How much rates vary
Facilitymedian $3,981 · 10th to 90th $1,122 to $10,715Professionalmedian $5,370 · 10th to 90th $3,162 to $9,772
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 $2,630.27 Median $2,630.27 Typical High $2,630.27 | Facility | None | $2,630.27 | $2,630.27 | $2,630.27 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Facility | 54 · Surgery only | $1,995.26 | $1,995.26 | $1,995.26 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | 55 · Aftercare only | $398.11 | $398.11 | $398.11 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Facility | 78 · Unplanned return to OR | $1,862.09 | $1,862.09 | $1,862.09 |
Aetna Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $3,162.28 | Professional | None | $2,630.27 | $2,630.27 | $3,162.28 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,995.26 Median $1,995.26 Typical High $2,344.23 | Professional | 54 · Surgery only | $1,995.26 | $1,995.26 | $2,344.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $398.11 Median $398.11 Typical High $478.63 | Professional | 55 · Aftercare only | $398.11 | $398.11 | $478.63 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,862.09 Median $1,862.09 Typical High $2,187.76 | Professional | 78 · Unplanned return to OR | $1,862.09 | $1,862.09 | $2,187.76 |
BCBS Minnesota Setting Facility Modifier None Typical Low $5,011.87 Median $10,715.19 Typical High $25,703.96 | Facility | None | $5,011.87 | $10,715.19 | $25,703.96 |
BCBS Minnesota Setting Professional Modifier None Typical Low $4,073.80 Median $5,370.32 Typical High $8,709.64 | Professional | None | $4,073.80 | $5,370.32 | $8,709.64 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $3,235.94 Median $4,265.80 Typical High $6,918.31 | Professional | 54 · Surgery only | $3,235.94 | $4,265.80 | $6,918.31 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $812.83 Median $1,071.52 Typical High $1,698.24 | Professional | 55 · Aftercare only | $812.83 | $1,071.52 | $1,698.24 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $3,388.44 Median $4,466.84 Typical High $7,244.36 | Professional | 78 · Unplanned return to OR | $3,388.44 | $4,466.84 | $7,244.36 |
Cigna Setting Facility Modifier None Typical Low $3,801.89 Median $5,888.44 Typical High $11,220.18 | Facility | None | $3,801.89 | $5,888.44 | $11,220.18 |
Cigna Setting Professional Modifier None Typical Low $4,466.84 Median $6,606.93 Typical High $10,232.93 | Professional | None | $4,466.84 | $6,606.93 | $10,232.93 |
Health Partners Setting Facility Modifier None Typical Low $3,388.44 Median $5,495.41 Typical High $9,549.93 | Facility | None | $3,388.44 | $5,495.41 | $9,549.93 |
Health Partners Setting Professional Modifier None Typical Low $3,801.89 Median $5,754.40 Typical High $9,332.54 | Professional | None | $3,801.89 | $5,754.40 | $9,332.54 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $4,570.88 | Facility | None | $758.58 | $1,445.44 | $4,570.88 |
Medica Setting Professional Modifier None Typical Low $2,951.21 Median $5,011.87 Typical High $10,232.93 | Professional | None | $2,951.21 | $5,011.87 | $10,232.93 |
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 $2,884.03 Median $5,011.87 Typical High $10,471.29 | Professional | None | $2,884.03 | $5,011.87 | $10,471.29 |
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 $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | 52 · Reduced service | $1,318.26 | $1,318.26 | $1,318.26 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | 53 · Discontinued | $524.81 | $524.81 | $524.81 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | 56 · Pre-op care only | $263.03 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,318.26 Median $1,318.26 Typical High $1,584.89 | Professional | 52 · Reduced service | $1,318.26 | $1,318.26 | $1,584.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $524.81 Median $524.81 Typical High $630.96 | Professional | 53 · Discontinued | $524.81 | $524.81 | $630.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $263.03 Median $263.03 Typical High $316.23 | Professional | 56 · Pre-op care only | $263.03 | $263.03 | $316.23 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $2,511.89 Median $3,311.31 Typical High $5,248.07 | Professional | 62 · Two surgeons | $2,511.89 | $3,311.31 | $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 $22,023WA $3,113
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.