How much rates vary
Facilitymedian $2,512 · 10th to 90th $1,122 to $6,166Professionalmedian $2,951 · 10th to 90th $1,479 to $5,495
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 $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | None | $1,380.38 | $1,380.38 | $1,380.38 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $977.24 Median $977.24 Typical High $977.24 | Facility | 78 · Unplanned return to OR | $977.24 | $977.24 | $977.24 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,778.28 | Professional | None | $1,380.38 | $1,380.38 | $1,778.28 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $977.24 Median $977.24 Typical High $1,230.27 | Professional | 78 · Unplanned return to OR | $977.24 | $977.24 | $1,230.27 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,584.89 Median $4,265.80 Typical High $12,302.69 | Facility | None | $1,584.89 | $4,265.80 | $12,302.69 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,290.87 Median $2,951.21 Typical High $4,786.30 | Professional | None | $2,290.87 | $2,951.21 | $4,786.30 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,819.70 Median $2,344.23 Typical High $3,801.89 | Professional | 54 · Surgery only | $1,819.70 | $2,344.23 | $3,801.89 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,412.54 Median $1,862.09 Typical High $2,951.21 | Professional | 62 · Two surgeons | $1,412.54 | $1,862.09 | $2,951.21 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,905.46 Median $2,511.89 Typical High $3,981.07 | Professional | 78 · Unplanned return to OR | $1,905.46 | $2,511.89 | $3,981.07 |
Cigna Setting Facility Modifier None Typical Low $2,398.83 Median $3,715.35 Typical High $7,079.46 | Facility | None | $2,398.83 | $3,715.35 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $2,137.96 Median $3,388.44 Typical High $5,754.40 | Professional | None | $2,137.96 | $3,388.44 | $5,754.40 |
Health Partners Setting Facility Modifier None Typical Low $2,137.96 Median $3,388.44 Typical High $5,888.44 | Facility | None | $2,137.96 | $3,388.44 | $5,888.44 |
Health Partners Setting Professional Modifier None Typical Low $2,398.83 Median $3,162.28 Typical High $5,248.07 | Professional | None | $2,398.83 | $3,162.28 | $5,248.07 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,479.11 Typical High $3,467.37 | Facility | None | $758.58 | $1,479.11 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $1,621.81 Median $3,388.44 Typical High $12,589.25 | Professional | None | $1,621.81 | $3,388.44 | $12,589.25 |
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 $1,584.89 Median $2,630.27 Typical High $5,495.41 | Professional | None | $1,584.89 | $2,630.27 | $5,495.41 |
1 more rate 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 $457.09 Median $588.84 Typical High $954.99 | Professional | 55 · Aftercare only | $457.09 | $588.84 | $954.99 |
Where Minnesota sits
The same service costs 6.7 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 $14,298MD $2,147
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.