How much rates vary
Facilitymedian $2,399 · 10th to 90th $1,148 to $9,550Professionalmedian $2,291 · 10th to 90th $1,259 to $4,365
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 $1,148.15 Median $1,148.15 Typical High $1,148.15 | Facility | None | $1,148.15 | $1,148.15 | $1,148.15 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $851.14 Median $851.14 Typical High $851.14 | Facility | 54 · Surgery only | $851.14 | $851.14 | $851.14 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | 55 · Aftercare only | $169.82 | $169.82 | $169.82 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $794.33 Typical High $794.33 | Facility | 78 · Unplanned return to OR | $794.33 | $794.33 | $794.33 |
Aetna Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,348.96 | Professional | None | $1,148.15 | $1,148.15 | $1,348.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $851.14 Median $851.14 Typical High $1,023.29 | Professional | 54 · Surgery only | $851.14 | $851.14 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $169.82 Typical High $204.17 | Professional | 55 · Aftercare only | $169.82 | $169.82 | $204.17 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $794.33 Typical High $954.99 | Professional | 78 · Unplanned return to OR | $794.33 | $794.33 | $954.99 |
BCBS Minnesota Setting Facility Modifier None Typical Low $5,888.44 Median $11,220.18 Typical High $22,387.21 | Facility | None | $5,888.44 | $11,220.18 | $22,387.21 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,548.82 Median $2,137.96 Typical High $3,801.89 | Professional | None | $1,548.82 | $2,137.96 | $3,801.89 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,258.93 Median $1,698.24 Typical High $3,019.95 | Professional | 54 · Surgery only | $1,258.93 | $1,698.24 | $3,019.95 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $309.03 Median $426.58 Typical High $741.31 | Professional | 55 · Aftercare only | $309.03 | $426.58 | $741.31 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,318.26 Median $1,778.28 Typical High $3,162.28 | Professional | 78 · Unplanned return to OR | $1,318.26 | $1,778.28 | $3,162.28 |
Cigna Setting Facility Modifier None Typical Low $1,737.80 Median $2,691.53 Typical High $5,128.61 | Facility | None | $1,737.80 | $2,691.53 | $5,128.61 |
Cigna Setting Professional Modifier None Typical Low $1,949.84 Median $3,090.30 Typical High $4,897.79 | Professional | None | $1,949.84 | $3,090.30 | $4,897.79 |
Health Partners Setting Facility Modifier None Typical Low $1,548.82 Median $2,454.71 Typical High $4,365.16 | Facility | None | $1,548.82 | $2,454.71 | $4,365.16 |
Health Partners Setting Professional Modifier None Typical Low $1,737.80 Median $2,818.38 Typical High $4,265.80 | Professional | None | $1,737.80 | $2,818.38 | $4,265.80 |
Medica Setting Facility Modifier None Typical Low $1,513.56 Median $2,187.76 Typical High $4,786.30 | Facility | None | $1,513.56 | $2,187.76 | $4,786.30 |
Medica Setting Professional Modifier None Typical Low $1,258.93 Median $2,344.23 Typical High $7,943.28 | Professional | None | $1,258.93 | $2,344.23 | $7,943.28 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $8,317.64 | Facility | None | $1,513.56 | $2,511.89 | $8,317.64 |
United Setting Professional Modifier None Typical Low $1,202.26 Median $2,187.76 Typical High $4,466.84 | Professional | None | $1,202.26 | $2,187.76 | $4,466.84 |
7 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 $575.44 Median $575.44 Typical High $575.44 | Facility | 52 · Reduced service | $575.44 | $575.44 | $575.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | 53 · Discontinued | $229.09 | $229.09 | $229.09 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $114.82 Median $114.82 Typical High $114.82 | Facility | 56 · Pre-op care only | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $575.44 Median $575.44 Typical High $676.08 | Professional | 52 · Reduced service | $575.44 | $575.44 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $229.09 Typical High $269.15 | Professional | 53 · Discontinued | $229.09 | $229.09 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $114.82 Typical High $134.90 | Professional | 56 · Pre-op care only | $114.82 | $114.82 | $134.90 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $977.24 Median $1,318.26 Typical High $2,344.23 | Professional | 62 · Two surgeons | $977.24 | $1,318.26 | $2,344.23 |
Where Minnesota sits
The same service costs 4.6 times more in Alaska than in Kentucky. 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 $11,283KY $2,440
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.