How much rates vary
Facilitymedian $3,467 · 10th to 90th $1,072 to $8,913Professionalmedian $1,820 · 10th to 90th $871 to $3,311
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 $870.96 Median $1,230.27 Typical High $5,754.40 | Facility | None | $870.96 | $1,230.27 | $5,754.40 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | 54 · Surgery only | $645.65 | $645.65 | $645.65 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | 78 · Unplanned return to OR | $602.56 | $602.56 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $870.96 Typical High $1,122.02 | Professional | None | $851.14 | $870.96 | $1,122.02 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $645.65 Typical High $660.69 | Professional | 54 · Surgery only | $645.65 | $645.65 | $660.69 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $602.56 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $602.56 | $602.56 | $616.60 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,677.35 Median $12,302.69 Typical High $26,915.35 | Facility | None | $4,677.35 | $12,302.69 | $26,915.35 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,412.54 Median $1,862.09 Typical High $2,951.21 | Professional | None | $1,412.54 | $1,862.09 | $2,951.21 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,122.02 Median $1,479.11 Typical High $2,344.23 | Professional | 54 · Surgery only | $1,122.02 | $1,479.11 | $2,344.23 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,174.90 Median $1,548.82 Typical High $2,511.89 | Professional | 78 · Unplanned return to OR | $1,174.90 | $1,548.82 | $2,511.89 |
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 $1,348.96 Median $2,344.23 Typical High $3,630.78 | Professional | None | $1,348.96 | $2,344.23 | $3,630.78 |
Health Partners Setting Facility Modifier None Typical Low $1,258.93 Median $2,041.74 Typical High $3,548.13 | Facility | None | $1,258.93 | $2,041.74 | $3,548.13 |
Health Partners Setting Professional Modifier None Typical Low $1,202.26 Median $2,137.96 Typical High $3,467.37 | Professional | None | $1,202.26 | $2,137.96 | $3,467.37 |
Medica Setting Facility Modifier None Typical Low $1,513.56 Median $4,897.79 Typical High $10,715.19 | Facility | None | $1,513.56 | $4,897.79 | $10,715.19 |
Medica Setting Professional Modifier None Typical Low $933.25 Median $1,819.70 Typical High $6,456.54 | Professional | None | $933.25 | $1,819.70 | $6,456.54 |
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 $870.96 Median $1,548.82 Typical High $3,162.28 | Professional | None | $870.96 | $1,548.82 | $3,162.28 |
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 $436.52 Median $436.52 Typical High $436.52 | Facility | 52 · Reduced service | $436.52 | $436.52 | $436.52 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | 53 · Discontinued | $173.78 | $173.78 | $173.78 |
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 $87.10 Median $87.10 Typical High $87.10 | Facility | 56 · Pre-op care only | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | 52 · Reduced service | $436.52 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $173.78 Typical High $177.83 | Professional | 53 · Discontinued | $173.78 | $173.78 | $177.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | 55 · Aftercare only | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | 56 · Pre-op care only | $87.10 | $87.10 | $87.10 |
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 $2,818.38 Typical High $4,466.84 | Professional | 50 · Both sides | $2,089.30 | $2,818.38 | $4,466.84 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $281.84 Median $380.19 Typical High $588.84 | Professional | 55 · Aftercare only | $281.84 | $380.19 | $588.84 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $870.96 Median $1,174.90 Typical High $1,819.70 | Professional | 62 · Two surgeons | $870.96 | $1,174.90 | $1,819.70 |
Where Minnesota sits
The same service costs 5.5 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 $14,085HI $2,567
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.