How much rates vary
Facilitymedian $1,905 · 10th to 90th $1,072 to $8,318Professionalmedian $2,239 · 10th to 90th $1,202 to $4,074
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 $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,096.48 | $1,096.48 | $1,096.48 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $812.83 Median $812.83 Typical High $812.83 | Facility | 54 · Surgery only | $812.83 | $812.83 | $812.83 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | 78 · Unplanned return to OR | $758.58 | $758.58 | $758.58 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,380.38 | Professional | None | $1,096.48 | $1,096.48 | $1,380.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $812.83 Median $812.83 Typical High $977.24 | Professional | 54 · Surgery only | $812.83 | $812.83 | $977.24 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $758.58 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $758.58 | $758.58 | $912.01 |
BCBS Minnesota Setting Facility Modifier None Typical Low $5,888.44 Median $10,471.29 Typical High $20,417.38 | Facility | None | $5,888.44 | $10,471.29 | $20,417.38 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,659.59 Median $2,344.23 Typical High $3,715.35 | Professional | None | $1,659.59 | $2,344.23 | $3,715.35 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,318.26 Median $1,862.09 Typical High $2,951.21 | Professional | 54 · Surgery only | $1,318.26 | $1,862.09 | $2,951.21 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,380.38 Median $1,949.84 Typical High $3,090.30 | Professional | 78 · Unplanned return to OR | $1,380.38 | $1,949.84 | $3,090.30 |
Cigna Setting Facility Modifier None Typical Low $1,584.89 Median $2,454.71 Typical High $4,677.35 | Facility | None | $1,584.89 | $2,454.71 | $4,677.35 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $2,754.23 Typical High $4,265.80 | Professional | None | $1,819.70 | $2,754.23 | $4,265.80 |
Health Partners Setting Facility Modifier None Typical Low $1,412.54 Median $2,238.72 Typical High $3,981.07 | Facility | None | $1,412.54 | $2,238.72 | $3,981.07 |
Health Partners Setting Professional Modifier None Typical Low $1,584.89 Median $2,398.83 Typical High $3,890.45 | Professional | None | $1,584.89 | $2,398.83 | $3,890.45 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,412.54 Typical High $3,019.95 | Facility | None | $758.58 | $1,412.54 | $3,019.95 |
Medica Setting Professional Modifier None Typical Low $1,348.96 Median $2,137.96 Typical High $4,265.80 | Professional | None | $1,348.96 | $2,137.96 | $4,265.80 |
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 $1,258.93 Median $2,137.96 Typical High $4,466.84 | Professional | None | $1,258.93 | $2,137.96 | $4,466.84 |
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 $549.54 Median $549.54 Typical High $549.54 | Facility | 52 · Reduced service | $549.54 | $549.54 | $549.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | 53 · Discontinued | $218.78 | $218.78 | $218.78 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | 55 · Aftercare only | $162.18 | $162.18 | $162.18 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | 56 · Pre-op care only | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $549.54 Median $549.54 Typical High $660.69 | Professional | 52 · Reduced service | $549.54 | $549.54 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $218.78 Typical High $263.03 | Professional | 53 · Discontinued | $218.78 | $218.78 | $263.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $162.18 Typical High $194.98 | Professional | 55 · Aftercare only | $162.18 | $162.18 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $109.65 Typical High $131.83 | Professional | 56 · Pre-op care only | $109.65 | $109.65 | $131.83 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $10,715.19 Median $19,952.62 Typical High $36,307.81 | Facility | 50 · Both sides | $10,715.19 | $19,952.62 | $36,307.81 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $2,454.71 Median $3,548.13 Typical High $5,495.41 | Professional | 50 · Both sides | $2,454.71 | $3,548.13 | $5,495.41 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $331.13 Median $446.68 Typical High $724.44 | Professional | 55 · Aftercare only | $331.13 | $446.68 | $724.44 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,023.29 Median $1,412.54 Typical High $2,344.23 | Professional | 62 · Two surgeons | $1,023.29 | $1,412.54 | $2,344.23 |
Where Minnesota sits
The same service costs 8.6 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 $15,674MD $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.