How much rates vary
Facilitymedian $3,388 · 10th to 90th $1,259 to $12,882Professionalmedian $2,630 · 10th to 90th $1,259 to $4,898
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 $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | None | $1,258.93 | $1,258.93 | $1,258.93 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $954.99 Median $954.99 Typical High $954.99 | Facility | 54 · Surgery only | $954.99 | $954.99 | $954.99 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | 55 · Aftercare only | $190.55 | $190.55 | $190.55 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | 78 · Unplanned return to OR | $891.25 | $891.25 | $891.25 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,318.26 | Professional | None | $1,258.93 | $1,258.93 | $1,318.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $954.99 Median $954.99 Typical High $977.24 | Professional | 54 · Surgery only | $954.99 | $954.99 | $977.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $190.55 Typical High $194.98 | Professional | 55 · Aftercare only | $190.55 | $190.55 | $194.98 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $891.25 Median $891.25 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $891.25 | $891.25 | $912.01 |
BCBS Setting Facility Modifier None Typical Low $3,019.95 Median $21,379.62 Typical High $48,977.88 | Facility | None | $3,019.95 | $21,379.62 | $48,977.88 |
BCBS Setting Professional Modifier None Typical Low $1,995.26 Median $2,691.53 Typical High $4,466.84 | Professional | None | $1,995.26 | $2,691.53 | $4,466.84 |
BCBS Setting Professional Modifier 54 · Surgery only Typical Low $1,584.89 Median $2,187.76 Typical High $3,467.37 | Professional | 54 · Surgery only | $1,584.89 | $2,187.76 | $3,467.37 |
BCBS Setting Professional Modifier 55 · Aftercare only Typical Low $398.11 Median $537.03 Typical High $870.96 | Professional | 55 · Aftercare only | $398.11 | $537.03 | $870.96 |
BCBS Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,698.24 Median $2,290.87 Typical High $3,715.35 | Professional | 78 · Unplanned return to OR | $1,698.24 | $2,290.87 | $3,715.35 |
Cigna Setting Facility Modifier None Typical Low $2,089.30 Median $3,235.94 Typical High $6,165.95 | Facility | None | $2,089.30 | $3,235.94 | $6,165.95 |
Cigna Setting Professional Modifier None Typical Low $1,949.84 Median $3,388.44 Typical High $5,248.07 | Professional | None | $1,949.84 | $3,388.44 | $5,248.07 |
Health Partners Setting Facility Modifier None Typical Low $1,819.70 Median $2,951.21 Typical High $5,128.61 | Facility | None | $1,819.70 | $2,951.21 | $5,128.61 |
Health Partners Setting Professional Modifier None Typical Low $1,737.80 Median $3,090.30 Typical High $5,011.87 | Professional | None | $1,737.80 | $3,090.30 | $5,011.87 |
Medica Setting Facility Modifier None Typical Low $2,187.76 Median $4,677.35 Typical High $10,715.19 | Facility | None | $2,187.76 | $4,677.35 | $10,715.19 |
Medica Setting Professional Modifier None Typical Low $1,380.38 Median $2,511.89 Typical High $9,332.54 | Professional | None | $1,380.38 | $2,511.89 | $9,332.54 |
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 $1,288.25 Median $2,290.87 Typical High $4,677.35 | Professional | None | $1,288.25 | $2,290.87 | $4,677.35 |
4 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 56 · Pre-op care only Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | 56 · Pre-op care only | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $125.89 Typical High $128.82 | Professional | 56 · Pre-op care only | $125.89 | $125.89 | $128.82 |
BCBS 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 Setting Professional Modifier 50 · Both sides Typical Low $3,019.95 Median $4,073.80 Typical High $6,760.83 | Professional | 50 · Both sides | $3,019.95 | $4,073.80 | $6,760.83 |
Where Minnesota sits
The same service costs 8.1 times more in Alaska than in Texas. 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.
Minnesota· 5th of 51
$2,754
AK $5,248TX $646
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.