How much rates vary
Facilitymedian $3,090 · 10th to 90th $1,122 to $8,128Professionalmedian $3,890 · 10th to 90th $2,291 to $7,079
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 $1,905.46 Median $1,905.46 Typical High $1,905.46 | Facility | None | $1,905.46 | $1,905.46 | $1,905.46 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | 54 · Surgery only | $1,445.44 | $1,445.44 | $1,445.44 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $288.40 Median $288.40 Typical High $288.40 | Facility | 55 · Aftercare only | $288.40 | $288.40 | $288.40 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Facility | 78 · Unplanned return to OR | $1,348.96 | $1,348.96 | $1,348.96 |
Aetna Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $2,290.87 | Professional | None | $1,905.46 | $1,905.46 | $2,290.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,445.44 Median $1,445.44 Typical High $1,737.80 | Professional | 54 · Surgery only | $1,445.44 | $1,445.44 | $1,737.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $288.40 Median $288.40 Typical High $346.74 | Professional | 55 · Aftercare only | $288.40 | $288.40 | $346.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,348.96 Median $1,348.96 Typical High $1,621.81 | Professional | 78 · Unplanned return to OR | $1,348.96 | $1,348.96 | $1,621.81 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,715.35 Median $7,762.47 Typical High $18,620.87 | Facility | None | $3,715.35 | $7,762.47 | $18,620.87 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,951.21 Median $3,890.45 Typical High $6,309.57 | Professional | None | $2,951.21 | $3,890.45 | $6,309.57 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $2,398.83 Median $3,090.30 Typical High $5,011.87 | Professional | 54 · Surgery only | $2,398.83 | $3,090.30 | $5,011.87 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $588.84 Median $776.25 Typical High $1,230.27 | Professional | 55 · Aftercare only | $588.84 | $776.25 | $1,230.27 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,511.89 Median $3,235.94 Typical High $5,248.07 | Professional | 78 · Unplanned return to OR | $2,511.89 | $3,235.94 | $5,248.07 |
Cigna Setting Facility Modifier None Typical Low $2,818.38 Median $4,365.16 Typical High $8,317.64 | Facility | None | $2,818.38 | $4,365.16 | $8,317.64 |
Cigna Setting Professional Modifier None Typical Low $3,235.94 Median $4,786.30 Typical High $7,413.10 | Professional | None | $3,235.94 | $4,786.30 | $7,413.10 |
Health Partners Setting Facility Modifier None Typical Low $2,454.71 Median $3,981.07 Typical High $6,918.31 | Facility | None | $2,454.71 | $3,981.07 | $6,918.31 |
Health Partners Setting Professional Modifier None Typical Low $2,818.38 Median $4,168.69 Typical High $6,918.31 | Professional | None | $2,818.38 | $4,168.69 | $6,918.31 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $3,548.13 | Facility | None | $758.58 | $1,445.44 | $3,548.13 |
Medica Setting Professional Modifier None Typical Low $2,290.87 Median $3,630.78 Typical High $7,413.10 | Professional | None | $2,290.87 | $3,630.78 | $7,413.10 |
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 $2,137.96 Median $3,630.78 Typical High $7,585.78 | Professional | None | $2,137.96 | $3,630.78 | $7,585.78 |
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 $954.99 Median $954.99 Typical High $954.99 | Facility | 52 · Reduced service | $954.99 | $954.99 | $954.99 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | 53 · Discontinued | $380.19 | $380.19 | $380.19 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | 56 · Pre-op care only | $190.55 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $954.99 Median $954.99 Typical High $1,148.15 | Professional | 52 · Reduced service | $954.99 | $954.99 | $1,148.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $380.19 Median $380.19 Typical High $457.09 | Professional | 53 · Discontinued | $380.19 | $380.19 | $457.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $190.55 Median $190.55 Typical High $229.09 | Professional | 56 · Pre-op care only | $190.55 | $190.55 | $229.09 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,862.09 Median $2,398.83 Typical High $3,981.07 | Professional | 62 · Two surgeons | $1,862.09 | $2,398.83 | $3,981.07 |
Where Minnesota sits
The same service costs 7.9 times more in Alabama 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
AL $20,238WA $2,549
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.