How much rates vary
Facilitymedian $2,570 · 10th to 90th $1,072 to $10,471Professionalmedian $3,162 · 10th to 90th $1,862 to $5,754
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 $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | None | $1,548.82 | $1,548.82 | $1,548.82 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Facility | 54 · Surgery only | $1,148.15 | $1,148.15 | $1,148.15 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | 55 · Aftercare only | $234.42 | $234.42 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,905.46 | Professional | None | $1,548.82 | $1,548.82 | $1,905.46 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,148.15 Median $1,148.15 Typical High $1,412.54 | Professional | 54 · Surgery only | $1,148.15 | $1,148.15 | $1,412.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $234.42 Median $234.42 Typical High $281.84 | Professional | 55 · Aftercare only | $234.42 | $234.42 | $281.84 |
BCBS Minnesota Setting Facility Modifier None Typical Low $7,585.78 Median $12,022.64 Typical High $21,877.62 | Facility | None | $7,585.78 | $12,022.64 | $21,877.62 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,344.23 Median $3,162.28 Typical High $5,128.61 | Professional | None | $2,344.23 | $3,162.28 | $5,128.61 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,862.09 Median $2,511.89 Typical High $4,073.80 | Professional | 54 · Surgery only | $1,862.09 | $2,511.89 | $4,073.80 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $467.74 Median $630.96 Typical High $1,000.00 | Professional | 55 · Aftercare only | $467.74 | $630.96 | $1,000.00 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,949.84 Median $2,630.27 Typical High $4,365.16 | Professional | 78 · Unplanned return to OR | $1,949.84 | $2,630.27 | $4,365.16 |
Cigna Setting Facility Modifier None Typical Low $2,238.72 Median $3,467.37 Typical High $6,606.93 | Facility | None | $2,238.72 | $3,467.37 | $6,606.93 |
Cigna Setting Professional Modifier None Typical Low $2,630.27 Median $3,890.45 Typical High $6,025.60 | Professional | None | $2,630.27 | $3,890.45 | $6,025.60 |
Health Partners Setting Facility Modifier None Typical Low $1,995.26 Median $3,235.94 Typical High $5,623.41 | Facility | None | $1,995.26 | $3,235.94 | $5,623.41 |
Health Partners Setting Professional Modifier None Typical Low $2,238.72 Median $3,388.44 Typical High $5,495.41 | Professional | None | $2,238.72 | $3,388.44 | $5,495.41 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $3,467.37 | Facility | None | $758.58 | $1,445.44 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $1,905.46 Median $3,162.28 Typical High $6,165.95 | Professional | None | $1,905.46 | $3,162.28 | $6,165.95 |
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 $1,778.28 Median $3,019.95 Typical High $6,309.57 | Professional | None | $1,778.28 | $3,019.95 | $6,309.57 |
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 $776.25 Median $776.25 Typical High $776.25 | Facility | 52 · Reduced service | $776.25 | $776.25 | $776.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $309.03 Median $309.03 Typical High $309.03 | Facility | 53 · Discontinued | $309.03 | $309.03 | $309.03 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $154.88 Median $154.88 Typical High $154.88 | Facility | 56 · Pre-op care only | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $776.25 Median $776.25 Typical High $933.25 | Professional | 52 · Reduced service | $776.25 | $776.25 | $933.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $309.03 Median $309.03 Typical High $371.54 | Professional | 53 · Discontinued | $309.03 | $309.03 | $371.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $154.88 Median $154.88 Typical High $186.21 | Professional | 56 · Pre-op care only | $154.88 | $154.88 | $186.21 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,445.44 Median $1,995.26 Typical High $3,090.30 | Professional | 62 · Two surgeons | $1,445.44 | $1,995.26 | $3,090.30 |
Where Minnesota sits
The same service costs 24.1 times more in Maine than in Maryland. 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 $53,525MD $2,222
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.