How much rates vary
Facilitymedian $2,089 · 10th to 90th $1,072 to $8,710Professionalmedian $2,455 · 10th to 90th $1,380 to $4,365
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 $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,174.90 | $1,174.90 | $1,174.90 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | 54 · Surgery only | $891.25 | $891.25 | $891.25 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,479.11 | Professional | None | $1,174.90 | $1,174.90 | $1,479.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $891.25 Median $891.25 Typical High $1,071.52 | Professional | 54 · Surgery only | $891.25 | $891.25 | $1,071.52 |
BCBS Minnesota Setting Facility Modifier None Typical Low $6,309.57 Median $10,964.78 Typical High $21,877.62 | Facility | None | $6,309.57 | $10,964.78 | $21,877.62 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,778.28 Median $2,398.83 Typical High $3,981.07 | Professional | None | $1,778.28 | $2,398.83 | $3,981.07 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,412.54 Median $1,949.84 Typical High $3,162.28 | Professional | 54 · Surgery only | $1,412.54 | $1,949.84 | $3,162.28 |
Cigna Setting Facility Modifier None Typical Low $1,698.24 Median $2,691.53 Typical High $5,128.61 | Facility | None | $1,698.24 | $2,691.53 | $5,128.61 |
Cigna Setting Professional Modifier None Typical Low $1,995.26 Median $2,951.21 Typical High $4,570.88 | Professional | None | $1,995.26 | $2,951.21 | $4,570.88 |
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 $1,737.80 Median $2,570.40 Typical High $4,265.80 | Professional | None | $1,737.80 | $2,570.40 | $4,265.80 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $3,162.28 | Facility | None | $758.58 | $1,445.44 | $3,162.28 |
Medica Setting Professional Modifier None Typical Low $1,412.54 Median $2,290.87 Typical High $4,677.35 | Professional | None | $1,412.54 | $2,290.87 | $4,677.35 |
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 $1,348.96 Median $2,290.87 Typical High $4,786.30 | Professional | None | $1,348.96 | $2,290.87 | $4,786.30 |
13 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 $588.84 Median $588.84 Typical High $588.84 | Facility | 52 · Reduced service | $588.84 | $588.84 | $588.84 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | 53 · Discontinued | $234.42 | $234.42 | $234.42 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | 55 · Aftercare only | $177.83 | $177.83 | $177.83 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $117.49 Median $117.49 Typical High $117.49 | Facility | 56 · Pre-op care only | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $588.84 Median $588.84 Typical High $707.95 | Professional | 52 · Reduced service | $588.84 | $588.84 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $234.42 Typical High $288.40 | Professional | 53 · Discontinued | $234.42 | $234.42 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $177.83 Typical High $213.80 | Professional | 55 · Aftercare only | $177.83 | $177.83 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $117.49 Typical High $141.25 | Professional | 56 · Pre-op care only | $117.49 | $117.49 | $141.25 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $11,220.18 Median $20,892.96 Typical High $38,018.94 | Facility | 50 · Both sides | $11,220.18 | $20,892.96 | $38,018.94 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $2,691.53 Median $3,630.78 Typical High $5,888.44 | Professional | 50 · Both sides | $2,691.53 | $3,630.78 | $5,888.44 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $354.81 Median $478.63 Typical High $776.25 | Professional | 55 · Aftercare only | $354.81 | $478.63 | $776.25 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,122.02 Median $1,513.56 Typical High $2,454.71 | Professional | 62 · Two surgeons | $1,122.02 | $1,513.56 | $2,454.71 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,513.56 Median $2,041.74 Typical High $3,311.31 | Professional | 78 · Unplanned return to OR | $1,513.56 | $2,041.74 | $3,311.31 |
Where Minnesota sits
The same service costs 15.0 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 $27,402MD $1,821
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.