How much rates vary
Facilitymedian $3,020 · 10th to 90th $1,202 to $10,965Professionalmedian $2,455 · 10th to 90th $1,202 to $4,677
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 $1,202.26 Median $1,202.26 Typical High $1,202.26 | Facility | None | $1,202.26 | $1,202.26 | $1,202.26 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $912.01 Median $912.01 Typical High $912.01 | Facility | 54 · Surgery only | $912.01 | $912.01 | $912.01 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $851.14 Typical High $851.14 | Facility | 78 · Unplanned return to OR | $851.14 | $851.14 | $851.14 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,412.54 | Professional | None | $1,202.26 | $1,202.26 | $1,412.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $912.01 Typical High $1,071.52 | Professional | 54 · Surgery only | $912.01 | $912.01 | $1,071.52 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $851.14 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $851.14 | $851.14 | $1,000.00 |
BCBS Minnesota Setting Facility Modifier None Typical Low $5,623.41 Median $11,220.18 Typical High $22,387.21 | Facility | None | $5,623.41 | $11,220.18 | $22,387.21 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,698.24 Median $2,290.87 Typical High $3,981.07 | Professional | None | $1,698.24 | $2,290.87 | $3,981.07 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,348.96 Median $1,819.70 Typical High $3,162.28 | Professional | 54 · Surgery only | $1,348.96 | $1,819.70 | $3,162.28 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,412.54 Median $1,949.84 Typical High $3,311.31 | Professional | 78 · Unplanned return to OR | $1,412.54 | $1,949.84 | $3,311.31 |
Cigna Setting Facility Modifier None Typical Low $1,819.70 Median $2,818.38 Typical High $5,370.32 | Facility | None | $1,819.70 | $2,818.38 | $5,370.32 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $3,235.94 Typical High $5,128.61 | Professional | None | $2,089.30 | $3,235.94 | $5,128.61 |
Health Partners Setting Facility Modifier None Typical Low $1,621.81 Median $2,630.27 Typical High $4,570.88 | Facility | None | $1,621.81 | $2,630.27 | $4,570.88 |
Health Partners Setting Professional Modifier None Typical Low $1,819.70 Median $2,951.21 Typical High $4,466.84 | Professional | None | $1,819.70 | $2,951.21 | $4,466.84 |
Medica Setting Facility Modifier None Typical Low $1,949.84 Median $3,467.37 Typical High $8,709.64 | Facility | None | $1,949.84 | $3,467.37 | $8,709.64 |
Medica Setting Professional Modifier None Typical Low $1,230.27 Median $2,344.23 Typical High $8,128.31 | Professional | None | $1,230.27 | $2,344.23 | $8,128.31 |
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 $1,202.26 Median $2,238.72 Typical High $4,466.84 | Professional | None | $1,202.26 | $2,238.72 | $4,466.84 |
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 $602.56 Median $602.56 Typical High $602.56 | Facility | 52 · Reduced service | $602.56 | $602.56 | $602.56 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | 53 · Discontinued | $239.88 | $239.88 | $239.88 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | 55 · Aftercare only | $181.97 | $181.97 | $181.97 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | 56 · Pre-op care only | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $602.56 Median $602.56 Typical High $707.95 | Professional | 52 · Reduced service | $602.56 | $602.56 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $239.88 Typical High $281.84 | Professional | 53 · Discontinued | $239.88 | $239.88 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $181.97 Typical High $213.80 | Professional | 55 · Aftercare only | $181.97 | $181.97 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $120.23 Typical High $141.25 | Professional | 56 · Pre-op care only | $120.23 | $120.23 | $141.25 |
BCBS Minnesota 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 Minnesota Setting Professional Modifier 50 · Both sides Typical Low $2,570.40 Median $3,467.37 Typical High $5,888.44 | Professional | 50 · Both sides | $2,570.40 | $3,467.37 | $5,888.44 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $338.84 Median $457.09 Typical High $776.25 | Professional | 55 · Aftercare only | $338.84 | $457.09 | $776.25 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,071.52 Median $1,445.44 Typical High $2,398.83 | Professional | 62 · Two surgeons | $1,071.52 | $1,445.44 | $2,398.83 |
Where Minnesota sits
The same service costs 3.4 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 $11,546MT $3,436
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.