How much rates vary
Facilitymedian $3,467 · 10th to 90th $891 to $12,023Professionalmedian $1,820 · 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 $9,772.37 | Facility | None | $891.25 | $891.25 | $9,772.37 |
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 $1,122.02 | Professional | None | $891.25 | $891.25 | $1,122.02 |
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 $5,128.61 Median $21,379.62 Typical High $48,977.88 | Facility | None | $5,128.61 | $21,379.62 | $48,977.88 |
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 $1,202.26 Median $1,584.89 Typical High $2,570.40 | Professional | 78 · Unplanned return to OR | $1,202.26 | $1,584.89 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $1,445.44 Median $2,238.72 Typical High $4,365.16 | Facility | None | $1,445.44 | $2,238.72 | $4,365.16 |
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 $3,548.13 | Professional | None | $1,230.27 | $2,187.76 | $3,548.13 |
Medica Setting Facility Modifier None Typical Low $1,548.82 Median $4,897.79 Typical High $11,220.18 | Facility | None | $1,548.82 | $4,897.79 | $11,220.18 |
Medica Setting Professional Modifier None Typical Low $954.99 Median $1,778.28 Typical High $6,606.93 | Professional | None | $954.99 | $1,778.28 | $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 $134.90 Median $134.90 Typical High $134.90 | Facility | 55 · Aftercare only | $134.90 | $134.90 | $134.90 |
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 $134.90 Median $134.90 Typical High $138.04 | Professional | 55 · Aftercare only | $134.90 | $134.90 | $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 $25,703.96 Median $47,863.01 Typical High $85,113.80 | Facility | 50 · Both sides | $25,703.96 | $47,863.01 | $85,113.80 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $2,137.96 Median $2,884.03 Typical High $4,570.88 | Professional | 50 · Both sides | $2,137.96 | $2,884.03 | $4,570.88 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $281.84 Median $380.19 Typical High $630.96 | Professional | 55 · Aftercare only | $281.84 | $380.19 | $630.96 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $891.25 Median $1,202.26 Typical High $1,905.46 | Professional | 62 · Two surgeons | $891.25 | $1,202.26 | $1,905.46 |
Where Minnesota sits
The same service costs 6.8 times more in Alaska than in Montana. 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 $19,480MT $2,858
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.