How much rates vary
Facilitymedian $1,514 · 10th to 90th $692 to $4,898Professionalmedian $1,479 · 10th to 90th $832 to $2,884
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 $691.83 Median $691.83 Typical High $691.83 | Facility | None | $691.83 | $691.83 | $691.83 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | 54 · Surgery only | $524.81 | $524.81 | $524.81 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | 55 · Aftercare only | $104.71 | $104.71 | $104.71 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | 78 · Unplanned return to OR | $489.78 | $489.78 | $489.78 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $851.14 | Professional | None | $691.83 | $691.83 | $851.14 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $524.81 Typical High $630.96 | Professional | 54 · Surgery only | $524.81 | $524.81 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $104.71 Typical High $125.89 | Professional | 55 · Aftercare only | $104.71 | $104.71 | $125.89 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $489.78 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $489.78 | $489.78 | $588.84 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,737.80 Median $5,623.41 Typical High $13,182.57 | Facility | None | $1,737.80 | $5,623.41 | $13,182.57 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,071.52 Median $1,479.11 Typical High $2,454.71 | Professional | None | $1,071.52 | $1,479.11 | $2,454.71 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $1,174.90 Typical High $1,949.84 | Professional | 54 · Surgery only | $870.96 | $1,174.90 | $1,949.84 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $218.78 Median $295.12 Typical High $489.78 | Professional | 55 · Aftercare only | $218.78 | $295.12 | $489.78 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $912.01 Median $1,230.27 Typical High $2,041.74 | Professional | 78 · Unplanned return to OR | $912.01 | $1,230.27 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $1,148.15 Median $1,778.28 Typical High $3,388.44 | Facility | None | $1,148.15 | $1,778.28 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $2,041.74 Typical High $3,235.94 | Professional | None | $1,288.25 | $2,041.74 | $3,235.94 |
Health Partners Setting Facility Modifier None Typical Low $1,023.29 Median $1,621.81 Typical High $2,818.38 | Facility | None | $1,023.29 | $1,621.81 | $2,818.38 |
Health Partners Setting Professional Modifier None Typical Low $1,148.15 Median $1,862.09 Typical High $2,818.38 | Professional | None | $1,148.15 | $1,862.09 | $2,818.38 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,348.96 Typical High $3,019.95 | Facility | None | $758.58 | $1,348.96 | $3,019.95 |
Medica Setting Professional Modifier None Typical Low $851.14 Median $1,584.89 Typical High $5,623.41 | Professional | None | $851.14 | $1,584.89 | $5,623.41 |
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 $831.76 Median $1,513.56 Typical High $2,951.21 | Professional | None | $831.76 | $1,513.56 | $2,951.21 |
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 $346.74 Median $346.74 Typical High $346.74 | Facility | 52 · Reduced service | $346.74 | $346.74 | $346.74 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | 53 · Discontinued | $138.04 | $138.04 | $138.04 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | 56 · Pre-op care only | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $346.74 Median $346.74 Typical High $416.87 | Professional | 52 · Reduced service | $346.74 | $346.74 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $138.04 Typical High $165.96 | Professional | 53 · Discontinued | $138.04 | $138.04 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $69.18 Typical High $83.18 | Professional | 56 · Pre-op care only | $69.18 | $69.18 | $83.18 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $676.08 Median $912.01 Typical High $1,513.56 | Professional | 62 · Two surgeons | $676.08 | $912.01 | $1,513.56 |
Where Minnesota sits
The same service costs 12.3 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 $16,488MD $1,339
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.