How much rates vary
Facilitymedian $3,020 · 10th to 90th $1,023 to $10,715Professionalmedian $2,089 · 10th to 90th $1,023 to $3,890
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 $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | None | $1,023.29 | $1,023.29 | $1,023.29 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | 54 · Surgery only | $758.58 | $758.58 | $758.58 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | 55 · Aftercare only | $151.36 | $151.36 | $151.36 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | 78 · Unplanned return to OR | $707.95 | $707.95 | $707.95 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,288.25 | Professional | None | $1,023.29 | $1,023.29 | $1,288.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $758.58 Median $758.58 Typical High $933.25 | Professional | 54 · Surgery only | $758.58 | $758.58 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $151.36 Typical High $186.21 | Professional | 55 · Aftercare only | $151.36 | $151.36 | $186.21 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $707.95 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $707.95 | $707.95 | $870.96 |
BCBS Minnesota Setting Facility Modifier None Typical Low $5,754.40 Median $11,220.18 Typical High $22,387.21 | Facility | None | $5,754.40 | $11,220.18 | $22,387.21 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,584.89 Median $2,089.30 Typical High $3,311.31 | Professional | None | $1,584.89 | $2,089.30 | $3,311.31 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,258.93 Median $1,659.59 Typical High $2,630.27 | Professional | 54 · Surgery only | $1,258.93 | $1,659.59 | $2,630.27 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $323.59 Median $416.87 Typical High $660.69 | Professional | 55 · Aftercare only | $323.59 | $416.87 | $660.69 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,348.96 Median $1,737.80 Typical High $2,754.23 | Professional | 78 · Unplanned return to OR | $1,348.96 | $1,737.80 | $2,754.23 |
Cigna Setting Facility Modifier None Typical Low $1,737.80 Median $2,691.53 Typical High $5,128.61 | Facility | None | $1,737.80 | $2,691.53 | $5,128.61 |
Cigna Setting Professional Modifier None Typical Low $1,584.89 Median $2,511.89 Typical High $4,265.80 | Professional | None | $1,584.89 | $2,511.89 | $4,265.80 |
Health Partners Setting Facility Modifier None Typical Low $1,548.82 Median $2,511.89 Typical High $4,365.16 | Facility | None | $1,548.82 | $2,511.89 | $4,365.16 |
Health Partners Setting Professional Modifier None Typical Low $1,737.80 Median $2,344.23 Typical High $3,890.45 | Professional | None | $1,737.80 | $2,344.23 | $3,890.45 |
Medica Setting Facility Modifier None Typical Low $1,737.80 Median $3,467.37 Typical High $9,772.37 | Facility | None | $1,737.80 | $3,467.37 | $9,772.37 |
Medica Setting Professional Modifier None Typical Low $1,174.90 Median $2,454.71 Typical High $7,762.47 | Professional | None | $1,174.90 | $2,454.71 | $7,762.47 |
United Setting Facility Modifier None Typical Low $2,818.38 Median $4,265.80 Typical High $11,220.18 | Facility | None | $2,818.38 | $4,265.80 | $11,220.18 |
United Setting Professional Modifier None Typical Low $1,096.48 Median $1,862.09 Typical High $3,801.89 | Professional | None | $1,096.48 | $1,862.09 | $3,801.89 |
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 $501.19 Median $501.19 Typical High $501.19 | Facility | 52 · Reduced service | $501.19 | $501.19 | $501.19 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | 53 · Discontinued | $204.17 | $204.17 | $204.17 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | 56 · Pre-op care only | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $501.19 Median $501.19 Typical High $630.96 | Professional | 52 · Reduced service | $501.19 | $501.19 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $204.17 Typical High $251.19 | Professional | 53 · Discontinued | $204.17 | $204.17 | $251.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $102.33 Typical High $125.89 | Professional | 56 · Pre-op care only | $102.33 | $102.33 | $125.89 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,000.00 Median $1,288.25 Typical High $2,089.30 | Professional | 62 · Two surgeons | $1,000.00 | $1,288.25 | $2,089.30 |
Where Minnesota sits
The same service costs 3.7 times more in Alaska than in West Virginia. 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 $10,315WV $2,808
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.