How much rates vary
Facilitymedian $2,455 · 10th to 90th $617 to $13,183Professionalmedian $1,288 · 10th to 90th $617 to $2,344
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 $616.60 Median $616.60 Typical High $616.60 | Facility | None | $616.60 | $616.60 | $616.60 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | 54 · Surgery only | $467.74 | $467.74 | $467.74 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | 78 · Unplanned return to OR | $436.52 | $436.52 | $436.52 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $645.65 | Professional | None | $616.60 | $616.60 | $645.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | 54 · Surgery only | $467.74 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | 78 · Unplanned return to OR | $436.52 | $436.52 | $436.52 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,548.13 Median $21,379.62 Typical High $48,977.88 | Facility | None | $3,548.13 | $21,379.62 | $48,977.88 |
BCBS Minnesota Setting Professional Modifier None Typical Low $977.24 Median $1,318.26 Typical High $2,089.30 | Professional | None | $977.24 | $1,318.26 | $2,089.30 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $794.33 Median $1,047.13 Typical High $1,659.59 | Professional | 54 · Surgery only | $794.33 | $1,047.13 | $1,659.59 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $1,096.48 Typical High $1,778.28 | Professional | 78 · Unplanned return to OR | $831.76 | $1,096.48 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $1,584.89 Typical High $3,019.95 | Facility | None | $1,023.29 | $1,584.89 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $1,659.59 Typical High $2,570.40 | Professional | None | $977.24 | $1,659.59 | $2,570.40 |
Health Partners Setting Facility Modifier None Typical Low $891.25 Median $1,445.44 Typical High $2,511.89 | Facility | None | $891.25 | $1,445.44 | $2,511.89 |
Health Partners Setting Professional Modifier None Typical Low $870.96 Median $1,513.56 Typical High $2,454.71 | Professional | None | $870.96 | $1,513.56 | $2,454.71 |
Medica Setting Facility Modifier None Typical Low $1,071.52 Median $4,897.79 Typical High $10,715.19 | Facility | None | $1,071.52 | $4,897.79 | $10,715.19 |
Medica Setting Professional Modifier None Typical Low $660.69 Median $1,230.27 Typical High $4,570.88 | Professional | None | $660.69 | $1,230.27 | $4,570.88 |
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 $616.60 Median $1,096.48 Typical High $2,238.72 | Professional | None | $616.60 | $1,096.48 | $2,238.72 |
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 $309.03 Median $309.03 Typical High $309.03 | Facility | 52 · Reduced service | $309.03 | $309.03 | $309.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | 53 · Discontinued | $123.03 | $123.03 | $123.03 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $93.33 Median $93.33 Typical High $93.33 | Facility | 55 · Aftercare only | $93.33 | $93.33 | $93.33 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | 56 · Pre-op care only | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | 52 · Reduced service | $309.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $123.03 Typical High $125.89 | Professional | 53 · Discontinued | $123.03 | $123.03 | $125.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | 55 · Aftercare only | $93.33 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | 56 · Pre-op care only | $61.66 | $61.66 | $61.66 |
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 $1,479.11 Median $1,949.84 Typical High $3,162.28 | Professional | 50 · Both sides | $1,479.11 | $1,949.84 | $3,162.28 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $263.03 Typical High $416.87 | Professional | 55 · Aftercare only | $194.98 | $263.03 | $416.87 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $616.60 Median $831.76 Typical High $1,288.25 | Professional | 62 · Two surgeons | $616.60 | $831.76 | $1,288.25 |
Where Minnesota sits
The same service costs 10.1 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 $19,890MT $1,977
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.