How much rates vary
Facilitymedian $2,089 · 10th to 90th $1,000 to $8,511Professionalmedian $2,188 · 10th to 90th $1,072 to $4,074
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 $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | 54 · Surgery only | $758.58 | $758.58 | $758.58 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | 55 · Aftercare only | $151.36 | $151.36 | $151.36 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | 78 · Unplanned return to OR | $707.95 | $707.95 | $707.95 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,318.26 | Professional | None | $1,000.00 | $1,000.00 | $1,318.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $758.58 Median $758.58 Typical High $977.24 | Professional | 54 · Surgery only | $758.58 | $758.58 | $977.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $151.36 Typical High $199.53 | Professional | 55 · Aftercare only | $151.36 | $151.36 | $199.53 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $707.95 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $707.95 | $707.95 | $912.01 |
BCBS Minnesota Setting Facility Modifier None Typical Low $6,025.60 Median $10,964.78 Typical High $22,387.21 | Facility | None | $6,025.60 | $10,964.78 | $22,387.21 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,698.24 Median $2,238.72 Typical High $3,548.13 | Professional | None | $1,698.24 | $2,238.72 | $3,548.13 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,348.96 Median $1,778.28 Typical High $2,818.38 | Professional | 54 · Surgery only | $1,348.96 | $1,778.28 | $2,818.38 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $346.74 Median $446.68 Typical High $707.95 | Professional | 55 · Aftercare only | $346.74 | $446.68 | $707.95 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,445.44 Median $1,862.09 Typical High $2,951.21 | Professional | 78 · Unplanned return to OR | $1,445.44 | $1,862.09 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $1,737.80 Median $2,691.53 Typical High $5,128.61 | Facility | None | $1,737.80 | $2,691.53 | $5,128.61 |
Cigna Setting Professional Modifier None Typical Low $1,548.82 Median $2,454.71 Typical High $4,168.69 | Professional | None | $1,548.82 | $2,454.71 | $4,168.69 |
Health Partners Setting Facility Modifier None Typical Low $1,513.56 Median $2,454.71 Typical High $4,265.80 | Facility | None | $1,513.56 | $2,454.71 | $4,265.80 |
Health Partners Setting Professional Modifier None Typical Low $1,737.80 Median $2,290.87 Typical High $3,801.89 | Professional | None | $1,737.80 | $2,290.87 | $3,801.89 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,412.54 Typical High $3,162.28 | Facility | None | $758.58 | $1,412.54 | $3,162.28 |
Medica Setting Professional Modifier None Typical Low $1,202.26 Median $2,511.89 Typical High $8,128.31 | Professional | None | $1,202.26 | $2,511.89 | $8,128.31 |
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 $1,148.15 Median $1,905.46 Typical High $3,981.07 | Professional | None | $1,148.15 | $1,905.46 | $3,981.07 |
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 $501.19 Median $501.19 Typical High $501.19 | Facility | 52 · Reduced service | $501.19 | $501.19 | $501.19 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | 53 · Discontinued | $199.53 | $199.53 | $199.53 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | 56 · Pre-op care only | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $501.19 Median $501.19 Typical High $660.69 | Professional | 52 · Reduced service | $501.19 | $501.19 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $199.53 Typical High $263.03 | Professional | 53 · Discontinued | $199.53 | $199.53 | $263.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $100.00 Typical High $131.83 | Professional | 56 · Pre-op care only | $100.00 | $100.00 | $131.83 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,071.52 Median $1,380.38 Typical High $2,187.76 | Professional | 62 · Two surgeons | $1,071.52 | $1,380.38 | $2,187.76 |
Where Minnesota sits
The same service costs 10.0 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 $17,294MD $1,737
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.