How much rates vary
Facilitymedian $2,239 · 10th to 90th $1,072 to $9,333Professionalmedian $2,399 · 10th to 90th $1,148 to $4,467
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 $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,096.48 | $1,096.48 | $1,096.48 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | 54 · Surgery only | $831.76 | $831.76 | $831.76 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | 55 · Aftercare only | $165.96 | $165.96 | $165.96 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $776.25 Median $776.25 Typical High $776.25 | Facility | 78 · Unplanned return to OR | $776.25 | $776.25 | $776.25 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,412.54 | Professional | None | $1,096.48 | $1,096.48 | $1,412.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $831.76 Median $831.76 Typical High $1,071.52 | Professional | 54 · Surgery only | $831.76 | $831.76 | $1,071.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $165.96 Typical High $213.80 | Professional | 55 · Aftercare only | $165.96 | $165.96 | $213.80 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $776.25 Median $776.25 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $776.25 | $776.25 | $1,000.00 |
BCBS Minnesota Setting Facility Modifier None Typical Low $6,606.93 Median $10,964.78 Typical High $22,387.21 | Facility | None | $6,606.93 | $10,964.78 | $22,387.21 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,862.09 Median $2,454.71 Typical High $3,801.89 | Professional | None | $1,862.09 | $2,454.71 | $3,801.89 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,479.11 Median $1,949.84 Typical High $3,090.30 | Professional | 54 · Surgery only | $1,479.11 | $1,949.84 | $3,090.30 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $380.19 Median $489.78 Typical High $758.58 | Professional | 55 · Aftercare only | $380.19 | $489.78 | $758.58 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,548.82 Median $2,041.74 Typical High $3,235.94 | Professional | 78 · Unplanned return to OR | $1,548.82 | $2,041.74 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $1,905.46 Median $2,951.21 Typical High $5,623.41 | Facility | None | $1,905.46 | $2,951.21 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $1,698.24 Median $2,691.53 Typical High $4,570.88 | Professional | None | $1,698.24 | $2,691.53 | $4,570.88 |
Health Partners Setting Facility Modifier None Typical Low $1,698.24 Median $2,691.53 Typical High $4,677.35 | Facility | None | $1,698.24 | $2,691.53 | $4,677.35 |
Health Partners Setting Professional Modifier None Typical Low $1,905.46 Median $2,511.89 Typical High $4,168.69 | Professional | None | $1,905.46 | $2,511.89 | $4,168.69 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,412.54 Typical High $3,388.44 | Facility | None | $758.58 | $1,412.54 | $3,388.44 |
Medica Setting Professional Modifier None Typical Low $1,288.25 Median $2,754.23 Typical High $8,709.64 | Professional | None | $1,288.25 | $2,754.23 | $8,709.64 |
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 $2,041.74 Typical High $4,365.16 | Professional | None | $1,258.93 | $2,041.74 | $4,365.16 |
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 $549.54 Median $549.54 Typical High $549.54 | Facility | 52 · Reduced service | $549.54 | $549.54 | $549.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | 53 · Discontinued | $218.78 | $218.78 | $218.78 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | 56 · Pre-op care only | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $549.54 Median $549.54 Typical High $707.95 | Professional | 52 · Reduced service | $549.54 | $549.54 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $218.78 Typical High $288.40 | Professional | 53 · Discontinued | $218.78 | $218.78 | $288.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $109.65 Typical High $141.25 | Professional | 56 · Pre-op care only | $109.65 | $109.65 | $141.25 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,174.90 Median $1,513.56 Typical High $2,398.83 | Professional | 62 · Two surgeons | $1,174.90 | $1,513.56 | $2,398.83 |
Where Minnesota sits
The same service costs 5.9 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 $10,682MD $1,821
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.