How much rates vary
Facilitymedian $2,344 · 10th to 90th $603 to $8,913Professionalmedian $1,698 · 10th to 90th $813 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 $602.56 Median $1,023.29 Typical High $1,023.29 | Facility | None | $602.56 | $1,023.29 | $1,023.29 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $457.09 Median $776.25 Typical High $776.25 | Facility | 54 · Surgery only | $457.09 | $776.25 | $776.25 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $724.44 Typical High $724.44 | Facility | 78 · Unplanned return to OR | $426.58 | $724.44 | $724.44 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $912.01 Typical High $1,096.48 | Professional | None | $602.56 | $912.01 | $1,096.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $724.44 Typical High $776.25 | Professional | 54 · Surgery only | $457.09 | $724.44 | $776.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $676.08 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $426.58 | $676.08 | $724.44 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,235.94 Median $9,549.93 Typical High $26,302.68 | Facility | None | $3,235.94 | $9,549.93 | $26,302.68 |
BCBS Minnesota Setting Professional Modifier None Typical Low $977.24 Median $1,778.28 Typical High $3,019.95 | Professional | None | $977.24 | $1,778.28 | $3,019.95 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $1,412.54 Typical High $2,398.83 | Professional | 54 · Surgery only | $776.25 | $1,412.54 | $2,398.83 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $1,479.11 Typical High $2,570.40 | Professional | 78 · Unplanned return to OR | $812.83 | $1,479.11 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $1,698.24 Median $2,630.27 Typical High $5,011.87 | Facility | None | $1,698.24 | $2,630.27 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,995.26 Typical High $3,630.78 | Professional | None | $1,023.29 | $1,995.26 | $3,630.78 |
Health Partners Setting Facility Modifier None Typical Low $1,479.11 Median $2,398.83 Typical High $4,168.69 | Facility | None | $1,479.11 | $2,398.83 | $4,168.69 |
Health Partners Setting Professional Modifier None Typical Low $1,000.00 Median $1,819.70 Typical High $3,467.37 | Professional | None | $1,000.00 | $1,819.70 | $3,467.37 |
Medica Setting Facility Modifier None Typical Low $1,096.48 Median $2,691.53 Typical High $7,585.78 | Facility | None | $1,096.48 | $2,691.53 | $7,585.78 |
Medica Setting Professional Modifier None Typical Low $1,071.52 Median $2,344.23 Typical High $7,585.78 | Professional | None | $1,071.52 | $2,344.23 | $7,585.78 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,235.94 Typical High $10,000.00 | Facility | None | $1,995.26 | $3,235.94 | $10,000.00 |
United Setting Professional Modifier None Typical Low $707.95 Median $1,479.11 Typical High $3,235.94 | Professional | None | $707.95 | $1,479.11 | $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 $302.00 Median $512.86 Typical High $512.86 | Facility | 52 · Reduced service | $302.00 | $512.86 | $512.86 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $120.23 Median $204.17 Typical High $204.17 | Facility | 53 · Discontinued | $120.23 | $204.17 | $204.17 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $91.20 Median $154.88 Typical High $154.88 | Facility | 55 · Aftercare only | $91.20 | $154.88 | $154.88 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $60.26 Median $102.33 Typical High $102.33 | Facility | 56 · Pre-op care only | $60.26 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $302.00 Median $478.63 Typical High $512.86 | Professional | 52 · Reduced service | $302.00 | $478.63 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $190.55 Typical High $204.17 | Professional | 53 · Discontinued | $120.23 | $190.55 | $204.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $144.54 Typical High $154.88 | Professional | 55 · Aftercare only | $91.20 | $144.54 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $95.50 Typical High $102.33 | Professional | 56 · Pre-op care only | $60.26 | $95.50 | $102.33 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $10,232.93 Median $25,703.96 Typical High $41,686.94 | Facility | 50 · Both sides | $10,232.93 | $25,703.96 | $41,686.94 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $1,445.44 Median $2,630.27 Typical High $4,570.88 | Professional | 50 · Both sides | $1,445.44 | $2,630.27 | $4,570.88 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $371.54 Typical High $616.60 | Professional | 55 · Aftercare only | $208.93 | $371.54 | $616.60 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $645.65 Median $1,148.15 Typical High $1,905.46 | Professional | 62 · Two surgeons | $645.65 | $1,148.15 | $1,905.46 |
Where Minnesota sits
The same service costs 5.1 times more in Alaska than in West Virginia. 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 $10,217WV $2,002
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.