How much rates vary
Facilitymedian $3,802 · 10th to 90th $1,122 to $10,233Professionalmedian $5,129 · 10th to 90th $3,020 to $9,333
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 $2,511.89 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,511.89 | $2,511.89 | $2,511.89 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Facility | 54 · Surgery only | $1,905.46 | $1,905.46 | $1,905.46 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | 55 · Aftercare only | $380.19 | $380.19 | $380.19 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | 78 · Unplanned return to OR | $1,778.28 | $1,778.28 | $1,778.28 |
Aetna Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $3,019.95 | Professional | None | $2,511.89 | $2,511.89 | $3,019.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,905.46 Median $1,905.46 Typical High $2,290.87 | Professional | 54 · Surgery only | $1,905.46 | $1,905.46 | $2,290.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $380.19 Median $380.19 Typical High $457.09 | Professional | 55 · Aftercare only | $380.19 | $380.19 | $457.09 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,778.28 Median $1,778.28 Typical High $2,137.96 | Professional | 78 · Unplanned return to OR | $1,778.28 | $1,778.28 | $2,137.96 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,897.79 Median $10,232.93 Typical High $25,118.86 | Facility | None | $4,897.79 | $10,232.93 | $25,118.86 |
BCBS Minnesota Setting Professional Modifier None Typical Low $3,890.45 Median $5,128.61 Typical High $8,317.64 | Professional | None | $3,890.45 | $5,128.61 | $8,317.64 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $3,090.30 Median $4,073.80 Typical High $6,606.93 | Professional | 54 · Surgery only | $3,090.30 | $4,073.80 | $6,606.93 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $776.25 Median $1,023.29 Typical High $1,621.81 | Professional | 55 · Aftercare only | $776.25 | $1,023.29 | $1,621.81 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $3,235.94 Median $4,265.80 Typical High $6,918.31 | Professional | 78 · Unplanned return to OR | $3,235.94 | $4,265.80 | $6,918.31 |
Cigna Setting Facility Modifier None Typical Low $3,630.78 Median $5,623.41 Typical High $10,964.78 | Facility | None | $3,630.78 | $5,623.41 | $10,964.78 |
Cigna Setting Professional Modifier None Typical Low $4,265.80 Median $6,309.57 Typical High $9,772.37 | Professional | None | $4,265.80 | $6,309.57 | $9,772.37 |
Health Partners Setting Facility Modifier None Typical Low $3,235.94 Median $5,248.07 Typical High $9,120.11 | Facility | None | $3,235.94 | $5,248.07 | $9,120.11 |
Health Partners Setting Professional Modifier None Typical Low $3,715.35 Median $5,495.41 Typical High $9,120.11 | Professional | None | $3,715.35 | $5,495.41 | $9,120.11 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $4,466.84 | Facility | None | $758.58 | $1,445.44 | $4,466.84 |
Medica Setting Professional Modifier None Typical Low $2,818.38 Median $4,786.30 Typical High $9,772.37 | Professional | None | $2,818.38 | $4,786.30 | $9,772.37 |
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 $2,570.40 Median $4,786.30 Typical High $10,000.00 | Professional | None | $2,570.40 | $4,786.30 | $10,000.00 |
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 $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | 52 · Reduced service | $1,258.93 | $1,258.93 | $1,258.93 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | 53 · Discontinued | $501.19 | $501.19 | $501.19 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | 56 · Pre-op care only | $251.19 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,258.93 Median $1,258.93 Typical High $1,513.56 | Professional | 52 · Reduced service | $1,258.93 | $1,258.93 | $1,513.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $501.19 Median $501.19 Typical High $602.56 | Professional | 53 · Discontinued | $501.19 | $501.19 | $602.56 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $251.19 Median $251.19 Typical High $302.00 | Professional | 56 · Pre-op care only | $251.19 | $251.19 | $302.00 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $2,398.83 Median $3,162.28 Typical High $5,248.07 | Professional | 62 · Two surgeons | $2,398.83 | $3,162.28 | $5,248.07 |
Where Minnesota sits
The same service costs 7.1 times more in Alaska than in Washington. 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 $21,795WA $3,089
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.