How much rates vary
Facilitymedian $759 · 10th to 90th $251 to $3,715Professionalmedian $550 · 10th to 90th $302 to $1,023
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 $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $309.03 | Professional | None | $251.19 | $251.19 | $309.03 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,548.82 Median $5,248.07 Typical High $12,022.64 | Facility | None | $1,548.82 | $5,248.07 | $12,022.64 |
BCBS Minnesota Setting Professional Modifier None Typical Low $407.38 Median $549.54 Typical High $933.25 | Professional | None | $407.38 | $549.54 | $933.25 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $257.04 Median $346.74 Typical High $575.44 | Professional | 62 · Two surgeons | $257.04 | $346.74 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $630.96 Typical High $1,202.26 | Facility | None | $407.38 | $630.96 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $724.44 Typical High $1,148.15 | Professional | None | $457.09 | $724.44 | $1,148.15 |
Health Partners Setting Facility Modifier None Typical Low $354.81 Median $575.44 Typical High $1,000.00 | Facility | None | $354.81 | $575.44 | $1,000.00 |
Health Partners Setting Professional Modifier None Typical Low $407.38 Median $645.65 Typical High $1,000.00 | Professional | None | $407.38 | $645.65 | $1,000.00 |
Medica Setting Facility Modifier None Typical Low $426.58 Median $1,023.29 Typical High $3,019.95 | Facility | None | $426.58 | $1,023.29 | $3,019.95 |
Medica Setting Professional Modifier None Typical Low $309.03 Median $588.84 Typical High $4,265.80 | Professional | None | $309.03 | $588.84 | $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 $302.00 Median $524.81 Typical High $1,047.13 | Professional | None | $302.00 | $524.81 | $1,047.13 |
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 $125.89 Median $125.89 Typical High $125.89 | Facility | 52 · Reduced service | $125.89 | $125.89 | $125.89 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | 53 · Discontinued | $50.12 | $50.12 | $50.12 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | 54 · Surgery only | $190.55 | $190.55 | $190.55 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | 55 · Aftercare only | $38.02 | $38.02 | $38.02 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $25.12 Median $25.12 Typical High $25.12 | Facility | 56 · Pre-op care only | $25.12 | $25.12 | $25.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $125.89 Median $125.89 Typical High $131.83 | Professional | 52 · Reduced service | $125.89 | $125.89 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $50.12 Typical High $52.48 | Professional | 53 · Discontinued | $50.12 | $50.12 | $52.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $190.55 Median $190.55 Typical High $199.53 | Professional | 54 · Surgery only | $190.55 | $190.55 | $199.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $38.02 Typical High $39.81 | Professional | 55 · Aftercare only | $38.02 | $38.02 | $39.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $25.12 Typical High $26.30 | Professional | 56 · Pre-op care only | $25.12 | $25.12 | $26.30 |
Where Minnesota sits
The same service costs 32.0 times more in Maine than in Montana. 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 $26,674MT $834
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.