How much rates vary
Facilitymedian $3,467 · 10th to 90th $1,230 to $9,772Professionalmedian $2,754 · 10th to 90th $1,514 to $5,129
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 $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $912.01 Median $912.01 Typical High $912.01 | Facility | 54 · Surgery only | $912.01 | $912.01 | $912.01 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | 55 · Aftercare only | $181.97 | $181.97 | $181.97 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $851.14 Typical High $851.14 | Facility | 78 · Unplanned return to OR | $851.14 | $851.14 | $851.14 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,621.81 | Professional | None | $1,230.27 | $1,230.27 | $1,621.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $912.01 Typical High $1,000.00 | Professional | 54 · Surgery only | $912.01 | $912.01 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $181.97 Typical High $199.53 | Professional | 55 · Aftercare only | $181.97 | $181.97 | $199.53 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $851.14 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $851.14 | $851.14 | $933.25 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,365.16 Median $8,128.31 Typical High $14,454.40 | Facility | None | $4,365.16 | $8,128.31 | $14,454.40 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,041.74 Median $2,754.23 Typical High $4,570.88 | Professional | None | $2,041.74 | $2,754.23 | $4,570.88 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,621.81 Median $2,187.76 Typical High $3,715.35 | Professional | 54 · Surgery only | $1,621.81 | $2,187.76 | $3,715.35 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $407.38 Median $549.54 Typical High $912.01 | Professional | 55 · Aftercare only | $407.38 | $549.54 | $912.01 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,698.24 Median $2,344.23 Typical High $3,890.45 | Professional | 78 · Unplanned return to OR | $1,698.24 | $2,344.23 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $2,041.74 Median $3,162.28 Typical High $6,025.60 | Facility | None | $2,041.74 | $3,162.28 | $6,025.60 |
Cigna Setting Professional Modifier None Typical Low $2,344.23 Median $3,630.78 Typical High $5,623.41 | Professional | None | $2,344.23 | $3,630.78 | $5,623.41 |
Health Partners Setting Facility Modifier None Typical Low $1,778.28 Median $2,884.03 Typical High $5,011.87 | Facility | None | $1,778.28 | $2,884.03 | $5,011.87 |
Health Partners Setting Professional Modifier None Typical Low $2,041.74 Median $3,235.94 Typical High $5,011.87 | Professional | None | $2,041.74 | $3,235.94 | $5,011.87 |
Medica Setting Facility Modifier None Typical Low $2,041.74 Median $4,365.16 Typical High $9,120.11 | Facility | None | $2,041.74 | $4,365.16 | $9,120.11 |
Medica Setting Professional Modifier None Typical Low $1,513.56 Median $2,818.38 Typical High $11,748.98 | Professional | None | $1,513.56 | $2,818.38 | $11,748.98 |
United Setting Facility Modifier None Typical Low $3,235.94 Median $5,370.32 Typical High $10,964.78 | Facility | None | $3,235.94 | $5,370.32 | $10,964.78 |
United Setting Professional Modifier None Typical Low $1,479.11 Median $2,570.40 Typical High $5,370.32 | Professional | None | $1,479.11 | $2,570.40 | $5,370.32 |
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 $602.56 Median $602.56 Typical High $602.56 | Facility | 52 · Reduced service | $602.56 | $602.56 | $602.56 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | 53 · Discontinued | $245.47 | $245.47 | $245.47 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | 56 · Pre-op care only | $123.03 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $602.56 Median $602.56 Typical High $660.69 | Professional | 52 · Reduced service | $602.56 | $602.56 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $245.47 Typical High $269.15 | Professional | 53 · Discontinued | $245.47 | $245.47 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $123.03 Typical High $131.83 | Professional | 56 · Pre-op care only | $123.03 | $123.03 | $131.83 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,258.93 Median $1,737.80 Typical High $2,818.38 | Professional | 62 · Two surgeons | $1,258.93 | $1,737.80 | $2,818.38 |
Where Minnesota sits
The same service costs 13.5 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 $34,179TX $2,531
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.