How much rates vary
Facilitymedian $2,951 · 10th to 90th $1,072 to $7,586Professionalmedian $3,467 · 10th to 90th $1,862 to $6,761
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 $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,584.89 | $1,584.89 | $1,584.89 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Facility | 54 · Surgery only | $1,202.26 | $1,202.26 | $1,202.26 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | 55 · Aftercare only | $239.88 | $239.88 | $239.88 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | 78 · Unplanned return to OR | $1,122.02 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,862.09 | Professional | None | $1,584.89 | $1,584.89 | $1,862.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,202.26 Median $1,202.26 Typical High $1,412.54 | Professional | 54 · Surgery only | $1,202.26 | $1,202.26 | $1,412.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $239.88 Median $239.88 Typical High $281.84 | Professional | 55 · Aftercare only | $239.88 | $239.88 | $281.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,122.02 Median $1,122.02 Typical High $1,318.26 | Professional | 78 · Unplanned return to OR | $1,122.02 | $1,122.02 | $1,318.26 |
BCBS Setting Facility Modifier None Typical Low $3,311.31 Median $6,918.31 Typical High $16,595.87 | Facility | None | $3,311.31 | $6,918.31 | $16,595.87 |
BCBS Setting Professional Modifier None Typical Low $2,454.71 Median $3,388.44 Typical High $5,754.40 | Professional | None | $2,454.71 | $3,388.44 | $5,754.40 |
BCBS Setting Professional Modifier 54 · Surgery only Typical Low $1,995.26 Median $2,691.53 Typical High $4,570.88 | Professional | 54 · Surgery only | $1,995.26 | $2,691.53 | $4,570.88 |
BCBS Setting Professional Modifier 55 · Aftercare only Typical Low $489.78 Median $676.08 Typical High $1,122.02 | Professional | 55 · Aftercare only | $489.78 | $676.08 | $1,122.02 |
BCBS Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,089.30 Median $2,818.38 Typical High $4,786.30 | Professional | 78 · Unplanned return to OR | $2,089.30 | $2,818.38 | $4,786.30 |
Cigna Setting Facility Modifier None Typical Low $2,630.27 Median $4,073.80 Typical High $7,762.47 | Facility | None | $2,630.27 | $4,073.80 | $7,762.47 |
Cigna Setting Professional Modifier None Typical Low $3,019.95 Median $4,677.35 Typical High $7,413.10 | Professional | None | $3,019.95 | $4,677.35 | $7,413.10 |
Health Partners Setting Facility Modifier None Typical Low $2,344.23 Median $3,801.89 Typical High $6,606.93 | Facility | None | $2,344.23 | $3,801.89 | $6,606.93 |
Health Partners Setting Professional Modifier None Typical Low $2,630.27 Median $4,265.80 Typical High $6,456.54 | Professional | None | $2,630.27 | $4,265.80 | $6,456.54 |
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 $1,949.84 Median $3,630.78 Typical High $15,488.17 | Professional | None | $1,949.84 | $3,630.78 | $15,488.17 |
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 $3,388.44 Typical High $6,760.83 | Professional | None | $1,862.09 | $3,388.44 | $6,760.83 |
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 $794.33 Median $794.33 Typical High $794.33 | Facility | 52 · Reduced service | $794.33 | $794.33 | $794.33 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $323.59 Median $323.59 Typical High $323.59 | Facility | 53 · Discontinued | $323.59 | $323.59 | $323.59 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | 56 · Pre-op care only | $158.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $794.33 Median $794.33 Typical High $933.25 | Professional | 52 · Reduced service | $794.33 | $794.33 | $933.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $323.59 Median $323.59 Typical High $371.54 | Professional | 53 · Discontinued | $323.59 | $323.59 | $371.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $158.49 Median $158.49 Typical High $186.21 | Professional | 56 · Pre-op care only | $158.49 | $158.49 | $186.21 |
BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,548.82 Median $2,089.30 Typical High $3,467.37 | Professional | 62 · Two surgeons | $1,548.82 | $2,089.30 | $3,467.37 |
Where Minnesota sits
The same service costs 6.8 times more in Alaska than in Texas. 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.
Minnesota· 6th of 51
$3,388
AK $6,607TX $977
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.