How much rates vary
Facilitymedian $776 · 10th to 90th $324 to $3,631Professionalmedian $661 · 10th to 90th $398 to $1,202
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 $323.59 Median $323.59 Typical High $323.59 | Facility | None | $323.59 | $323.59 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $407.38 | Professional | None | $323.59 | $323.59 | $407.38 |
BCBS Minnesota Setting Facility Modifier None Typical Low $776.25 Median $9,332.54 Typical High $21,379.62 | Facility | None | $776.25 | $9,332.54 | $21,379.62 |
BCBS Minnesota Setting Professional Modifier None Typical Low $489.78 Median $660.69 Typical High $1,071.52 | Professional | None | $489.78 | $660.69 | $1,071.52 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $309.03 Median $416.87 Typical High $676.08 | Professional | 62 · Two surgeons | $309.03 | $416.87 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $724.44 Typical High $1,380.38 | Facility | None | $467.74 | $724.44 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $812.83 Typical High $1,258.93 | Professional | None | $549.54 | $812.83 | $1,258.93 |
Health Partners Setting Facility Modifier None Typical Low $416.87 Median $676.08 Typical High $1,174.90 | Facility | None | $416.87 | $676.08 | $1,174.90 |
Health Partners Setting Professional Modifier None Typical Low $467.74 Median $707.95 Typical High $1,148.15 | Professional | None | $467.74 | $707.95 | $1,148.15 |
Medica Setting Facility Modifier None Typical Low $501.19 Median $1,148.15 Typical High $3,019.95 | Facility | None | $501.19 | $1,148.15 | $3,019.95 |
Medica Setting Professional Modifier None Typical Low $398.11 Median $645.65 Typical High $1,288.25 | Professional | None | $398.11 | $645.65 | $1,288.25 |
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 $371.54 Median $630.96 Typical High $1,318.26 | Professional | None | $371.54 | $630.96 | $1,318.26 |
10 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 $162.18 Median $162.18 Typical High $162.18 | Facility | 52 · Reduced service | $162.18 | $162.18 | $162.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | 53 · Discontinued | $64.57 | $64.57 | $64.57 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | 54 · Surgery only | $245.47 | $245.47 | $245.47 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | 55 · Aftercare only | $48.98 | $48.98 | $48.98 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | 56 · Pre-op care only | $32.36 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $162.18 Median $162.18 Typical High $194.98 | Professional | 52 · Reduced service | $162.18 | $162.18 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $64.57 Typical High $77.62 | Professional | 53 · Discontinued | $64.57 | $64.57 | $77.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $245.47 Median $245.47 Typical High $295.12 | Professional | 54 · Surgery only | $245.47 | $245.47 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $48.98 Typical High $58.88 | Professional | 55 · Aftercare only | $48.98 | $48.98 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $32.36 Typical High $38.90 | Professional | 56 · Pre-op care only | $32.36 | $32.36 | $38.90 |
Where Minnesota sits
The same service costs 30.0 times more in Maine than in Delaware. 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 $26,760DE $893
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.