How much rates vary
Facilitymedian $3,388 · 10th to 90th $1,122 to $12,023Professionalmedian $2,512 · 10th to 90th $1,148 to $4,467
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 $1,122.02 | Facility | None | $1,122.02 | $1,122.02 | $1,122.02 |
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 $1,288.25 | Professional | None | $1,122.02 | $1,122.02 | $1,288.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $851.14 Median $851.14 Typical High $912.01 | Professional | 54 · Surgery only | $851.14 | $851.14 | $912.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $169.82 Typical High $181.97 | Professional | 55 · Aftercare only | $169.82 | $169.82 | $181.97 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $794.33 Typical High $851.14 | Professional | 78 · Unplanned return to OR | $794.33 | $794.33 | $851.14 |
BCBS Minnesota Setting Facility Modifier None Typical Low $5,495.41 Median $11,748.98 Typical High $26,915.35 | Facility | None | $5,495.41 | $11,748.98 | $26,915.35 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,041.74 Median $2,630.27 Typical High $4,073.80 | Professional | None | $2,041.74 | $2,630.27 | $4,073.80 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,621.81 Median $2,089.30 Typical High $3,162.28 | Professional | 54 · Surgery only | $1,621.81 | $2,089.30 | $3,162.28 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $407.38 Median $524.81 Typical High $794.33 | Professional | 55 · Aftercare only | $407.38 | $524.81 | $794.33 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,698.24 Median $2,187.76 Typical High $3,388.44 | Professional | 78 · Unplanned return to OR | $1,698.24 | $2,187.76 | $3,388.44 |
Cigna Setting Facility Modifier None Typical Low $1,862.09 Median $2,951.21 Typical High $5,623.41 | Facility | None | $1,862.09 | $2,951.21 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $1,778.28 Median $3,019.95 Typical High $4,786.30 | Professional | None | $1,778.28 | $3,019.95 | $4,786.30 |
Health Partners Setting Facility Modifier None Typical Low $1,659.59 Median $2,754.23 Typical High $4,677.35 | Facility | None | $1,659.59 | $2,754.23 | $4,677.35 |
Health Partners Setting Professional Modifier None Typical Low $1,584.89 Median $2,818.38 Typical High $4,466.84 | Professional | None | $1,584.89 | $2,818.38 | $4,466.84 |
Medica Setting Facility Modifier None Typical Low $1,995.26 Median $4,897.79 Typical High $10,715.19 | Facility | None | $1,995.26 | $4,897.79 | $10,715.19 |
Medica Setting Professional Modifier None Typical Low $1,288.25 Median $2,290.87 Typical High $8,709.64 | Professional | None | $1,288.25 | $2,290.87 | $8,709.64 |
United Setting Facility Modifier None Typical Low $3,235.94 Median $5,370.32 Typical High $12,882.50 | Facility | None | $3,235.94 | $5,370.32 | $12,882.50 |
United Setting Professional Modifier None Typical Low $1,202.26 Median $2,089.30 Typical High $4,365.16 | Professional | None | $1,202.26 | $2,089.30 | $4,365.16 |
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 $602.56 | Professional | 52 · Reduced service | $562.34 | $562.34 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $223.87 Typical High $245.47 | Professional | 53 · Discontinued | $223.87 | $223.87 | $245.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $112.20 Typical High $120.23 | Professional | 56 · Pre-op care only | $112.20 | $112.20 | $120.23 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,258.93 Median $1,621.81 Typical High $2,511.89 | Professional | 62 · Two surgeons | $1,258.93 | $1,621.81 | $2,511.89 |
Where Minnesota sits
The same service costs 5.5 times more in Colorado 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
CO $14,842WV $2,709
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.