How much rates vary
Facilitymedian $3,236 · 10th to 90th $1,047 to $11,749Professionalmedian $2,291 · 10th to 90th $1,047 to $4,266
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 $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | None | $1,047.13 | $1,047.13 | $1,047.13 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $776.25 Median $776.25 Typical High $776.25 | Facility | 54 · Surgery only | $776.25 | $776.25 | $776.25 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | 78 · Unplanned return to OR | $724.44 | $724.44 | $724.44 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,230.27 | Professional | None | $1,047.13 | $1,047.13 | $1,230.27 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $776.25 Typical High $831.76 | Professional | 54 · Surgery only | $776.25 | $776.25 | $831.76 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $724.44 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $724.44 | $724.44 | $776.25 |
BCBS Minnesota Setting Facility Modifier None Typical Low $5,248.07 Median $11,748.98 Typical High $26,915.35 | Facility | None | $5,248.07 | $11,748.98 | $26,915.35 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,778.28 Median $2,454.71 Typical High $3,890.45 | Professional | None | $1,778.28 | $2,454.71 | $3,890.45 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,412.54 Median $1,949.84 Typical High $3,019.95 | Professional | 54 · Surgery only | $1,412.54 | $1,949.84 | $3,019.95 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,479.11 Median $2,041.74 Typical High $3,235.94 | Professional | 78 · Unplanned return to OR | $1,479.11 | $2,041.74 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $1,737.80 Median $2,691.53 Typical High $5,128.61 | Facility | None | $1,737.80 | $2,691.53 | $5,128.61 |
Cigna Setting Professional Modifier None Typical Low $1,659.59 Median $2,818.38 Typical High $4,365.16 | Professional | None | $1,659.59 | $2,818.38 | $4,365.16 |
Health Partners Setting Facility Modifier None Typical Low $1,548.82 Median $2,454.71 Typical High $4,265.80 | Facility | None | $1,548.82 | $2,454.71 | $4,265.80 |
Health Partners Setting Professional Modifier None Typical Low $1,479.11 Median $2,570.40 Typical High $4,168.69 | Professional | None | $1,479.11 | $2,570.40 | $4,168.69 |
Medica Setting Facility Modifier None Typical Low $1,819.70 Median $4,897.79 Typical High $10,715.19 | Facility | None | $1,819.70 | $4,897.79 | $10,715.19 |
Medica Setting Professional Modifier None Typical Low $1,258.93 Median $2,187.76 Typical High $9,772.37 | Professional | None | $1,258.93 | $2,187.76 | $9,772.37 |
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 $1,174.90 Median $1,995.26 Typical High $4,168.69 | Professional | None | $1,174.90 | $1,995.26 | $4,168.69 |
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 $524.81 Median $524.81 Typical High $524.81 | Facility | 52 · Reduced service | $524.81 | $524.81 | $524.81 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | 53 · Discontinued | $208.93 | $208.93 | $208.93 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $154.88 Median $154.88 Typical High $154.88 | Facility | 55 · Aftercare only | $154.88 | $154.88 | $154.88 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | 56 · Pre-op care only | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $524.81 Median $524.81 Typical High $562.34 | Professional | 52 · Reduced service | $524.81 | $524.81 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $208.93 Typical High $223.87 | Professional | 53 · Discontinued | $208.93 | $208.93 | $223.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $154.88 Typical High $165.96 | Professional | 55 · Aftercare only | $154.88 | $154.88 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $104.71 Typical High $112.20 | Professional | 56 · Pre-op care only | $104.71 | $104.71 | $112.20 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $14,125.38 Median $26,302.68 Typical High $47,863.01 | Facility | 50 · Both sides | $14,125.38 | $26,302.68 | $47,863.01 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $2,691.53 Median $3,715.35 Typical High $5,888.44 | Professional | 50 · Both sides | $2,691.53 | $3,715.35 | $5,888.44 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $363.08 Median $489.78 Typical High $758.58 | Professional | 55 · Aftercare only | $363.08 | $489.78 | $758.58 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,122.02 Median $1,513.56 Typical High $2,454.71 | Professional | 62 · Two surgeons | $1,122.02 | $1,513.56 | $2,454.71 |
Where Minnesota sits
The same service costs 5.0 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 $14,731KY $2,968
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.