How much rates vary
Facilitymedian $2,138 · 10th to 90th $1,047 to $5,129Professionalmedian $2,399 · 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 $1,202.26 Median $1,202.26 Typical High $1,202.26 | Facility | None | $1,202.26 | $1,202.26 | $1,202.26 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $912.01 Median $912.01 Typical High $912.01 | Facility | 54 · Surgery only | $912.01 | $912.01 | $912.01 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | 55 · Aftercare only | $181.97 | $181.97 | $181.97 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $851.14 Typical High $851.14 | Facility | 78 · Unplanned return to OR | $851.14 | $851.14 | $851.14 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,445.44 | Professional | None | $1,202.26 | $1,202.26 | $1,445.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $912.01 Typical High $1,071.52 | Professional | 54 · Surgery only | $912.01 | $912.01 | $1,071.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $181.97 Typical High $218.78 | Professional | 55 · Aftercare only | $181.97 | $181.97 | $218.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $851.14 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $851.14 | $851.14 | $1,000.00 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,238.72 Median $4,786.30 Typical High $12,022.64 | Facility | None | $2,238.72 | $4,786.30 | $12,022.64 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,819.70 Median $2,398.83 Typical High $3,890.45 | Professional | None | $1,819.70 | $2,398.83 | $3,890.45 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,445.44 Median $1,949.84 Typical High $3,162.28 | Professional | 54 · Surgery only | $1,445.44 | $1,949.84 | $3,162.28 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $363.08 Median $478.63 Typical High $776.25 | Professional | 55 · Aftercare only | $363.08 | $478.63 | $776.25 |
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 |
Cigna Setting Facility Modifier None Typical Low $1,737.80 Median $2,691.53 Typical High $5,248.07 | Facility | None | $1,737.80 | $2,691.53 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $2,041.74 Median $3,019.95 Typical High $4,677.35 | Professional | None | $2,041.74 | $3,019.95 | $4,677.35 |
Health Partners Setting Facility Modifier None Typical Low $1,548.82 Median $2,511.89 Typical High $4,365.16 | Facility | None | $1,548.82 | $2,511.89 | $4,365.16 |
Health Partners Setting Professional Modifier None Typical Low $1,778.28 Median $2,630.27 Typical High $4,365.16 | Professional | None | $1,778.28 | $2,630.27 | $4,365.16 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,412.54 Typical High $3,235.94 | Facility | None | $758.58 | $1,412.54 | $3,235.94 |
Medica Setting Professional Modifier None Typical Low $1,348.96 Median $2,187.76 Typical High $4,466.84 | Professional | None | $1,348.96 | $2,187.76 | $4,466.84 |
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 $2,187.76 Typical High $4,570.88 | Professional | None | $1,258.93 | $2,187.76 | $4,570.88 |
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 $602.56 Median $602.56 Typical High $602.56 | Facility | 52 · Reduced service | $602.56 | $602.56 | $602.56 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | 53 · Discontinued | $239.88 | $239.88 | $239.88 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | 56 · Pre-op care only | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $602.56 Median $602.56 Typical High $724.44 | Professional | 52 · Reduced service | $602.56 | $602.56 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $239.88 Typical High $288.40 | Professional | 53 · Discontinued | $239.88 | $239.88 | $288.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $120.23 Typical High $144.54 | Professional | 56 · Pre-op care only | $120.23 | $120.23 | $144.54 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,148.15 Median $1,513.56 Typical High $2,398.83 | Professional | 62 · Two surgeons | $1,148.15 | $1,513.56 | $2,398.83 |
Where Minnesota sits
The same service costs 9.9 times more in Alabama 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
AL $18,241MD $1,851
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.