How much rates vary
Facilitymedian $2,042 · 10th to 90th $1,023 to $7,762Professionalmedian $2,188 · 10th to 90th $1,202 to $4,266
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 $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | None | $1,023.29 | $1,023.29 | $1,023.29 |
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 $1,023.29 Median $1,023.29 Typical High $1,258.93 | Professional | None | $1,023.29 | $1,023.29 | $1,258.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $758.58 Median $758.58 Typical High $891.25 | Professional | 54 · Surgery only | $758.58 | $758.58 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $151.36 Typical High $177.83 | Professional | 55 · Aftercare only | $151.36 | $151.36 | $177.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $707.95 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $707.95 | $707.95 | $831.76 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,570.88 Median $8,128.31 Typical High $13,489.63 | Facility | None | $4,570.88 | $8,128.31 | $13,489.63 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,584.89 Median $2,137.96 Typical High $3,630.78 | Professional | None | $1,584.89 | $2,137.96 | $3,630.78 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,258.93 Median $1,698.24 Typical High $2,884.03 | Professional | 54 · Surgery only | $1,258.93 | $1,698.24 | $2,884.03 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $316.23 Median $426.58 Typical High $724.44 | Professional | 55 · Aftercare only | $316.23 | $426.58 | $724.44 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,318.26 Median $1,819.70 Typical High $3,019.95 | Professional | 78 · Unplanned return to OR | $1,318.26 | $1,819.70 | $3,019.95 |
Cigna Setting Facility Modifier None Typical Low $1,659.59 Median $2,570.40 Typical High $5,011.87 | Facility | None | $1,659.59 | $2,570.40 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $1,905.46 Median $3,019.95 Typical High $4,677.35 | Professional | None | $1,905.46 | $3,019.95 | $4,677.35 |
Health Partners Setting Facility Modifier None Typical Low $1,479.11 Median $2,398.83 Typical High $4,168.69 | Facility | None | $1,479.11 | $2,398.83 | $4,168.69 |
Health Partners Setting Professional Modifier None Typical Low $1,698.24 Median $2,691.53 Typical High $4,168.69 | Professional | None | $1,698.24 | $2,691.53 | $4,168.69 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,412.54 Typical High $3,090.30 | Facility | None | $758.58 | $1,412.54 | $3,090.30 |
Medica Setting Professional Modifier None Typical Low $1,258.93 Median $2,290.87 Typical High $9,332.54 | Professional | None | $1,258.93 | $2,290.87 | $9,332.54 |
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 $1,174.90 Median $2,137.96 Typical High $4,265.80 | Professional | None | $1,174.90 | $2,137.96 | $4,265.80 |
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 $512.86 Median $512.86 Typical High $512.86 | Facility | 52 · Reduced service | $512.86 | $512.86 | $512.86 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | 53 · Discontinued | $204.17 | $204.17 | $204.17 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | 56 · Pre-op care only | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $512.86 Median $512.86 Typical High $588.84 | Professional | 52 · Reduced service | $512.86 | $512.86 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $204.17 Typical High $234.42 | Professional | 53 · Discontinued | $204.17 | $204.17 | $234.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $102.33 Typical High $117.49 | Professional | 56 · Pre-op care only | $102.33 | $102.33 | $117.49 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,000.00 Median $1,348.96 Typical High $2,238.72 | Professional | 62 · Two surgeons | $1,000.00 | $1,348.96 | $2,238.72 |
Where Minnesota sits
The same service costs 14.3 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 $24,388MD $1,710
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.