How much rates vary
Facilitymedian $2,188 · 10th to 90th $1,047 to $7,244Professionalmedian $2,570 · 10th to 90th $1,380 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 $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
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 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 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 $1,230.27 Median $1,230.27 Typical High $1,445.44 | Professional | None | $1,230.27 | $1,230.27 | $1,445.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $912.01 Typical High $1,096.48 | Professional | 54 · Surgery only | $912.01 | $912.01 | $1,096.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $181.97 Typical High $218.78 | Professional | 55 · Aftercare only | $181.97 | $181.97 | $218.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $851.14 Typical High $1,023.29 | Professional | 78 · Unplanned return to OR | $851.14 | $851.14 | $1,023.29 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,801.89 Median $7,413.10 Typical High $13,182.57 | Facility | None | $3,801.89 | $7,413.10 | $13,182.57 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,949.84 Median $2,570.40 Typical High $4,168.69 | Professional | None | $1,949.84 | $2,570.40 | $4,168.69 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,548.82 Median $2,041.74 Typical High $3,388.44 | Professional | 54 · Surgery only | $1,548.82 | $2,041.74 | $3,388.44 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $389.05 Median $512.86 Typical High $831.76 | Professional | 55 · Aftercare only | $389.05 | $512.86 | $831.76 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,659.59 Median $2,137.96 Typical High $3,467.37 | Professional | 78 · Unplanned return to OR | $1,659.59 | $2,137.96 | $3,467.37 |
Cigna Setting Facility Modifier None Typical Low $1,862.09 Median $2,884.03 Typical High $5,495.41 | Facility | None | $1,862.09 | $2,884.03 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $3,311.31 Typical High $5,128.61 | Professional | None | $2,089.30 | $3,311.31 | $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 $1,862.09 Median $2,951.21 Typical High $4,570.88 | Professional | None | $1,862.09 | $2,951.21 | $4,570.88 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $3,388.44 | Facility | None | $758.58 | $1,445.44 | $3,388.44 |
Medica Setting Professional Modifier None Typical Low $1,380.38 Median $2,630.27 Typical High $8,709.64 | Professional | None | $1,380.38 | $2,630.27 | $8,709.64 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,513.56 Typical High $3,630.78 | Facility | None | $758.58 | $1,513.56 | $3,630.78 |
United Setting Professional Modifier None Typical Low $1,380.38 Median $2,398.83 Typical High $5,011.87 | Professional | None | $1,380.38 | $2,398.83 | $5,011.87 |
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 $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 $245.47 Median $245.47 Typical High $245.47 | Facility | 53 · Discontinued | $245.47 | $245.47 | $245.47 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | 56 · Pre-op care only | $123.03 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $602.56 Median $602.56 Typical High $724.44 | Professional | 52 · Reduced service | $602.56 | $602.56 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $245.47 Typical High $288.40 | Professional | 53 · Discontinued | $245.47 | $245.47 | $288.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $123.03 Typical High $144.54 | Professional | 56 · Pre-op care only | $123.03 | $123.03 | $144.54 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,230.27 Median $1,584.89 Typical High $2,570.40 | Professional | 62 · Two surgeons | $1,230.27 | $1,584.89 | $2,570.40 |
Where Minnesota sits
The same service costs 6.3 times more in Colorado than in Maryland. 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
CO $11,778MD $1,881
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.