How much rates vary
Facilitymedian $2,754 · 10th to 90th $1,072 to $7,244Professionalmedian $3,467 · 10th to 90th $1,950 to $6,166
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 $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | 54 · Surgery only | $1,258.93 | $1,258.93 | $1,258.93 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | 78 · Unplanned return to OR | $1,174.90 | $1,174.90 | $1,174.90 |
Aetna Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,995.26 | Professional | None | $1,659.59 | $1,659.59 | $1,995.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,258.93 Median $1,258.93 Typical High $1,513.56 | Professional | 54 · Surgery only | $1,258.93 | $1,258.93 | $1,513.56 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,174.90 Median $1,174.90 Typical High $1,412.54 | Professional | 78 · Unplanned return to OR | $1,174.90 | $1,174.90 | $1,412.54 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,235.94 Median $6,760.83 Typical High $17,782.79 | Facility | None | $3,235.94 | $6,760.83 | $17,782.79 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,511.89 Median $3,630.78 Typical High $5,623.41 | Professional | None | $2,511.89 | $3,630.78 | $5,623.41 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $2,041.74 Median $2,884.03 Typical High $4,570.88 | Professional | 54 · Surgery only | $2,041.74 | $2,884.03 | $4,570.88 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,137.96 Median $3,019.95 Typical High $4,786.30 | Professional | 78 · Unplanned return to OR | $2,137.96 | $3,019.95 | $4,786.30 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $3,801.89 Typical High $7,244.36 | Facility | None | $2,454.71 | $3,801.89 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $2,818.38 Median $4,168.69 Typical High $6,456.54 | Professional | None | $2,818.38 | $4,168.69 | $6,456.54 |
Health Partners Setting Facility Modifier None Typical Low $2,137.96 Median $3,467.37 Typical High $6,025.60 | Facility | None | $2,137.96 | $3,467.37 | $6,025.60 |
Health Partners Setting Professional Modifier None Typical Low $2,454.71 Median $3,630.78 Typical High $6,025.60 | Professional | None | $2,454.71 | $3,630.78 | $6,025.60 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $3,467.37 | Facility | None | $758.58 | $1,445.44 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $1,995.26 Median $3,235.94 Typical High $6,456.54 | Professional | None | $1,995.26 | $3,235.94 | $6,456.54 |
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 $1,862.09 Median $3,235.94 Typical High $6,760.83 | Professional | None | $1,862.09 | $3,235.94 | $6,760.83 |
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 $831.76 Median $831.76 Typical High $831.76 | Facility | 52 · Reduced service | $831.76 | $831.76 | $831.76 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | 53 · Discontinued | $338.84 | $338.84 | $338.84 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | 55 · Aftercare only | $251.19 | $251.19 | $251.19 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | 56 · Pre-op care only | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $831.76 Median $831.76 Typical High $1,000.00 | Professional | 52 · Reduced service | $831.76 | $831.76 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $338.84 Median $338.84 Typical High $407.38 | Professional | 53 · Discontinued | $338.84 | $338.84 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $251.19 Median $251.19 Typical High $302.00 | Professional | 55 · Aftercare only | $251.19 | $251.19 | $302.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $165.96 Median $165.96 Typical High $199.53 | Professional | 56 · Pre-op care only | $165.96 | $165.96 | $199.53 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $4,677.35 Median $5,128.61 Typical High $15,488.17 | Facility | 50 · Both sides | $4,677.35 | $5,128.61 | $15,488.17 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $3,801.89 Median $5,370.32 Typical High $8,511.38 | Professional | 50 · Both sides | $3,801.89 | $5,370.32 | $8,511.38 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $501.19 Median $676.08 Typical High $1,122.02 | Professional | 55 · Aftercare only | $501.19 | $676.08 | $1,122.02 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,584.89 Median $2,137.96 Typical High $3,548.13 | Professional | 62 · Two surgeons | $1,584.89 | $2,137.96 | $3,548.13 |
Where Minnesota sits
The same service costs 8.2 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 $19,170WA $2,342
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.