How much rates vary
Facilitymedian $3,162 · 10th to 90th $1,122 to $9,772Professionalmedian $4,074 · 10th to 90th $2,138 to $7,244
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 $1,698.24 Median $1,698.24 Typical High $1,698.24 | Facility | None | $1,698.24 | $1,698.24 | $1,698.24 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | 54 · Surgery only | $1,288.25 | $1,288.25 | $1,288.25 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | 55 · Aftercare only | $257.04 | $257.04 | $257.04 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Facility | 78 · Unplanned return to OR | $1,202.26 | $1,202.26 | $1,202.26 |
Aetna Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,949.84 | Professional | None | $1,698.24 | $1,698.24 | $1,949.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,288.25 Median $1,288.25 Typical High $1,445.44 | Professional | 54 · Surgery only | $1,288.25 | $1,288.25 | $1,445.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $257.04 Median $257.04 Typical High $288.40 | Professional | 55 · Aftercare only | $257.04 | $257.04 | $288.40 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,202.26 Median $1,202.26 Typical High $1,348.96 | Professional | 78 · Unplanned return to OR | $1,202.26 | $1,202.26 | $1,348.96 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,365.16 Median $10,715.19 Typical High $20,417.38 | Facility | None | $4,365.16 | $10,715.19 | $20,417.38 |
BCBS Minnesota Setting Professional Modifier None Typical Low $3,090.30 Median $4,073.80 Typical High $6,606.93 | Professional | None | $3,090.30 | $4,073.80 | $6,606.93 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $2,454.71 Median $3,235.94 Typical High $5,370.32 | Professional | 54 · Surgery only | $2,454.71 | $3,235.94 | $5,370.32 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $616.60 Median $812.83 Typical High $1,318.26 | Professional | 55 · Aftercare only | $616.60 | $812.83 | $1,318.26 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,630.27 Median $3,388.44 Typical High $5,623.41 | Professional | 78 · Unplanned return to OR | $2,630.27 | $3,388.44 | $5,623.41 |
Cigna Setting Facility Modifier None Typical Low $2,818.38 Median $4,365.16 Typical High $8,317.64 | Facility | None | $2,818.38 | $4,365.16 | $8,317.64 |
Cigna Setting Professional Modifier None Typical Low $3,311.31 Median $5,011.87 Typical High $7,943.28 | Professional | None | $3,311.31 | $5,011.87 | $7,943.28 |
Health Partners Setting Facility Modifier None Typical Low $2,511.89 Median $4,073.80 Typical High $7,079.46 | Facility | None | $2,511.89 | $4,073.80 | $7,079.46 |
Health Partners Setting Professional Modifier None Typical Low $2,818.38 Median $4,570.88 Typical High $6,918.31 | Professional | None | $2,818.38 | $4,570.88 | $6,918.31 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $3,548.13 | Facility | None | $758.58 | $1,445.44 | $3,548.13 |
Medica Setting Professional Modifier None Typical Low $2,137.96 Median $4,073.80 Typical High $15,848.93 | Professional | None | $2,137.96 | $4,073.80 | $15,848.93 |
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 $2,089.30 Median $3,630.78 Typical High $7,585.78 | Professional | None | $2,089.30 | $3,630.78 | $7,585.78 |
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 $851.14 Median $851.14 Typical High $851.14 | Facility | 52 · Reduced service | $851.14 | $851.14 | $851.14 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | 53 · Discontinued | $338.84 | $338.84 | $338.84 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | 56 · Pre-op care only | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $851.14 Median $851.14 Typical High $954.99 | Professional | 52 · Reduced service | $851.14 | $851.14 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $338.84 Median $338.84 Typical High $380.19 | Professional | 53 · Discontinued | $338.84 | $338.84 | $380.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $169.82 Median $169.82 Typical High $190.55 | Professional | 56 · Pre-op care only | $169.82 | $169.82 | $190.55 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,949.84 Median $2,511.89 Typical High $4,073.80 | Professional | 62 · Two surgeons | $1,949.84 | $2,511.89 | $4,073.80 |
Where Minnesota sits
The same service costs 13.4 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 $34,930MD $2,604
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.