How much rates vary
Facilitymedian $3,236 · 10th to 90th $891 to $12,023Professionalmedian $1,862 · 10th to 90th $891 to $3,388
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 $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | 54 · Surgery only | $660.69 | $660.69 | $660.69 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $616.60 Typical High $616.60 | Facility | 78 · Unplanned return to OR | $616.60 | $616.60 | $616.60 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $933.25 | Professional | None | $891.25 | $891.25 | $933.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $660.69 Median $660.69 Typical High $691.83 | Professional | 54 · Surgery only | $660.69 | $660.69 | $691.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $616.60 Typical High $645.65 | Professional | 78 · Unplanned return to OR | $616.60 | $616.60 | $645.65 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,786.30 Median $12,302.69 Typical High $26,915.35 | Facility | None | $4,786.30 | $12,302.69 | $26,915.35 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,412.54 Median $1,905.46 Typical High $3,090.30 | Professional | None | $1,412.54 | $1,905.46 | $3,090.30 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,122.02 Median $1,513.56 Typical High $2,454.71 | Professional | 54 · Surgery only | $1,122.02 | $1,513.56 | $2,454.71 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,174.90 Median $1,584.89 Typical High $2,630.27 | Professional | 78 · Unplanned return to OR | $1,174.90 | $1,584.89 | $2,630.27 |
Cigna Setting Facility Modifier None Typical Low $1,445.44 Median $2,238.72 Typical High $4,265.80 | Facility | None | $1,445.44 | $2,238.72 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $1,380.38 Median $2,344.23 Typical High $3,715.35 | Professional | None | $1,380.38 | $2,344.23 | $3,715.35 |
Health Partners Setting Facility Modifier None Typical Low $1,288.25 Median $2,089.30 Typical High $3,630.78 | Facility | None | $1,288.25 | $2,089.30 | $3,630.78 |
Health Partners Setting Professional Modifier None Typical Low $1,230.27 Median $2,187.76 Typical High $3,467.37 | Professional | None | $1,230.27 | $2,187.76 | $3,467.37 |
Medica Setting Facility Modifier None Typical Low $1,548.82 Median $4,677.35 Typical High $10,715.19 | Facility | None | $1,548.82 | $4,677.35 | $10,715.19 |
Medica Setting Professional Modifier None Typical Low $954.99 Median $1,737.80 Typical High $6,606.93 | Professional | None | $954.99 | $1,737.80 | $6,606.93 |
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 $912.01 Median $1,584.89 Typical High $3,235.94 | Professional | None | $912.01 | $1,584.89 | $3,235.94 |
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 $446.68 Median $446.68 Typical High $446.68 | Facility | 52 · Reduced service | $446.68 | $446.68 | $446.68 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | 53 · Discontinued | $177.83 | $177.83 | $177.83 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | 55 · Aftercare only | $131.83 | $131.83 | $131.83 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | 56 · Pre-op care only | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $446.68 Median $446.68 Typical High $457.09 | Professional | 52 · Reduced service | $446.68 | $446.68 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $177.83 Typical High $181.97 | Professional | 53 · Discontinued | $177.83 | $177.83 | $181.97 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $131.83 Typical High $138.04 | Professional | 55 · Aftercare only | $131.83 | $131.83 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $89.13 Typical High $91.20 | Professional | 56 · Pre-op care only | $89.13 | $89.13 | $91.20 |
BCBS Minnesota 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 Minnesota Setting Professional Modifier 50 · Both sides Typical Low $2,089.30 Median $2,884.03 Typical High $4,677.35 | Professional | 50 · Both sides | $2,089.30 | $2,884.03 | $4,677.35 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $281.84 Median $380.19 Typical High $616.60 | Professional | 55 · Aftercare only | $281.84 | $380.19 | $616.60 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $870.96 Median $1,202.26 Typical High $1,905.46 | Professional | 62 · Two surgeons | $870.96 | $1,202.26 | $1,905.46 |
Where Minnesota sits
The same service costs 5.9 times more in Colorado than in Hawaii. 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
CO $14,113HI $2,381
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.