How much rates vary
Facilitymedian $3,388 · 10th to 90th $1,122 to $9,120Professionalmedian $4,467 · 10th to 90th $2,692 to $8,128
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 $2,187.76 Median $2,187.76 Typical High $2,187.76 | Facility | None | $2,187.76 | $2,187.76 | $2,187.76 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | 54 · Surgery only | $1,659.59 | $1,659.59 | $1,659.59 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | 55 · Aftercare only | $331.13 | $331.13 | $331.13 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | 78 · Unplanned return to OR | $1,548.82 | $1,548.82 | $1,548.82 |
Aetna Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,754.23 | Professional | None | $2,187.76 | $2,187.76 | $2,754.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,659.59 Median $1,659.59 Typical High $1,995.26 | Professional | 54 · Surgery only | $1,659.59 | $1,659.59 | $1,995.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $331.13 Median $331.13 Typical High $398.11 | Professional | 55 · Aftercare only | $331.13 | $331.13 | $398.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,548.82 Median $1,548.82 Typical High $1,862.09 | Professional | 78 · Unplanned return to OR | $1,548.82 | $1,548.82 | $1,862.09 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,265.80 Median $8,912.51 Typical High $22,387.21 | Facility | None | $4,265.80 | $8,912.51 | $22,387.21 |
BCBS Minnesota Setting Professional Modifier None Typical Low $3,311.31 Median $4,466.84 Typical High $7,244.36 | Professional | None | $3,311.31 | $4,466.84 | $7,244.36 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $2,630.27 Median $3,630.78 Typical High $5,888.44 | Professional | 54 · Surgery only | $2,630.27 | $3,630.78 | $5,888.44 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $660.69 Median $891.25 Typical High $1,412.54 | Professional | 55 · Aftercare only | $660.69 | $891.25 | $1,412.54 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,818.38 Median $3,801.89 Typical High $6,165.95 | Professional | 78 · Unplanned return to OR | $2,818.38 | $3,801.89 | $6,165.95 |
Cigna Setting Facility Modifier None Typical Low $3,162.28 Median $4,897.79 Typical High $9,549.93 | Facility | None | $3,162.28 | $4,897.79 | $9,549.93 |
Cigna Setting Professional Modifier None Typical Low $3,715.35 Median $5,495.41 Typical High $8,511.38 | Professional | None | $3,715.35 | $5,495.41 | $8,511.38 |
Health Partners Setting Facility Modifier None Typical Low $2,818.38 Median $4,570.88 Typical High $7,943.28 | Facility | None | $2,818.38 | $4,570.88 | $7,943.28 |
Health Partners Setting Professional Modifier None Typical Low $3,235.94 Median $4,786.30 Typical High $7,943.28 | Professional | None | $3,235.94 | $4,786.30 | $7,943.28 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $3,801.89 | Facility | None | $758.58 | $1,445.44 | $3,801.89 |
Medica Setting Professional Modifier None Typical Low $2,691.53 Median $4,265.80 Typical High $8,709.64 | Professional | None | $2,691.53 | $4,265.80 | $8,709.64 |
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 $2,511.89 Median $4,265.80 Typical High $8,912.51 | Professional | None | $2,511.89 | $4,265.80 | $8,912.51 |
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 $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | 52 · Reduced service | $1,096.48 | $1,096.48 | $1,096.48 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | 53 · Discontinued | $436.52 | $436.52 | $436.52 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | 56 · Pre-op care only | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,096.48 Median $1,096.48 Typical High $1,318.26 | Professional | 52 · Reduced service | $1,096.48 | $1,096.48 | $1,318.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $436.52 Median $436.52 Typical High $524.81 | Professional | 53 · Discontinued | $436.52 | $436.52 | $524.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $218.78 Median $218.78 Typical High $263.03 | Professional | 56 · Pre-op care only | $218.78 | $218.78 | $263.03 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $2,089.30 Median $2,818.38 Typical High $4,570.88 | Professional | 62 · Two surgeons | $2,089.30 | $2,818.38 | $4,570.88 |
Where Minnesota sits
The same service costs 7.3 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 $20,260WA $2,785
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.