How much rates vary
Facilitymedian $4,266 · 10th to 90th $1,122 to $18,197Professionalmedian $2,455 · 10th to 90th $1,202 to $4,571
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 $1,122.02 Median $1,122.02 Typical High $18,197.01 | Facility | None | $1,122.02 | $1,122.02 | $18,197.01 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $851.14 Median $851.14 Typical High $851.14 | Facility | 54 · Surgery only | $851.14 | $851.14 | $851.14 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | 55 · Aftercare only | $169.82 | $169.82 | $169.82 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $794.33 Typical High $794.33 | Facility | 78 · Unplanned return to OR | $794.33 | $794.33 | $794.33 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,513.56 | Professional | None | $1,122.02 | $1,122.02 | $1,513.56 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $851.14 Median $851.14 Typical High $1,122.02 | Professional | 54 · Surgery only | $851.14 | $851.14 | $1,122.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $169.82 Typical High $223.87 | Professional | 55 · Aftercare only | $169.82 | $169.82 | $223.87 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $794.33 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $794.33 | $794.33 | $1,047.13 |
BCBS Minnesota Setting Facility Modifier None Typical Low $6,760.83 Median $17,782.79 Typical High $39,810.72 | Facility | None | $6,760.83 | $17,782.79 | $39,810.72 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,905.46 Median $2,511.89 Typical High $3,981.07 | Professional | None | $1,905.46 | $2,511.89 | $3,981.07 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,513.56 Median $1,995.26 Typical High $3,162.28 | Professional | 54 · Surgery only | $1,513.56 | $1,995.26 | $3,162.28 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $389.05 Median $501.19 Typical High $794.33 | Professional | 55 · Aftercare only | $389.05 | $501.19 | $794.33 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,621.81 Median $2,089.30 Typical High $3,311.31 | Professional | 78 · Unplanned return to OR | $1,621.81 | $2,089.30 | $3,311.31 |
Cigna Setting Facility Modifier None Typical Low $1,949.84 Median $3,019.95 Typical High $5,754.40 | Facility | None | $1,949.84 | $3,019.95 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $1,778.28 Median $2,818.38 Typical High $4,786.30 | Professional | None | $1,778.28 | $2,818.38 | $4,786.30 |
Health Partners Setting Facility Modifier None Typical Low $1,737.80 Median $2,818.38 Typical High $4,897.79 | Facility | None | $1,737.80 | $2,818.38 | $4,897.79 |
Health Partners Setting Professional Modifier None Typical Low $1,949.84 Median $2,570.40 Typical High $4,265.80 | Professional | None | $1,949.84 | $2,570.40 | $4,265.80 |
Medica Setting Facility Modifier None Typical Low $1,905.46 Median $5,011.87 Typical High $12,589.25 | Facility | None | $1,905.46 | $5,011.87 | $12,589.25 |
Medica Setting Professional Modifier None Typical Low $1,348.96 Median $2,818.38 Typical High $9,120.11 | Professional | None | $1,348.96 | $2,818.38 | $9,120.11 |
United Setting Facility Modifier None Typical Low $3,981.07 Median $5,623.41 Typical High $13,803.84 | Facility | None | $3,981.07 | $5,623.41 | $13,803.84 |
United Setting Professional Modifier None Typical Low $1,288.25 Median $2,137.96 Typical High $4,570.88 | Professional | None | $1,288.25 | $2,137.96 | $4,570.88 |
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 $562.34 Median $562.34 Typical High $562.34 | Facility | 52 · Reduced service | $562.34 | $562.34 | $562.34 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | 53 · Discontinued | $223.87 | $223.87 | $223.87 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | 56 · Pre-op care only | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $562.34 Median $562.34 Typical High $741.31 | Professional | 52 · Reduced service | $562.34 | $562.34 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $223.87 Typical High $295.12 | Professional | 53 · Discontinued | $223.87 | $223.87 | $295.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $112.20 Typical High $147.91 | Professional | 56 · Pre-op care only | $112.20 | $112.20 | $147.91 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,202.26 Median $1,548.82 Typical High $2,454.71 | Professional | 62 · Two surgeons | $1,202.26 | $1,548.82 | $2,454.71 |
Where Minnesota sits
The same service costs 4.8 times more in Colorado than in Kentucky. 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
CO $16,795KY $3,466
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.