How much rates vary
Facilitymedian $4,266 · 10th to 90th $1,122 to $11,749Professionalmedian $5,754 · 10th to 90th $3,388 to $10,471
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 $2,818.38 Median $2,818.38 Typical High $2,818.38 | Facility | None | $2,818.38 | $2,818.38 | $2,818.38 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Facility | 54 · Surgery only | $2,137.96 | $2,137.96 | $2,137.96 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | 55 · Aftercare only | $426.58 | $426.58 | $426.58 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Facility | 78 · Unplanned return to OR | $1,995.26 | $1,995.26 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $3,388.44 | Professional | None | $2,818.38 | $2,818.38 | $3,388.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,137.96 Median $2,137.96 Typical High $2,570.40 | Professional | 54 · Surgery only | $2,137.96 | $2,137.96 | $2,570.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $426.58 Median $426.58 Typical High $512.86 | Professional | 55 · Aftercare only | $426.58 | $426.58 | $512.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,995.26 Median $1,995.26 Typical High $2,398.83 | Professional | 78 · Unplanned return to OR | $1,995.26 | $1,995.26 | $2,398.83 |
BCBS Minnesota Setting Facility Modifier None Typical Low $5,495.41 Median $11,481.54 Typical High $28,183.83 | Facility | None | $5,495.41 | $11,481.54 | $28,183.83 |
BCBS Minnesota Setting Professional Modifier None Typical Low $4,365.16 Median $5,754.40 Typical High $9,332.54 | Professional | None | $4,365.16 | $5,754.40 | $9,332.54 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $3,467.37 Median $4,570.88 Typical High $7,413.10 | Professional | 54 · Surgery only | $3,467.37 | $4,570.88 | $7,413.10 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $870.96 Median $1,148.15 Typical High $1,819.70 | Professional | 55 · Aftercare only | $870.96 | $1,148.15 | $1,819.70 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $3,630.78 Median $4,786.30 Typical High $7,762.47 | Professional | 78 · Unplanned return to OR | $3,630.78 | $4,786.30 | $7,762.47 |
Cigna Setting Facility Modifier None Typical Low $4,168.69 Median $6,456.54 Typical High $12,302.69 | Facility | None | $4,168.69 | $6,456.54 | $12,302.69 |
Cigna Setting Professional Modifier None Typical Low $4,786.30 Median $7,079.46 Typical High $10,964.78 | Professional | None | $4,786.30 | $7,079.46 | $10,964.78 |
Health Partners Setting Facility Modifier None Typical Low $3,630.78 Median $5,888.44 Typical High $10,232.93 | Facility | None | $3,630.78 | $5,888.44 | $10,232.93 |
Health Partners Setting Professional Modifier None Typical Low $4,168.69 Median $6,165.95 Typical High $10,232.93 | Professional | None | $4,168.69 | $6,165.95 | $10,232.93 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $4,786.30 | Facility | None | $758.58 | $1,445.44 | $4,786.30 |
Medica Setting Professional Modifier None Typical Low $3,162.28 Median $5,495.41 Typical High $10,964.78 | Professional | None | $3,162.28 | $5,495.41 | $10,964.78 |
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 $3,019.95 Median $5,495.41 Typical High $11,220.18 | Professional | None | $3,019.95 | $5,495.41 | $11,220.18 |
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 $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | 52 · Reduced service | $1,412.54 | $1,412.54 | $1,412.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $575.44 Median $575.44 Typical High $575.44 | Facility | 53 · Discontinued | $575.44 | $575.44 | $575.44 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | 56 · Pre-op care only | $281.84 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,412.54 Median $1,412.54 Typical High $1,698.24 | Professional | 52 · Reduced service | $1,412.54 | $1,412.54 | $1,698.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $575.44 Median $575.44 Typical High $676.08 | Professional | 53 · Discontinued | $575.44 | $575.44 | $676.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $281.84 Median $281.84 Typical High $338.84 | Professional | 56 · Pre-op care only | $281.84 | $281.84 | $338.84 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $2,691.53 Median $3,548.13 Typical High $5,623.41 | Professional | 62 · Two surgeons | $2,691.53 | $3,548.13 | $5,623.41 |
Where Minnesota sits
The same service costs 6.9 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 $22,987WA $3,314
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.