How much rates vary
Facilitymedian $3,388 · 10th to 90th $1,259 to $10,715Professionalmedian $2,692 · 10th to 90th $1,318 to $5,129
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 $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | None | $1,258.93 | $1,258.93 | $1,258.93 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | 54 · Surgery only | $933.25 | $933.25 | $933.25 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | 55 · Aftercare only | $186.21 | $186.21 | $186.21 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $870.96 Typical High $870.96 | Facility | 78 · Unplanned return to OR | $870.96 | $870.96 | $870.96 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,819.70 | Professional | None | $1,258.93 | $1,258.93 | $1,819.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $933.25 Median $933.25 Typical High $1,230.27 | Professional | 54 · Surgery only | $933.25 | $933.25 | $1,230.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $186.21 Typical High $245.47 | Professional | 55 · Aftercare only | $186.21 | $186.21 | $245.47 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $870.96 Typical High $1,148.15 | Professional | 78 · Unplanned return to OR | $870.96 | $870.96 | $1,148.15 |
BCBS Minnesota Setting Facility Modifier None Typical Low $7,244.36 Median $11,220.18 Typical High $22,387.21 | Facility | None | $7,244.36 | $11,220.18 | $22,387.21 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,089.30 Median $2,754.23 Typical High $4,365.16 | Professional | None | $2,089.30 | $2,754.23 | $4,365.16 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,698.24 Median $2,187.76 Typical High $3,467.37 | Professional | 54 · Surgery only | $1,698.24 | $2,187.76 | $3,467.37 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $426.58 Median $549.54 Typical High $870.96 | Professional | 55 · Aftercare only | $426.58 | $549.54 | $870.96 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,778.28 Median $2,290.87 Typical High $3,630.78 | Professional | 78 · Unplanned return to OR | $1,778.28 | $2,290.87 | $3,630.78 |
Cigna Setting Facility Modifier None Typical Low $2,137.96 Median $3,311.31 Typical High $6,309.57 | Facility | None | $2,137.96 | $3,311.31 | $6,309.57 |
Cigna Setting Professional Modifier None Typical Low $1,949.84 Median $3,090.30 Typical High $5,248.07 | Professional | None | $1,949.84 | $3,090.30 | $5,248.07 |
Health Partners Setting Facility Modifier None Typical Low $1,905.46 Median $3,090.30 Typical High $5,370.32 | Facility | None | $1,905.46 | $3,090.30 | $5,370.32 |
Health Partners Setting Professional Modifier None Typical Low $2,187.76 Median $2,884.03 Typical High $4,786.30 | Professional | None | $2,187.76 | $2,884.03 | $4,786.30 |
Medica Setting Facility Modifier None Typical Low $2,089.30 Median $3,467.37 Typical High $7,943.28 | Facility | None | $2,089.30 | $3,467.37 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $1,513.56 Median $3,162.28 Typical High $10,000.00 | Professional | None | $1,513.56 | $3,162.28 | $10,000.00 |
United Setting Facility Modifier None Typical Low $2,818.38 Median $4,168.69 Typical High $9,772.37 | Facility | None | $2,818.38 | $4,168.69 | $9,772.37 |
United Setting Professional Modifier None Typical Low $1,445.44 Median $2,344.23 Typical High $5,011.87 | Professional | None | $1,445.44 | $2,344.23 | $5,011.87 |
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 $630.96 Median $630.96 Typical High $630.96 | Facility | 52 · Reduced service | $630.96 | $630.96 | $630.96 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | 53 · Discontinued | $251.19 | $251.19 | $251.19 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | 56 · Pre-op care only | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $630.96 Median $630.96 Typical High $831.76 | Professional | 52 · Reduced service | $630.96 | $630.96 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $251.19 Typical High $331.13 | Professional | 53 · Discontinued | $251.19 | $251.19 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $125.89 Typical High $165.96 | Professional | 56 · Pre-op care only | $125.89 | $125.89 | $165.96 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,318.26 Median $1,698.24 Typical High $2,691.53 | Professional | 62 · Two surgeons | $1,318.26 | $1,698.24 | $2,691.53 |
Where Minnesota sits
The same service costs 8.5 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 $28,081DE $3,299
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.