How much rates vary
Facilitymedian $2,138 · 10th to 90th $724 to $7,762Professionalmedian $1,698 · 10th to 90th $891 to $3,162
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 $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | 54 · Surgery only | $549.54 | $549.54 | $549.54 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | 55 · Aftercare only | $109.65 | $109.65 | $109.65 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | 78 · Unplanned return to OR | $512.86 | $512.86 | $512.86 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $977.24 | Professional | None | $724.44 | $724.44 | $977.24 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $549.54 Typical High $676.08 | Professional | 54 · Surgery only | $549.54 | $549.54 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $109.65 Typical High $134.90 | Professional | 55 · Aftercare only | $109.65 | $109.65 | $134.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $512.86 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $512.86 | $512.86 | $630.96 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,168.69 Median $8,912.51 Typical High $18,620.87 | Facility | None | $4,168.69 | $8,912.51 | $18,620.87 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,230.27 Median $1,698.24 Typical High $2,818.38 | Professional | None | $1,230.27 | $1,698.24 | $2,818.38 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,000.00 Median $1,348.96 Typical High $2,238.72 | Professional | 54 · Surgery only | $1,000.00 | $1,348.96 | $2,238.72 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $245.47 Median $338.84 Typical High $562.34 | Professional | 55 · Aftercare only | $245.47 | $338.84 | $562.34 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,047.13 Median $1,412.54 Typical High $2,344.23 | Professional | 78 · Unplanned return to OR | $1,047.13 | $1,412.54 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $1,995.26 Typical High $3,801.89 | Facility | None | $1,288.25 | $1,995.26 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $1,445.44 Median $2,290.87 Typical High $3,630.78 | Professional | None | $1,445.44 | $2,290.87 | $3,630.78 |
Health Partners Setting Facility Modifier None Typical Low $1,148.15 Median $1,819.70 Typical High $3,162.28 | Facility | None | $1,148.15 | $1,819.70 | $3,162.28 |
Health Partners Setting Professional Modifier None Typical Low $1,288.25 Median $2,089.30 Typical High $3,162.28 | Professional | None | $1,288.25 | $2,089.30 | $3,162.28 |
Medica Setting Facility Modifier None Typical Low $1,230.27 Median $2,691.53 Typical High $5,128.61 | Facility | None | $1,230.27 | $2,691.53 | $5,128.61 |
Medica Setting Professional Modifier None Typical Low $912.01 Median $1,737.80 Typical High $5,888.44 | Professional | None | $912.01 | $1,737.80 | $5,888.44 |
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 $870.96 Median $1,621.81 Typical High $3,090.30 | Professional | None | $870.96 | $1,621.81 | $3,090.30 |
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 $363.08 Median $363.08 Typical High $363.08 | Facility | 52 · Reduced service | $363.08 | $363.08 | $363.08 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | 53 · Discontinued | $144.54 | $144.54 | $144.54 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | 56 · Pre-op care only | $72.44 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $363.08 Median $363.08 Typical High $446.68 | Professional | 52 · Reduced service | $363.08 | $363.08 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $144.54 Typical High $177.83 | Professional | 53 · Discontinued | $144.54 | $144.54 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $72.44 Typical High $89.13 | Professional | 56 · Pre-op care only | $72.44 | $72.44 | $89.13 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $776.25 Median $1,047.13 Typical High $1,737.80 | Professional | 62 · Two surgeons | $776.25 | $1,047.13 | $1,737.80 |
Where Minnesota sits
The same service costs 11.6 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 $23,484TX $2,029
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.