How much rates vary
Facilitymedian $2,344 · 10th to 90th $871 to $7,079Professionalmedian $1,549 · 10th to 90th $871 to $3,090
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 $870.96 Median $870.96 Typical High $4,897.79 | Facility | None | $870.96 | $870.96 | $4,897.79 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | 54 · Surgery only | $660.69 | $660.69 | $660.69 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | 55 · Aftercare only | $131.83 | $131.83 | $131.83 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $616.60 Typical High $616.60 | Facility | 78 · Unplanned return to OR | $616.60 | $616.60 | $616.60 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $870.96 Typical High $1,071.52 | Professional | None | $794.33 | $870.96 | $1,071.52 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $660.69 Median $660.69 Typical High $724.44 | Professional | 54 · Surgery only | $660.69 | $660.69 | $724.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $131.83 Typical High $144.54 | Professional | 55 · Aftercare only | $131.83 | $131.83 | $144.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $616.60 Typical High $676.08 | Professional | 78 · Unplanned return to OR | $616.60 | $616.60 | $676.08 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,073.80 Median $7,585.78 Typical High $15,488.17 | Facility | None | $4,073.80 | $7,585.78 | $15,488.17 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,230.27 Median $1,548.82 Typical High $2,691.53 | Professional | None | $1,230.27 | $1,548.82 | $2,691.53 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $977.24 Median $1,258.93 Typical High $2,187.76 | Professional | 54 · Surgery only | $977.24 | $1,258.93 | $2,187.76 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $245.47 Median $316.23 Typical High $524.81 | Professional | 55 · Aftercare only | $245.47 | $316.23 | $524.81 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,023.29 Median $1,318.26 Typical High $2,290.87 | Professional | 78 · Unplanned return to OR | $1,023.29 | $1,318.26 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $1,348.96 Median $2,089.30 Typical High $4,073.80 | Facility | None | $1,348.96 | $2,089.30 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $2,041.74 Typical High $3,467.37 | Professional | None | $1,202.26 | $2,041.74 | $3,467.37 |
Health Partners Setting Facility Modifier None Typical Low $1,202.26 Median $1,949.84 Typical High $3,388.44 | Facility | None | $1,202.26 | $1,949.84 | $3,388.44 |
Health Partners Setting Professional Modifier None Typical Low $1,202.26 Median $1,905.46 Typical High $3,311.31 | Professional | None | $1,202.26 | $1,905.46 | $3,311.31 |
Medica Setting Facility Modifier None Typical Low $1,445.44 Median $2,187.76 Typical High $6,760.83 | Facility | None | $1,445.44 | $2,187.76 | $6,760.83 |
Medica Setting Professional Modifier None Typical Low $870.96 Median $1,412.54 Typical High $6,165.95 | Professional | None | $870.96 | $1,412.54 | $6,165.95 |
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 $812.83 Median $1,348.96 Typical High $2,754.23 | Professional | None | $812.83 | $1,348.96 | $2,754.23 |
8 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 $436.52 Median $436.52 Typical High $436.52 | Facility | 52 · Reduced service | $436.52 | $436.52 | $436.52 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | 53 · Discontinued | $173.78 | $173.78 | $173.78 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | 56 · Pre-op care only | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $436.52 Median $436.52 Typical High $489.78 | Professional | 52 · Reduced service | $436.52 | $436.52 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $173.78 Typical High $194.98 | Professional | 53 · Discontinued | $173.78 | $173.78 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $87.10 Typical High $97.72 | Professional | 56 · Pre-op care only | $87.10 | $87.10 | $97.72 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $7,943.28 Median $15,135.61 Typical High $26,915.35 | Facility | 50 · Both sides | $7,943.28 | $15,135.61 | $26,915.35 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $1,862.09 Median $2,344.23 Typical High $4,073.80 | Professional | 50 · Both sides | $1,862.09 | $2,344.23 | $4,073.80 |
Where Minnesota sits
The same service costs 5.4 times more in Alaska than in South Carolina. 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
AK $8,807SC $1,633
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.