | $1,122.02 | $1,122.02 | $1,174.90 |
BCBS Setting Facility Modifier None Typical Low $3,890.45 Median $11,748.98 Typical High $26,915.35 | Facility | None | $3,890.45 | $11,748.98 | $26,915.35 |
BCBS Setting Professional Modifier None Typical Low $2,511.89 Median $3,467.37 Typical High $5,754.40 | Professional | None | $2,511.89 | $3,467.37 | $5,754.40 |
BCBS Setting Professional Modifier 54 · Surgery only Typical Low $2,041.74 Median $2,754.23 Typical High $4,466.84 | Professional | 54 · Surgery only | $2,041.74 | $2,754.23 | $4,466.84 |
BCBS Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,137.96 Median $2,884.03 Typical High $4,786.30 | Professional | 78 · Unplanned return to OR | $2,137.96 | $2,884.03 | $4,786.30 |
Cigna Setting Facility Modifier None Typical Low $2,630.27 Median $4,073.80 Typical High $7,762.47 | Facility | None | $2,630.27 | $4,073.80 | $7,762.47 |
Cigna Setting Professional Modifier None Typical Low $2,511.89 Median $4,265.80 Typical High $6,760.83 | Professional | None | $2,511.89 | $4,265.80 | $6,760.83 |
Health Partners Setting Facility Modifier None Typical Low $2,344.23 Median $3,801.89 Typical High $6,606.93 | Facility | None | $2,344.23 | $3,801.89 | $6,606.93 |
Health Partners Setting Professional Modifier None Typical Low $2,238.72 Median $3,981.07 Typical High $6,309.57 | Professional | None | $2,238.72 | $3,981.07 | $6,309.57 |
Medica Setting Facility Modifier None Typical Low $2,754.23 Median $4,897.79 Typical High $12,022.64 | Facility | None | $2,754.23 | $4,897.79 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $1,778.28 Median $3,311.31 Typical High $12,022.64 | Professional | None | $1,778.28 | $3,311.31 | $12,022.64 |
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 $1,659.59 Median $2,951.21 Typical High $6,025.60 | Professional | None | $1,659.59 | $2,951.21 | $6,025.60 |
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 $812.83 Median $812.83 Typical High $812.83 | Facility | 52 · Reduced service | $812.83 | $812.83 | $812.83 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $323.59 Median $323.59 Typical High $323.59 | Facility | 53 · Discontinued | $323.59 | $323.59 | $323.59 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | 55 · Aftercare only | $239.88 | $239.88 | $239.88 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | 56 · Pre-op care only | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $812.83 Median $812.83 Typical High $831.76 | Professional | 52 · Reduced service | $812.83 | $812.83 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $323.59 Median $323.59 Typical High $338.84 | Professional | 53 · Discontinued | $323.59 | $323.59 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $239.88 Median $239.88 Typical High $251.19 | Professional | 55 · Aftercare only | $239.88 | $239.88 | $251.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $162.18 Median $162.18 Typical High $165.96 | Professional | 56 · Pre-op care only | $162.18 | $162.18 | $165.96 |
BCBS Setting Facility Modifier 50 · Both sides Typical Low $14,125.38 Median $26,302.68 Typical High $47,863.01 | Facility | 50 · Both sides | $14,125.38 | $26,302.68 | $47,863.01 |
BCBS Setting Professional Modifier 50 · Both sides Typical Low $3,801.89 Median $5,128.61 Typical High $8,709.64 | Professional | 50 · Both sides | $3,801.89 | $5,128.61 | $8,709.64 |
BCBS Setting Professional Modifier 55 · Aftercare only Typical Low $512.86 Median $691.83 Typical High $1,122.02 | Professional | 55 · Aftercare only | $512.86 | $691.83 | $1,122.02 |
BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,584.89 Median $2,137.96 Typical High $3,467.37 | Professional | 62 · Two surgeons | $1,584.89 | $2,137.96 | $3,467.37 |
Where Minnesota sits
The same service costs 7.8 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.
Minnesota· 6th of 51
$3,467
AK $6,761TX $871
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.