How much rates vary
Facilitymedian $2,818 · 10th to 90th $1,122 to $8,913Professionalmedian $3,090 · 10th to 90th $1,514 to $5,754
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 $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | None | $1,445.44 | $1,445.44 | $1,445.44 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | 54 · Surgery only | $1,071.52 | $1,071.52 | $1,071.52 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | 55 · Aftercare only | $213.80 | $213.80 | $213.80 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | 78 · Unplanned return to OR | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $2,137.96 | Professional | None | $1,445.44 | $1,445.44 | $2,137.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,071.52 Median $1,071.52 Typical High $1,412.54 | Professional | 54 · Surgery only | $1,071.52 | $1,071.52 | $1,412.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $213.80 Typical High $281.84 | Professional | 55 · Aftercare only | $213.80 | $213.80 | $281.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,000.00 Median $1,000.00 Typical High $1,318.26 | Professional | 78 · Unplanned return to OR | $1,000.00 | $1,000.00 | $1,318.26 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,168.69 Median $9,549.93 Typical High $17,378.01 | Facility | None | $4,168.69 | $9,549.93 | $17,378.01 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,398.83 Median $3,162.28 Typical High $5,011.87 | Professional | None | $2,398.83 | $3,162.28 | $5,011.87 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,949.84 Median $2,511.89 Typical High $3,981.07 | Professional | 54 · Surgery only | $1,949.84 | $2,511.89 | $3,981.07 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $489.78 Median $630.96 Typical High $1,000.00 | Professional | 55 · Aftercare only | $489.78 | $630.96 | $1,000.00 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,041.74 Median $2,630.27 Typical High $4,168.69 | Professional | 78 · Unplanned return to OR | $2,041.74 | $2,630.27 | $4,168.69 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $3,890.45 Typical High $7,413.10 | Facility | None | $2,454.71 | $3,890.45 | $7,413.10 |
Cigna Setting Professional Modifier None Typical Low $2,238.72 Median $3,548.13 Typical High $6,025.60 | Professional | None | $2,238.72 | $3,548.13 | $6,025.60 |
Health Partners Setting Facility Modifier None Typical Low $2,187.76 Median $3,548.13 Typical High $6,165.95 | Facility | None | $2,187.76 | $3,548.13 | $6,165.95 |
Health Partners Setting Professional Modifier None Typical Low $2,511.89 Median $3,311.31 Typical High $5,495.41 | Professional | None | $2,511.89 | $3,311.31 | $5,495.41 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $3,467.37 | Facility | None | $758.58 | $1,445.44 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $1,698.24 Median $3,548.13 Typical High $11,481.54 | Professional | None | $1,698.24 | $3,548.13 | $11,481.54 |
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 $1,659.59 Median $2,691.53 Typical High $5,754.40 | Professional | None | $1,659.59 | $2,691.53 | $5,754.40 |
6 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 $724.44 Median $724.44 Typical High $724.44 | Facility | 52 · Reduced service | $724.44 | $724.44 | $724.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $288.40 Median $288.40 Typical High $288.40 | Facility | 53 · Discontinued | $288.40 | $288.40 | $288.40 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | 56 · Pre-op care only | $144.54 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $724.44 Median $724.44 Typical High $933.25 | Professional | 52 · Reduced service | $724.44 | $724.44 | $933.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $288.40 Typical High $380.19 | Professional | 53 · Discontinued | $288.40 | $288.40 | $380.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $144.54 Median $144.54 Typical High $190.55 | Professional | 56 · Pre-op care only | $144.54 | $144.54 | $190.55 |
Where Minnesota sits
The same service costs 8.1 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 $17,891MD $2,222
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.