How much rates vary
Facilitymedian $2,042 · 10th to 90th $1,000 to $22,387Professionalmedian $2,042 · 10th to 90th $1,148 to $3,715
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 $1,000.00 Median $1,000.00 Typical High $22,387.21 | Facility | None | $1,000.00 | $1,000.00 | $22,387.21 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | 54 · Surgery only | $758.58 | $758.58 | $758.58 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | 55 · Aftercare only | $151.36 | $151.36 | $151.36 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | 78 · Unplanned return to OR | $707.95 | $707.95 | $707.95 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,380.38 | Professional | None | $1,000.00 | $1,000.00 | $1,380.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $758.58 Median $758.58 Typical High $912.01 | Professional | 54 · Surgery only | $758.58 | $758.58 | $912.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $151.36 Typical High $181.97 | Professional | 55 · Aftercare only | $151.36 | $151.36 | $181.97 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $707.95 Typical High $851.14 | Professional | 78 · Unplanned return to OR | $707.95 | $707.95 | $851.14 |
BCBS Minnesota Setting Facility Modifier None Typical Low $15,135.61 Median $28,183.83 Typical High $54,954.09 | Facility | None | $15,135.61 | $28,183.83 | $54,954.09 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $22,387.21 Median $42,657.95 Typical High $75,857.76 | Facility | 50 · Both sides | $22,387.21 | $42,657.95 | $75,857.76 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,513.56 Median $2,041.74 Typical High $3,388.44 | Professional | None | $1,513.56 | $2,041.74 | $3,388.44 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $2,290.87 Median $3,090.30 Typical High $5,011.87 | Professional | 50 · Both sides | $2,290.87 | $3,090.30 | $5,011.87 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,202.26 Median $1,621.81 Typical High $2,691.53 | Professional | 54 · Surgery only | $1,202.26 | $1,621.81 | $2,691.53 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $302.00 Median $407.38 Typical High $660.69 | Professional | 55 · Aftercare only | $302.00 | $407.38 | $660.69 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,258.93 Median $1,737.80 Typical High $2,818.38 | Professional | 78 · Unplanned return to OR | $1,258.93 | $1,737.80 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $1,479.11 Median $2,290.87 Typical High $4,365.16 | Facility | None | $1,479.11 | $2,290.87 | $4,365.16 |
Cigna Setting Professional Modifier None Typical Low $1,698.24 Median $2,511.89 Typical High $3,890.45 | Professional | None | $1,698.24 | $2,511.89 | $3,890.45 |
Health Partners Setting Facility Modifier None Typical Low $1,288.25 Median $2,089.30 Typical High $3,630.78 | Facility | None | $1,288.25 | $2,089.30 | $3,630.78 |
Health Partners Setting Professional Modifier None Typical Low $1,479.11 Median $2,187.76 Typical High $3,630.78 | Professional | None | $1,479.11 | $2,187.76 | $3,630.78 |
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 $1,230.27 Median $1,995.26 Typical High $3,981.07 | Professional | None | $1,230.27 | $1,995.26 | $3,981.07 |
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 $1,148.15 Median $1,995.26 Typical High $4,168.69 | Professional | None | $1,148.15 | $1,995.26 | $4,168.69 |
2 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 56 · Pre-op care only Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | 56 · Pre-op care only | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $100.00 Typical High $120.23 | Professional | 56 · Pre-op care only | $100.00 | $100.00 | $120.23 |
Where Minnesota sits
The same service costs 9.4 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 $15,900MD $1,684
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.