How much rates vary
Facilitymedian $1,820 · 10th to 90th $631 to $8,318Professionalmedian $1,445 · 10th to 90th $776 to $2,692
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 $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | 54 · Surgery only | $478.63 | $478.63 | $478.63 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | 55 · Aftercare only | $95.50 | $95.50 | $95.50 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | 78 · Unplanned return to OR | $446.68 | $446.68 | $446.68 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $870.96 | Professional | None | $630.96 | $630.96 | $870.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $478.63 Typical High $588.84 | Professional | 54 · Surgery only | $478.63 | $478.63 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $95.50 Typical High $117.49 | Professional | 55 · Aftercare only | $95.50 | $95.50 | $117.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $446.68 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $446.68 | $446.68 | $549.54 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,570.88 Median $9,120.11 Typical High $20,892.96 | Facility | None | $4,570.88 | $9,120.11 | $20,892.96 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,047.13 Median $1,412.54 Typical High $2,398.83 | Professional | None | $1,047.13 | $1,412.54 | $2,398.83 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $851.14 Median $1,148.15 Typical High $1,905.46 | Professional | 54 · Surgery only | $851.14 | $1,148.15 | $1,905.46 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $288.40 Typical High $467.74 | Professional | 55 · Aftercare only | $208.93 | $288.40 | $467.74 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $891.25 Median $1,202.26 Typical High $1,995.26 | Professional | 78 · Unplanned return to OR | $891.25 | $1,202.26 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $1,122.02 Median $1,737.80 Typical High $3,311.31 | Facility | None | $1,122.02 | $1,737.80 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,995.26 Typical High $3,090.30 | Professional | None | $1,258.93 | $1,995.26 | $3,090.30 |
Health Partners Setting Facility Modifier None Typical Low $977.24 Median $1,584.89 Typical High $2,754.23 | Facility | None | $977.24 | $1,584.89 | $2,754.23 |
Health Partners Setting Professional Modifier None Typical Low $1,122.02 Median $1,778.28 Typical High $2,754.23 | Professional | None | $1,122.02 | $1,778.28 | $2,754.23 |
Medica Setting Facility Modifier None Typical Low $1,174.90 Median $2,041.74 Typical High $5,011.87 | Facility | None | $1,174.90 | $2,041.74 | $5,011.87 |
Medica Setting Professional Modifier None Typical Low $812.83 Median $1,479.11 Typical High $5,128.61 | Professional | None | $812.83 | $1,479.11 | $5,128.61 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $8,317.64 | Facility | None | $1,513.56 | $2,511.89 | $8,317.64 |
United Setting Professional Modifier None Typical Low $758.58 Median $1,412.54 Typical High $2,630.27 | Professional | None | $758.58 | $1,412.54 | $2,630.27 |
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 $316.23 Median $316.23 Typical High $316.23 | Facility | 52 · Reduced service | $316.23 | $316.23 | $316.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | 53 · Discontinued | $125.89 | $125.89 | $125.89 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | 56 · Pre-op care only | $63.10 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $316.23 Median $316.23 Typical High $389.05 | Professional | 52 · Reduced service | $316.23 | $316.23 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $125.89 Typical High $154.88 | Professional | 53 · Discontinued | $125.89 | $125.89 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $63.10 Typical High $77.62 | Professional | 56 · Pre-op care only | $63.10 | $63.10 | $77.62 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $660.69 Median $891.25 Typical High $1,479.11 | Professional | 62 · Two surgeons | $660.69 | $891.25 | $1,479.11 |
Where Minnesota sits
The same service costs 4.2 times more in Oklahoma 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
OK $7,369KY $1,773
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.