How much rates vary
Facilitymedian $2,399 · 10th to 90th $1,072 to $8,318Professionalmedian $2,951 · 10th to 90th $1,622 to $5,370
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 $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | None | $1,380.38 | $1,380.38 | $1,380.38 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | 54 · Surgery only | $1,047.13 | $1,047.13 | $1,047.13 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | 55 · Aftercare only | $208.93 | $208.93 | $208.93 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $977.24 Median $977.24 Typical High $977.24 | Facility | 78 · Unplanned return to OR | $977.24 | $977.24 | $977.24 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,659.59 | Professional | None | $1,380.38 | $1,380.38 | $1,659.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,047.13 Median $1,047.13 Typical High $1,258.93 | Professional | 54 · Surgery only | $1,047.13 | $1,047.13 | $1,258.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $208.93 Typical High $251.19 | Professional | 55 · Aftercare only | $208.93 | $208.93 | $251.19 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $977.24 Median $977.24 Typical High $1,174.90 | Professional | 78 · Unplanned return to OR | $977.24 | $977.24 | $1,174.90 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,801.89 Median $8,317.64 Typical High $15,135.61 | Facility | None | $3,801.89 | $8,317.64 | $15,135.61 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,238.72 Median $2,951.21 Typical High $4,786.30 | Professional | None | $2,238.72 | $2,951.21 | $4,786.30 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,778.28 Median $2,344.23 Typical High $3,890.45 | Professional | 54 · Surgery only | $1,778.28 | $2,344.23 | $3,890.45 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $446.68 Median $588.84 Typical High $954.99 | Professional | 55 · Aftercare only | $446.68 | $588.84 | $954.99 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,862.09 Median $2,454.71 Typical High $4,073.80 | Professional | 78 · Unplanned return to OR | $1,862.09 | $2,454.71 | $4,073.80 |
Cigna Setting Facility Modifier None Typical Low $2,089.30 Median $3,311.31 Typical High $6,309.57 | Facility | None | $2,089.30 | $3,311.31 | $6,309.57 |
Cigna Setting Professional Modifier None Typical Low $2,398.83 Median $3,801.89 Typical High $5,888.44 | Professional | None | $2,398.83 | $3,801.89 | $5,888.44 |
Health Partners Setting Facility Modifier None Typical Low $1,862.09 Median $3,019.95 Typical High $5,248.07 | Facility | None | $1,862.09 | $3,019.95 | $5,248.07 |
Health Partners Setting Professional Modifier None Typical Low $2,137.96 Median $3,388.44 Typical High $5,248.07 | Professional | None | $2,137.96 | $3,388.44 | $5,248.07 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $3,388.44 | Facility | None | $758.58 | $1,445.44 | $3,388.44 |
Medica Setting Professional Modifier None Typical Low $1,621.81 Median $3,019.95 Typical High $12,022.64 | Professional | None | $1,621.81 | $3,019.95 | $12,022.64 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,513.56 Typical High $3,630.78 | Facility | None | $758.58 | $1,513.56 | $3,630.78 |
United Setting Professional Modifier None Typical Low $1,584.89 Median $2,754.23 Typical High $5,754.40 | Professional | None | $1,584.89 | $2,754.23 | $5,754.40 |
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 $691.83 Median $691.83 Typical High $691.83 | Facility | 52 · Reduced service | $691.83 | $691.83 | $691.83 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | 53 · Discontinued | $281.84 | $281.84 | $281.84 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | 56 · Pre-op care only | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $691.83 Median $691.83 Typical High $831.76 | Professional | 52 · Reduced service | $691.83 | $691.83 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $281.84 Typical High $331.13 | Professional | 53 · Discontinued | $281.84 | $281.84 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $138.04 Typical High $165.96 | Professional | 56 · Pre-op care only | $138.04 | $138.04 | $165.96 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,412.54 Median $1,819.70 Typical High $2,951.21 | Professional | 62 · Two surgeons | $1,412.54 | $1,819.70 | $2,951.21 |
Where Minnesota sits
The same service costs 13.5 times more in Maine than in Washington. 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
ME $28,253WA $2,096
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.