How much rates vary
Facilitymedian $1,549 · 10th to 90th $851 to $3,715Professionalmedian $1,738 · 10th to 90th $1,023 to $3,162
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 $851.14 Median $851.14 Typical High $851.14 | Facility | None | $851.14 | $851.14 | $851.14 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $1,047.13 | Professional | None | $851.14 | $851.14 | $1,047.13 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,659.59 Median $3,467.37 Typical High $8,511.38 | Facility | None | $1,659.59 | $3,467.37 | $8,511.38 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,288.25 Median $1,737.80 Typical High $2,818.38 | Professional | None | $1,288.25 | $1,737.80 | $2,818.38 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $794.33 Median $1,071.52 Typical High $1,737.80 | Professional | 62 · Two surgeons | $794.33 | $1,071.52 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $1,905.46 Typical High $3,630.78 | Facility | None | $1,230.27 | $1,905.46 | $3,630.78 |
Cigna Setting Professional Modifier None Typical Low $1,445.44 Median $2,137.96 Typical High $3,311.31 | Professional | None | $1,445.44 | $2,137.96 | $3,311.31 |
Health Partners Setting Facility Modifier None Typical Low $1,096.48 Median $1,778.28 Typical High $3,090.30 | Facility | None | $1,096.48 | $1,778.28 | $3,090.30 |
Health Partners Setting Professional Modifier None Typical Low $1,230.27 Median $1,862.09 Typical High $3,019.95 | Professional | None | $1,230.27 | $1,862.09 | $3,019.95 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,412.54 Typical High $3,019.95 | Facility | None | $758.58 | $1,412.54 | $3,019.95 |
Medica Setting Professional Modifier None Typical Low $1,023.29 Median $1,621.81 Typical High $3,311.31 | Professional | None | $1,023.29 | $1,621.81 | $3,311.31 |
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 $954.99 Median $1,621.81 Typical High $3,467.37 | Professional | None | $954.99 | $1,621.81 | $3,467.37 |
10 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 $426.58 Median $426.58 Typical High $426.58 | Facility | 52 · Reduced service | $426.58 | $426.58 | $426.58 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | 53 · Discontinued | $169.82 | $169.82 | $169.82 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | 54 · Surgery only | $645.65 | $645.65 | $645.65 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | 55 · Aftercare only | $128.82 | $128.82 | $128.82 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | 56 · Pre-op care only | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $426.58 Median $426.58 Typical High $512.86 | Professional | 52 · Reduced service | $426.58 | $426.58 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $169.82 Typical High $204.17 | Professional | 53 · Discontinued | $169.82 | $169.82 | $204.17 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $645.65 Typical High $776.25 | Professional | 54 · Surgery only | $645.65 | $645.65 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $128.82 Typical High $154.88 | Professional | 55 · Aftercare only | $128.82 | $128.82 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $85.11 Typical High $102.33 | Professional | 56 · Pre-op care only | $85.11 | $85.11 | $102.33 |
Where Minnesota sits
The same service costs 5.4 times more in Alaska 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
AK $7,989MD $1,474
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.