How much rates vary
Facilitymedian $2,951 · 10th to 90th $1,047 to $13,804Professionalmedian $2,455 · 10th to 90th $1,288 to $4,571
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 $1,047.13 Median $1,047.13 Typical High $13,803.84 | Facility | None | $1,047.13 | $1,047.13 | $13,803.84 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $776.25 Median $776.25 Typical High $776.25 | Facility | 54 · Surgery only | $776.25 | $776.25 | $776.25 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $154.88 Median $154.88 Typical High $154.88 | Facility | 55 · Aftercare only | $154.88 | $154.88 | $154.88 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | 78 · Unplanned return to OR | $724.44 | $724.44 | $724.44 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,412.54 | Professional | None | $1,047.13 | $1,047.13 | $1,412.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $776.25 Typical High $977.24 | Professional | 54 · Surgery only | $776.25 | $776.25 | $977.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $154.88 Typical High $194.98 | Professional | 55 · Aftercare only | $154.88 | $154.88 | $194.98 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $724.44 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $724.44 | $724.44 | $912.01 |
BCBS Minnesota Setting Facility Modifier None Typical Low $6,025.60 Median $9,549.93 Typical High $19,054.61 | Facility | None | $6,025.60 | $9,549.93 | $19,054.61 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,737.80 Median $2,344.23 Typical High $4,073.80 | Professional | None | $1,737.80 | $2,344.23 | $4,073.80 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,380.38 Median $1,862.09 Typical High $3,235.94 | Professional | 54 · Surgery only | $1,380.38 | $1,862.09 | $3,235.94 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $346.74 Median $467.74 Typical High $794.33 | Professional | 55 · Aftercare only | $346.74 | $467.74 | $794.33 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,445.44 Median $1,949.84 Typical High $3,388.44 | Professional | 78 · Unplanned return to OR | $1,445.44 | $1,949.84 | $3,388.44 |
Cigna Setting Facility Modifier None Typical Low $1,819.70 Median $2,818.38 Typical High $5,495.41 | Facility | None | $1,819.70 | $2,818.38 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $3,311.31 Typical High $5,128.61 | Professional | None | $2,089.30 | $3,311.31 | $5,128.61 |
Health Partners Setting Facility Modifier None Typical Low $1,621.81 Median $2,630.27 Typical High $4,570.88 | Facility | None | $1,621.81 | $2,630.27 | $4,570.88 |
Health Partners Setting Professional Modifier None Typical Low $1,862.09 Median $2,951.21 Typical High $4,570.88 | Professional | None | $1,862.09 | $2,951.21 | $4,570.88 |
Medica Setting Facility Modifier None Typical Low $1,737.80 Median $2,754.23 Typical High $5,128.61 | Facility | None | $1,737.80 | $2,754.23 | $5,128.61 |
Medica Setting Professional Modifier None Typical Low $1,348.96 Median $2,511.89 Typical High $8,511.38 | Professional | None | $1,348.96 | $2,511.89 | $8,511.38 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $6,760.83 | Facility | None | $1,995.26 | $3,090.30 | $6,760.83 |
United Setting Professional Modifier None Typical Low $1,318.26 Median $2,344.23 Typical High $4,466.84 | Professional | None | $1,318.26 | $2,344.23 | $4,466.84 |
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 $524.81 Median $524.81 Typical High $524.81 | Facility | 52 · Reduced service | $524.81 | $524.81 | $524.81 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | 53 · Discontinued | $208.93 | $208.93 | $208.93 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | 56 · Pre-op care only | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $524.81 Median $524.81 Typical High $645.65 | Professional | 52 · Reduced service | $524.81 | $524.81 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $208.93 Typical High $257.04 | Professional | 53 · Discontinued | $208.93 | $208.93 | $257.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $104.71 Typical High $128.82 | Professional | 56 · Pre-op care only | $104.71 | $104.71 | $128.82 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,071.52 Median $1,445.44 Typical High $2,511.89 | Professional | 62 · Two surgeons | $1,071.52 | $1,445.44 | $2,511.89 |
Where Minnesota sits
The same service costs 9.2 times more in Maine than in Texas. 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 $22,965TX $2,508
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.