How much rates vary
Facilitymedian $1,549 · 10th to 90th $468 to $7,943Professionalmedian $1,096 · 10th to 90th $550 to $2,042
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 $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | 54 · Surgery only | $346.74 | $346.74 | $346.74 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $323.59 Typical High $323.59 | Facility | 78 · Unplanned return to OR | $323.59 | $323.59 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $645.65 | Professional | None | $467.74 | $467.74 | $645.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $346.74 Typical High $426.58 | Professional | 54 · Surgery only | $346.74 | $346.74 | $426.58 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $323.59 Typical High $398.11 | Professional | 78 · Unplanned return to OR | $323.59 | $323.59 | $398.11 |
BCBS Setting Facility Modifier None Typical Low $4,570.88 Median $7,943.28 Typical High $15,135.61 | Facility | None | $4,570.88 | $7,943.28 | $15,135.61 |
BCBS Setting Professional Modifier None Typical Low $776.25 Median $1,047.13 Typical High $1,778.28 | Professional | None | $776.25 | $1,047.13 | $1,778.28 |
BCBS Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $831.76 Typical High $1,412.54 | Professional | 54 · Surgery only | $616.60 | $831.76 | $1,412.54 |
BCBS Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $891.25 Typical High $1,479.11 | Professional | 78 · Unplanned return to OR | $645.65 | $891.25 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $1,258.93 Typical High $2,398.83 | Facility | None | $812.83 | $1,258.93 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $1,445.44 Typical High $2,290.87 | Professional | None | $933.25 | $1,445.44 | $2,290.87 |
Health Partners Setting Facility Modifier None Typical Low $724.44 Median $1,174.90 Typical High $2,041.74 | Facility | None | $724.44 | $1,174.90 | $2,041.74 |
Health Partners Setting Professional Modifier None Typical Low $812.83 Median $1,318.26 Typical High $1,995.26 | Professional | None | $812.83 | $1,318.26 | $1,995.26 |
Medica Setting Facility Modifier None Typical Low $870.96 Median $2,187.76 Typical High $6,760.83 | Facility | None | $870.96 | $2,187.76 | $6,760.83 |
Medica Setting Professional Modifier None Typical Low $602.56 Median $1,096.48 Typical High $7,585.78 | Professional | None | $602.56 | $1,096.48 | $7,585.78 |
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 $562.34 Median $1,023.29 Typical High $1,949.84 | Professional | None | $562.34 | $1,023.29 | $1,949.84 |
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 $234.42 Median $234.42 Typical High $234.42 | Facility | 52 · Reduced service | $234.42 | $234.42 | $234.42 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $93.33 Median $93.33 Typical High $93.33 | Facility | 53 · Discontinued | $93.33 | $93.33 | $93.33 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | 55 · Aftercare only | $69.18 | $69.18 | $69.18 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | 56 · Pre-op care only | $46.77 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $234.42 Median $234.42 Typical High $288.40 | Professional | 52 · Reduced service | $234.42 | $234.42 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $93.33 Typical High $114.82 | Professional | 53 · Discontinued | $93.33 | $93.33 | $114.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $69.18 Typical High $85.11 | Professional | 55 · Aftercare only | $69.18 | $69.18 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $46.77 Typical High $57.54 | Professional | 56 · Pre-op care only | $46.77 | $46.77 | $57.54 |
BCBS Setting Facility Modifier 50 · Both sides Typical Low $6,918.31 Median $12,882.50 Typical High $22,908.68 | Facility | 50 · Both sides | $6,918.31 | $12,882.50 | $22,908.68 |
BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,174.90 Median $1,584.89 Typical High $2,691.53 | Professional | 50 · Both sides | $1,174.90 | $1,584.89 | $2,691.53 |
BCBS Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $208.93 Typical High $354.81 | Professional | 55 · Aftercare only | $154.88 | $208.93 | $354.81 |
BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $489.78 Median $660.69 Typical High $1,096.48 | Professional | 62 · Two surgeons | $489.78 | $660.69 | $1,096.48 |
Where Minnesota sits
The same service costs 5.5 times more in Alaska than in Utah. 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
$1,202
AK $2,042UT $372
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.