How much rates vary
Facilitymedian $3,090 · 10th to 90th $1,122 to $8,128Professionalmedian $3,802 · 10th to 90th $1,905 to $7,079
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 $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,778.28 | $1,778.28 | $1,778.28 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | 78 · Unplanned return to OR | $1,258.93 | $1,258.93 | $1,258.93 |
Aetna Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $2,511.89 | Professional | None | $1,778.28 | $1,778.28 | $2,511.89 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,258.93 Median $1,258.93 Typical High $1,621.81 | Professional | 78 · Unplanned return to OR | $1,258.93 | $1,258.93 | $1,621.81 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,584.89 Median $4,265.80 Typical High $15,848.93 | Facility | None | $1,584.89 | $4,265.80 | $15,848.93 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,951.21 Median $3,801.89 Typical High $6,025.60 | Professional | None | $2,951.21 | $3,801.89 | $6,025.60 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $2,344.23 Median $3,090.30 Typical High $4,897.79 | Professional | 54 · Surgery only | $2,344.23 | $3,090.30 | $4,897.79 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,454.71 Median $3,235.94 Typical High $5,128.61 | Professional | 78 · Unplanned return to OR | $2,454.71 | $3,235.94 | $5,128.61 |
Cigna Setting Facility Modifier None Typical Low $3,090.30 Median $4,786.30 Typical High $9,120.11 | Facility | None | $3,090.30 | $4,786.30 | $9,120.11 |
Cigna Setting Professional Modifier None Typical Low $2,818.38 Median $4,365.16 Typical High $7,585.78 | Professional | None | $2,818.38 | $4,365.16 | $7,585.78 |
Health Partners Setting Facility Modifier None Typical Low $2,754.23 Median $4,365.16 Typical High $7,762.47 | Facility | None | $2,754.23 | $4,365.16 | $7,762.47 |
Health Partners Setting Professional Modifier None Typical Low $3,090.30 Median $4,073.80 Typical High $6,760.83 | Professional | None | $3,090.30 | $4,073.80 | $6,760.83 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,479.11 Typical High $3,715.35 | Facility | None | $758.58 | $1,479.11 | $3,715.35 |
Medica Setting Professional Modifier None Typical Low $2,137.96 Median $4,466.84 Typical High $15,488.17 | Professional | None | $2,137.96 | $4,466.84 | $15,488.17 |
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 $2,041.74 Median $3,388.44 Typical High $7,079.46 | Professional | None | $2,041.74 | $3,388.44 | $7,079.46 |
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 |
|---|---|---|---|---|---|
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $588.84 Median $758.58 Typical High $1,230.27 | Professional | 55 · Aftercare only | $588.84 | $758.58 | $1,230.27 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,819.70 Median $2,398.83 Typical High $3,801.89 | Professional | 62 · Two surgeons | $1,819.70 | $2,398.83 | $3,801.89 |
Where Minnesota sits
The same service costs 5.7 times more in Maine than in Washington. 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 $14,873WA $2,596
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.