How much rates vary
Facilitymedian $2,455 · 10th to 90th $977 to $8,913Professionalmedian $1,778 · 10th to 90th $977 to $3,631
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 $977.24 Median $977.24 Typical High $977.24 | Facility | None | $977.24 | $977.24 | $977.24 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | 54 · Surgery only | $724.44 | $724.44 | $724.44 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $676.08 Typical High $676.08 | Facility | 78 · Unplanned return to OR | $676.08 | $676.08 | $676.08 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,096.48 | Professional | None | $977.24 | $977.24 | $1,096.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $724.44 Typical High $812.83 | Professional | 54 · Surgery only | $724.44 | $724.44 | $812.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $676.08 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $676.08 | $676.08 | $758.58 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,897.79 Median $7,413.10 Typical High $14,454.40 | Facility | None | $4,897.79 | $7,413.10 | $14,454.40 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,318.26 Median $1,659.59 Typical High $3,019.95 | Professional | None | $1,318.26 | $1,659.59 | $3,019.95 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,047.13 Median $1,348.96 Typical High $2,454.71 | Professional | 54 · Surgery only | $1,047.13 | $1,348.96 | $2,454.71 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,096.48 Median $1,412.54 Typical High $2,570.40 | Professional | 78 · Unplanned return to OR | $1,096.48 | $1,412.54 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $1,513.56 Median $2,344.23 Typical High $4,466.84 | Facility | None | $1,513.56 | $2,344.23 | $4,466.84 |
Cigna Setting Professional Modifier None Typical Low $1,348.96 Median $2,290.87 Typical High $3,890.45 | Professional | None | $1,348.96 | $2,290.87 | $3,890.45 |
Health Partners Setting Facility Modifier None Typical Low $1,348.96 Median $2,187.76 Typical High $3,801.89 | Facility | None | $1,348.96 | $2,187.76 | $3,801.89 |
Health Partners Setting Professional Modifier None Typical Low $1,348.96 Median $2,137.96 Typical High $3,630.78 | Professional | None | $1,348.96 | $2,137.96 | $3,630.78 |
Medica Setting Facility Modifier None Typical Low $1,621.81 Median $2,818.38 Typical High $7,762.47 | Facility | None | $1,621.81 | $2,818.38 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $1,023.29 Median $1,737.80 Typical High $7,244.36 | Professional | None | $1,023.29 | $1,737.80 | $7,244.36 |
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 $977.24 Median $1,659.59 Typical High $3,311.31 | Professional | None | $977.24 | $1,659.59 | $3,311.31 |
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 $489.78 Median $489.78 Typical High $489.78 | Facility | 52 · Reduced service | $489.78 | $489.78 | $489.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | 53 · Discontinued | $194.98 | $194.98 | $194.98 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | 55 · Aftercare only | $147.91 | $147.91 | $147.91 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | 56 · Pre-op care only | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $489.78 Median $489.78 Typical High $537.03 | Professional | 52 · Reduced service | $489.78 | $489.78 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $194.98 Typical High $218.78 | Professional | 53 · Discontinued | $194.98 | $194.98 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $147.91 Typical High $162.18 | Professional | 55 · Aftercare only | $147.91 | $147.91 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $97.72 Typical High $109.65 | Professional | 56 · Pre-op care only | $97.72 | $97.72 | $109.65 |
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 $1,995.26 Median $2,511.89 Typical High $4,570.88 | Professional | 50 · Both sides | $1,995.26 | $2,511.89 | $4,570.88 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $263.03 Median $338.84 Typical High $588.84 | Professional | 55 · Aftercare only | $263.03 | $338.84 | $588.84 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $831.76 Median $1,047.13 Typical High $1,862.09 | Professional | 62 · Two surgeons | $831.76 | $1,047.13 | $1,862.09 |
Where Minnesota sits
The same service costs 3.1 times more in Wisconsin than in Florida. 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
WI $8,254FL $2,626
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.