How much rates vary
Facilitymedian $2,951 · 10th to 90th $871 to $12,589Professionalmedian $1,698 · 10th to 90th $912 to $3,311
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 $870.96 Median $870.96 Typical High $12,589.25 | Facility | None | $870.96 | $870.96 | $12,589.25 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | 54 · Surgery only | $645.65 | $645.65 | $645.65 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | 55 · Aftercare only | $128.82 | $128.82 | $128.82 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | 78 · Unplanned return to OR | $602.56 | $602.56 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $1,023.29 | Professional | None | $870.96 | $870.96 | $1,023.29 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $645.65 Typical High $758.58 | Professional | 54 · Surgery only | $645.65 | $645.65 | $758.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $128.82 Typical High $151.36 | Professional | 55 · Aftercare only | $128.82 | $128.82 | $151.36 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $602.56 Typical High $707.95 | Professional | 78 · Unplanned return to OR | $602.56 | $602.56 | $707.95 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,168.69 Median $10,232.93 Typical High $22,387.21 | Facility | None | $4,168.69 | $10,232.93 | $22,387.21 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,230.27 Median $1,659.59 Typical High $2,754.23 | Professional | None | $1,230.27 | $1,659.59 | $2,754.23 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $977.24 Median $1,318.26 Typical High $2,238.72 | Professional | 54 · Surgery only | $977.24 | $1,318.26 | $2,238.72 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $245.47 Median $331.13 Typical High $549.54 | Professional | 55 · Aftercare only | $245.47 | $331.13 | $549.54 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $758.58 Median $1,023.29 Typical High $1,698.24 | Professional | 62 · Two surgeons | $758.58 | $1,023.29 | $1,698.24 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,023.29 Median $1,380.38 Typical High $2,344.23 | Professional | 78 · Unplanned return to OR | $1,023.29 | $1,380.38 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $2,041.74 Typical High $3,890.45 | Facility | None | $1,318.26 | $2,041.74 | $3,890.45 |
Cigna Setting Professional Modifier None Typical Low $1,479.11 Median $2,344.23 Typical High $3,715.35 | Professional | None | $1,479.11 | $2,344.23 | $3,715.35 |
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 $1,318.26 Median $2,089.30 Typical High $3,235.94 | Professional | None | $1,318.26 | $2,089.30 | $3,235.94 |
Medica Setting Facility Modifier None Typical Low $1,380.38 Median $3,467.37 Typical High $9,772.37 | Facility | None | $1,380.38 | $3,467.37 | $9,772.37 |
Medica Setting Professional Modifier None Typical Low $912.01 Median $1,698.24 Typical High $5,888.44 | Professional | None | $912.01 | $1,698.24 | $5,888.44 |
United Setting Facility Modifier None Typical Low $2,818.38 Median $4,265.80 Typical High $11,220.18 | Facility | None | $2,818.38 | $4,265.80 | $11,220.18 |
United Setting Professional Modifier None Typical Low $870.96 Median $1,621.81 Typical High $3,311.31 | Professional | None | $870.96 | $1,621.81 | $3,311.31 |
6 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 $436.52 Median $436.52 Typical High $436.52 | Facility | 52 · Reduced service | $436.52 | $436.52 | $436.52 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | 53 · Discontinued | $173.78 | $173.78 | $173.78 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | 56 · Pre-op care only | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $436.52 Median $436.52 Typical High $512.86 | Professional | 52 · Reduced service | $436.52 | $436.52 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $173.78 Typical High $204.17 | Professional | 53 · Discontinued | $173.78 | $173.78 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $87.10 Typical High $102.33 | Professional | 56 · Pre-op care only | $87.10 | $87.10 | $102.33 |
Where Minnesota sits
The same service costs 4.2 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 $10,315MT $2,461
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.