How much rates vary
Facilitymedian $1,995 · 10th to 90th $525 to $6,457Professionalmedian $1,096 · 10th to 90th $525 to $1,995
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 $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | 54 · Surgery only | $389.05 | $389.05 | $389.05 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | 78 · Unplanned return to OR | $363.08 | $363.08 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $575.44 | Professional | None | $524.81 | $524.81 | $575.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $389.05 Typical High $398.11 | Professional | 54 · Surgery only | $389.05 | $389.05 | $398.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $363.08 Median $363.08 Typical High $371.54 | Professional | 78 · Unplanned return to OR | $363.08 | $363.08 | $371.54 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,818.38 Median $5,623.41 Typical High $12,022.64 | Facility | None | $2,818.38 | $5,623.41 | $12,022.64 |
BCBS Minnesota Setting Professional Modifier None Typical Low $851.14 Median $1,174.90 Typical High $1,819.70 | Professional | None | $851.14 | $1,174.90 | $1,819.70 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $933.25 Typical High $1,445.44 | Professional | 54 · Surgery only | $676.08 | $933.25 | $1,445.44 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $977.24 Typical High $1,548.82 | Professional | 78 · Unplanned return to OR | $707.95 | $977.24 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $1,318.26 Typical High $2,570.40 | Facility | None | $851.14 | $1,318.26 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $1,380.38 Typical High $2,187.76 | Professional | None | $812.83 | $1,380.38 | $2,187.76 |
Health Partners Setting Facility Modifier None Typical Low $758.58 Median $1,230.27 Typical High $2,137.96 | Facility | None | $758.58 | $1,230.27 | $2,137.96 |
Health Partners Setting Professional Modifier None Typical Low $724.44 Median $1,288.25 Typical High $2,089.30 | Professional | None | $724.44 | $1,288.25 | $2,089.30 |
Medica Setting Facility Modifier None Typical Low $912.01 Median $2,818.38 Typical High $7,762.47 | Facility | None | $912.01 | $2,818.38 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $562.34 Median $1,047.13 Typical High $4,265.80 | Professional | None | $562.34 | $1,047.13 | $4,265.80 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $8,511.38 | Facility | None | $1,995.26 | $3,090.30 | $8,511.38 |
United Setting Professional Modifier None Typical Low $537.03 Median $933.25 Typical High $1,905.46 | Professional | None | $537.03 | $933.25 | $1,905.46 |
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 $263.03 Median $263.03 Typical High $263.03 | Facility | 52 · Reduced service | $263.03 | $263.03 | $263.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | 53 · Discontinued | $104.71 | $104.71 | $104.71 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | 55 · Aftercare only | $77.62 | $77.62 | $77.62 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | 56 · Pre-op care only | $52.48 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $263.03 Median $263.03 Typical High $269.15 | Professional | 52 · Reduced service | $263.03 | $263.03 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $104.71 Typical High $107.15 | Professional | 53 · Discontinued | $104.71 | $104.71 | $107.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $77.62 Typical High $81.28 | Professional | 55 · Aftercare only | $77.62 | $77.62 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $52.48 Typical High $53.70 | Professional | 56 · Pre-op care only | $52.48 | $52.48 | $53.70 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $4,897.79 Median $11,481.54 Typical High $19,054.61 | Facility | 50 · Both sides | $4,897.79 | $11,481.54 | $19,054.61 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $1,288.25 Median $1,737.80 Typical High $2,754.23 | Professional | 50 · Both sides | $1,288.25 | $1,737.80 | $2,754.23 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $234.42 Typical High $363.08 | Professional | 55 · Aftercare only | $173.78 | $234.42 | $363.08 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $537.03 Median $724.44 Typical High $1,122.02 | Professional | 62 · Two surgeons | $537.03 | $724.44 | $1,122.02 |
Where Minnesota sits
The same service costs 4.5 times more in Connecticut 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
CT $7,632MT $1,703
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.