How much rates vary
Facilitymedian $2,818 · 10th to 90th $891 to $10,471Professionalmedian $1,820 · 10th to 90th $891 to $3,467
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 $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $676.08 Median $676.08 Typical High $676.08 | Facility | 54 · Surgery only | $676.08 | $676.08 | $676.08 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | 78 · Unplanned return to OR | $630.96 | $630.96 | $630.96 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,047.13 | Professional | None | $891.25 | $891.25 | $1,047.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $676.08 Typical High $794.33 | Professional | 54 · Surgery only | $676.08 | $676.08 | $794.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $630.96 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $630.96 | $630.96 | $741.31 |
BCBS Setting Facility Modifier None Typical Low $4,265.80 Median $10,232.93 Typical High $22,387.21 | Facility | None | $4,265.80 | $10,232.93 | $22,387.21 |
BCBS Setting Professional Modifier None Typical Low $1,288.25 Median $1,737.80 Typical High $2,951.21 | Professional | None | $1,288.25 | $1,737.80 | $2,951.21 |
BCBS Setting Professional Modifier 54 · Surgery only Typical Low $1,023.29 Median $1,380.38 Typical High $2,344.23 | Professional | 54 · Surgery only | $1,023.29 | $1,380.38 | $2,344.23 |
BCBS Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,071.52 Median $1,445.44 Typical High $2,454.71 | Professional | 78 · Unplanned return to OR | $1,071.52 | $1,445.44 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $1,348.96 Median $2,137.96 Typical High $4,073.80 | Facility | None | $1,348.96 | $2,137.96 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $1,548.82 Median $2,454.71 Typical High $3,801.89 | Professional | None | $1,548.82 | $2,454.71 | $3,801.89 |
Health Partners Setting Facility Modifier None Typical Low $1,202.26 Median $1,949.84 Typical High $3,388.44 | Facility | None | $1,202.26 | $1,949.84 | $3,388.44 |
Health Partners Setting Professional Modifier None Typical Low $1,380.38 Median $2,187.76 Typical High $3,388.44 | Professional | None | $1,380.38 | $2,187.76 | $3,388.44 |
Medica Setting Facility Modifier None Typical Low $1,445.44 Median $3,467.37 Typical High $9,772.37 | Facility | None | $1,445.44 | $3,467.37 | $9,772.37 |
Medica Setting Professional Modifier None Typical Low $912.01 Median $1,737.80 Typical High $6,165.95 | Professional | None | $912.01 | $1,737.80 | $6,165.95 |
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 $1,659.59 Typical High $3,311.31 | Professional | None | $870.96 | $1,659.59 | $3,311.31 |
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 $446.68 Median $446.68 Typical High $446.68 | Facility | 52 · Reduced service | $446.68 | $446.68 | $446.68 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | 53 · Discontinued | $181.97 | $181.97 | $181.97 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | 55 · Aftercare only | $134.90 | $134.90 | $134.90 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | 56 · Pre-op care only | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $446.68 Median $446.68 Typical High $524.81 | Professional | 52 · Reduced service | $446.68 | $446.68 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $181.97 Typical High $208.93 | Professional | 53 · Discontinued | $181.97 | $181.97 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $134.90 Typical High $158.49 | Professional | 55 · Aftercare only | $134.90 | $134.90 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $89.13 Typical High $104.71 | Professional | 56 · Pre-op care only | $89.13 | $89.13 | $104.71 |
BCBS Setting Facility Modifier 50 · Both sides Typical Low $11,748.98 Median $21,379.62 Typical High $38,904.51 | Facility | 50 · Both sides | $11,748.98 | $21,379.62 | $38,904.51 |
BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,905.46 Median $2,570.40 Typical High $4,466.84 | Professional | 50 · Both sides | $1,905.46 | $2,570.40 | $4,466.84 |
BCBS Setting Professional Modifier 55 · Aftercare only Typical Low $257.04 Median $346.74 Typical High $575.44 | Professional | 55 · Aftercare only | $257.04 | $346.74 | $575.44 |
BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $794.33 Median $1,071.52 Typical High $1,778.28 | Professional | 62 · Two surgeons | $794.33 | $1,071.52 | $1,778.28 |
Where Minnesota sits
The same service costs 7.4 times more in Oklahoma 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· 7th of 51
$1,995
OK $3,890TX $525
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.