How much rates vary
Facilitymedian $3,388 · 10th to 90th $1,122 to $8,913Professionalmedian $4,365 · 10th to 90th $2,344 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 $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | 54 · Surgery only | $1,621.81 | $1,621.81 | $1,621.81 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | 78 · Unplanned return to OR | $1,513.56 | $1,513.56 | $1,513.56 |
Aetna Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,630.27 | Professional | None | $2,187.76 | $2,187.76 | $2,630.27 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,621.81 Median $1,621.81 Typical High $1,949.84 | Professional | 54 · Surgery only | $1,621.81 | $1,621.81 | $1,949.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,513.56 Median $1,513.56 Typical High $1,819.70 | Professional | 78 · Unplanned return to OR | $1,513.56 | $1,513.56 | $1,819.70 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,168.69 Median $8,709.64 Typical High $20,892.96 | Facility | None | $4,168.69 | $8,709.64 | $20,892.96 |
BCBS Minnesota Setting Professional Modifier None Typical Low $3,235.94 Median $4,365.16 Typical High $7,244.36 | Professional | None | $3,235.94 | $4,365.16 | $7,244.36 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $2,570.40 Median $3,548.13 Typical High $5,754.40 | Professional | 54 · Surgery only | $2,570.40 | $3,548.13 | $5,754.40 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,691.53 Median $3,715.35 Typical High $6,025.60 | Professional | 78 · Unplanned return to OR | $2,691.53 | $3,715.35 | $6,025.60 |
Cigna Setting Facility Modifier None Typical Low $3,162.28 Median $4,897.79 Typical High $9,332.54 | Facility | None | $3,162.28 | $4,897.79 | $9,332.54 |
Cigna Setting Professional Modifier None Typical Low $3,630.78 Median $5,495.41 Typical High $8,511.38 | Professional | None | $3,630.78 | $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 $3,162.28 Median $4,786.30 Typical High $7,762.47 | Professional | None | $3,162.28 | $4,786.30 | $7,762.47 |
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 $2,398.83 Median $4,073.80 Typical High $8,317.64 | Professional | None | $2,398.83 | $4,073.80 | $8,317.64 |
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 $2,187.76 Median $4,073.80 Typical High $8,511.38 | Professional | None | $2,187.76 | $4,073.80 | $8,511.38 |
12 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 55 · Aftercare only Typical Low $323.59 Median $323.59 Typical High $323.59 | Facility | 55 · Aftercare only | $323.59 | $323.59 | $323.59 |
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 $1,288.25 | Professional | 52 · Reduced service | $1,096.48 | $1,096.48 | $1,288.25 |
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 55 · Aftercare only Typical Low $323.59 Median $323.59 Typical High $389.05 | Professional | 55 · Aftercare only | $323.59 | $323.59 | $389.05 |
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 Facility Modifier 50 · Both sides Typical Low $5,888.44 Median $6,606.93 Typical High $19,498.45 | Facility | 50 · Both sides | $5,888.44 | $6,606.93 | $19,498.45 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $4,897.79 Median $6,606.93 Typical High $10,715.19 | Professional | 50 · Both sides | $4,897.79 | $6,606.93 | $10,715.19 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $645.65 Median $870.96 Typical High $1,412.54 | Professional | 55 · Aftercare only | $645.65 | $870.96 | $1,412.54 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $2,041.74 Median $2,754.23 Typical High $4,466.84 | Professional | 62 · Two surgeons | $2,041.74 | $2,754.23 | $4,466.84 |
Where Minnesota sits
The same service costs 7.2 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 $19,737WA $2,745
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.