How much rates vary
Facilitymedian $2,455 · 10th to 90th $724 to $7,586Professionalmedian $1,585 · 10th to 90th $724 to $2,884
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 $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | 54 · Surgery only | $549.54 | $549.54 | $549.54 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | 78 · Unplanned return to OR | $512.86 | $512.86 | $512.86 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $851.14 | Professional | None | $724.44 | $724.44 | $851.14 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $549.54 Typical High $602.56 | Professional | 54 · Surgery only | $549.54 | $549.54 | $602.56 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $512.86 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $512.86 | $512.86 | $562.34 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,137.96 Median $4,786.30 Typical High $8,709.64 | Facility | None | $2,137.96 | $4,786.30 | $8,709.64 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,230.27 Median $1,659.59 Typical High $2,630.27 | Professional | None | $1,230.27 | $1,659.59 | $2,630.27 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $977.24 Median $1,318.26 Typical High $2,089.30 | Professional | 54 · Surgery only | $977.24 | $1,318.26 | $2,089.30 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,023.29 Median $1,380.38 Typical High $2,187.76 | Professional | 78 · Unplanned return to OR | $1,023.29 | $1,380.38 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $1,202.26 Median $1,862.09 Typical High $3,548.13 | Facility | None | $1,202.26 | $1,862.09 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,949.84 Typical High $3,090.30 | Professional | None | $1,148.15 | $1,949.84 | $3,090.30 |
Health Partners Setting Facility Modifier None Typical Low $1,071.52 Median $1,737.80 Typical High $3,019.95 | Facility | None | $1,071.52 | $1,737.80 | $3,019.95 |
Health Partners Setting Professional Modifier None Typical Low $1,023.29 Median $1,819.70 Typical High $2,884.03 | Professional | None | $1,023.29 | $1,819.70 | $2,884.03 |
Medica Setting Facility Modifier None Typical Low $1,071.52 Median $4,466.84 Typical High $11,481.54 | Facility | None | $1,071.52 | $4,466.84 | $11,481.54 |
Medica Setting Professional Modifier None Typical Low $851.14 Median $1,548.82 Typical High $5,754.40 | Professional | None | $851.14 | $1,548.82 | $5,754.40 |
United Setting Facility Modifier None Typical Low $3,981.07 Median $5,623.41 Typical High $13,182.57 | Facility | None | $3,981.07 | $5,623.41 | $13,182.57 |
United Setting Professional Modifier None Typical Low $812.83 Median $1,412.54 Typical High $2,884.03 | Professional | None | $812.83 | $1,412.54 | $2,884.03 |
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 $363.08 Median $363.08 Typical High $363.08 | Facility | 52 · Reduced service | $363.08 | $363.08 | $363.08 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | 53 · Discontinued | $147.91 | $147.91 | $147.91 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | 55 · Aftercare only | $109.65 | $109.65 | $109.65 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | 56 · Pre-op care only | $72.44 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $363.08 Median $363.08 Typical High $407.38 | Professional | 52 · Reduced service | $363.08 | $363.08 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $147.91 Typical High $162.18 | Professional | 53 · Discontinued | $147.91 | $147.91 | $162.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $109.65 Typical High $120.23 | Professional | 55 · Aftercare only | $109.65 | $109.65 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $72.44 Typical High $81.28 | Professional | 56 · Pre-op care only | $72.44 | $72.44 | $81.28 |
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 $1,819.70 Median $2,511.89 Typical High $3,981.07 | Professional | 50 · Both sides | $1,819.70 | $2,511.89 | $3,981.07 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $245.47 Median $331.13 Typical High $524.81 | Professional | 55 · Aftercare only | $245.47 | $331.13 | $524.81 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $758.58 Median $1,023.29 Typical High $1,621.81 | Professional | 62 · Two surgeons | $758.58 | $1,023.29 | $1,621.81 |
Where Minnesota sits
The same service costs 4.3 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 $9,769TX $2,271
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.