How much rates vary
Facilitymedian $2,884 · 10th to 90th $794 to $8,913Professionalmedian $1,698 · 10th to 90th $794 to $3,090
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 $794.33 Median $794.33 Typical High $794.33 | Facility | None | $794.33 | $794.33 | $794.33 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | 54 · Surgery only | $588.84 | $588.84 | $588.84 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | 78 · Unplanned return to OR | $549.54 | $549.54 | $549.54 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $891.25 | Professional | None | $794.33 | $794.33 | $891.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $588.84 Median $588.84 Typical High $660.69 | Professional | 54 · Surgery only | $588.84 | $588.84 | $660.69 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $549.54 Median $549.54 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $549.54 | $549.54 | $616.60 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,265.80 Median $6,918.31 Typical High $12,302.69 | Facility | None | $4,265.80 | $6,918.31 | $12,302.69 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,288.25 Median $1,737.80 Typical High $2,754.23 | Professional | None | $1,288.25 | $1,737.80 | $2,754.23 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,023.29 Median $1,380.38 Typical High $2,238.72 | Professional | 54 · Surgery only | $1,023.29 | $1,380.38 | $2,238.72 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,071.52 Median $1,445.44 Typical High $2,344.23 | Professional | 78 · Unplanned return to OR | $1,071.52 | $1,445.44 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $1,995.26 Typical High $3,801.89 | Facility | None | $1,288.25 | $1,995.26 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $1,230.27 Median $2,089.30 Typical High $3,311.31 | Professional | None | $1,230.27 | $2,089.30 | $3,311.31 |
Health Partners Setting Facility Modifier None Typical Low $1,148.15 Median $1,862.09 Typical High $3,235.94 | Facility | None | $1,148.15 | $1,862.09 | $3,235.94 |
Health Partners Setting Professional Modifier None Typical Low $1,096.48 Median $1,949.84 Typical High $3,090.30 | Professional | None | $1,096.48 | $1,949.84 | $3,090.30 |
Medica Setting Facility Modifier None Typical Low $1,380.38 Median $4,168.69 Typical High $9,332.54 | Facility | None | $1,380.38 | $4,168.69 | $9,332.54 |
Medica Setting Professional Modifier None Typical Low $933.25 Median $1,698.24 Typical High $6,165.95 | Professional | None | $933.25 | $1,698.24 | $6,165.95 |
United Setting Facility Modifier None Typical Low $3,235.94 Median $5,370.32 Typical High $10,964.78 | Facility | None | $3,235.94 | $5,370.32 | $10,964.78 |
United Setting Professional Modifier None Typical Low $870.96 Median $1,513.56 Typical High $3,162.28 | Professional | None | $870.96 | $1,513.56 | $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 $398.11 Median $398.11 Typical High $398.11 | Facility | 52 · Reduced service | $398.11 | $398.11 | $398.11 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | 53 · Discontinued | $158.49 | $158.49 | $158.49 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $117.49 Median $117.49 Typical High $117.49 | Facility | 55 · Aftercare only | $117.49 | $117.49 | $117.49 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | 56 · Pre-op care only | $79.43 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $398.11 Median $398.11 Typical High $436.52 | Professional | 52 · Reduced service | $398.11 | $398.11 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $158.49 Typical High $177.83 | Professional | 53 · Discontinued | $158.49 | $158.49 | $177.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $117.49 Typical High $131.83 | Professional | 55 · Aftercare only | $117.49 | $117.49 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $79.43 Typical High $87.10 | Professional | 56 · Pre-op care only | $79.43 | $79.43 | $87.10 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $6,456.54 Median $12,022.64 Typical High $21,379.62 | Facility | 50 · Both sides | $6,456.54 | $12,022.64 | $21,379.62 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $1,949.84 Median $2,630.27 Typical High $4,168.69 | Professional | 50 · Both sides | $1,949.84 | $2,630.27 | $4,168.69 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $257.04 Median $346.74 Typical High $549.54 | Professional | 55 · Aftercare only | $257.04 | $346.74 | $549.54 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $812.83 Median $1,096.48 Typical High $1,698.24 | Professional | 62 · Two surgeons | $812.83 | $1,096.48 | $1,698.24 |
Where Minnesota sits
The same service costs 5.0 times more in Alabama than in Kentucky. 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
AL $11,256KY $2,261
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.