How much rates vary
Facilitymedian $2,754 · 10th to 90th $1,096 to $8,511Professionalmedian $1,950 · 10th to 90th $1,096 to $3,890
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 $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,096.48 | $1,096.48 | $1,096.48 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | 54 · Surgery only | $831.76 | $831.76 | $831.76 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | 55 · Aftercare only | $165.96 | $165.96 | $165.96 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $776.25 Median $776.25 Typical High $776.25 | Facility | 78 · Unplanned return to OR | $776.25 | $776.25 | $776.25 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,096.48 Typical High $1,412.54 | Professional | None | $1,000.00 | $1,096.48 | $1,412.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $831.76 Median $831.76 Typical High $912.01 | Professional | 54 · Surgery only | $831.76 | $831.76 | $912.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $165.96 Typical High $181.97 | Professional | 55 · Aftercare only | $165.96 | $165.96 | $181.97 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $776.25 Median $776.25 Typical High $851.14 | Professional | 78 · Unplanned return to OR | $776.25 | $776.25 | $851.14 |
BCBS Minnesota Setting Facility Modifier None Typical Low $5,011.87 Median $7,413.10 Typical High $14,454.40 | Facility | None | $5,011.87 | $7,413.10 | $14,454.40 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,548.82 Median $1,949.84 Typical High $3,388.44 | Professional | None | $1,548.82 | $1,949.84 | $3,388.44 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,230.27 Median $1,584.89 Typical High $2,754.23 | Professional | 54 · Surgery only | $1,230.27 | $1,584.89 | $2,754.23 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $309.03 Median $398.11 Typical High $660.69 | Professional | 55 · Aftercare only | $309.03 | $398.11 | $660.69 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,288.25 Median $1,659.59 Typical High $2,884.03 | Professional | 78 · Unplanned return to OR | $1,288.25 | $1,659.59 | $2,884.03 |
Cigna Setting Facility Modifier None Typical Low $1,698.24 Median $2,630.27 Typical High $5,128.61 | Facility | None | $1,698.24 | $2,630.27 | $5,128.61 |
Cigna Setting Professional Modifier None Typical Low $1,513.56 Median $2,570.40 Typical High $4,365.16 | Professional | None | $1,513.56 | $2,570.40 | $4,365.16 |
Health Partners Setting Facility Modifier None Typical Low $1,513.56 Median $2,454.71 Typical High $4,265.80 | Facility | None | $1,513.56 | $2,454.71 | $4,265.80 |
Health Partners Setting Professional Modifier None Typical Low $1,513.56 Median $2,398.83 Typical High $4,168.69 | Professional | None | $1,513.56 | $2,398.83 | $4,168.69 |
Medica Setting Facility Modifier None Typical Low $1,819.70 Median $2,818.38 Typical High $7,762.47 | Facility | None | $1,819.70 | $2,818.38 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $1,071.52 Median $1,778.28 Typical High $7,762.47 | Professional | None | $1,071.52 | $1,778.28 | $7,762.47 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $10,000.00 | Facility | None | $1,995.26 | $3,090.30 | $10,000.00 |
United Setting Professional Modifier None Typical Low $1,023.29 Median $1,698.24 Typical High $3,467.37 | Professional | None | $1,023.29 | $1,698.24 | $3,467.37 |
9 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 $549.54 Median $549.54 Typical High $549.54 | Facility | 52 · Reduced service | $549.54 | $549.54 | $549.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | 53 · Discontinued | $218.78 | $218.78 | $218.78 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | 56 · Pre-op care only | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $549.54 Median $549.54 Typical High $616.60 | Professional | 52 · Reduced service | $549.54 | $549.54 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $218.78 Typical High $245.47 | Professional | 53 · Discontinued | $218.78 | $218.78 | $245.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $109.65 Typical High $123.03 | Professional | 56 · Pre-op care only | $109.65 | $109.65 | $123.03 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $7,413.10 Median $14,125.38 Typical High $25,118.86 | Facility | 50 · Both sides | $7,413.10 | $14,125.38 | $25,118.86 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $2,344.23 Median $2,951.21 Typical High $5,128.61 | Professional | 50 · Both sides | $2,344.23 | $2,951.21 | $5,128.61 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $977.24 Median $1,230.27 Typical High $2,137.96 | Professional | 62 · Two surgeons | $977.24 | $1,230.27 | $2,137.96 |
Where Minnesota sits
The same service costs 3.4 times more in Alaska 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
AK $8,636WV $2,535
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.