How much rates vary
Facilitymedian $417 · 10th to 90th $214 to $1,862Professionalmedian $437 · 10th to 90th $214 to $933
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 $213.80 Median $213.80 Typical High $2,818.38 | Facility | None | $213.80 | $213.80 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $331.13 | Professional | None | $213.80 | $213.80 | $331.13 |
BCBS Minnesota Setting Facility Modifier None Typical Low $138.04 Median $1,995.26 Typical High $3,630.78 | Facility | None | $138.04 | $1,995.26 | $3,630.78 |
BCBS Minnesota Setting Professional Modifier None Typical Low $275.42 Median $363.08 Typical High $676.08 | Professional | None | $275.42 | $363.08 | $676.08 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $416.87 Median $549.54 Typical High $1,000.00 | Professional | 50 · Both sides | $416.87 | $549.54 | $1,000.00 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $173.78 Median $218.78 Typical High $407.38 | Professional | 62 · Two surgeons | $173.78 | $218.78 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $512.86 Typical High $977.24 | Facility | None | $331.13 | $512.86 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $501.19 Typical High $851.14 | Professional | None | $316.23 | $501.19 | $851.14 |
Health Partners Setting Facility Modifier None Typical Low $295.12 Median $478.63 Typical High $831.76 | Facility | None | $295.12 | $478.63 | $831.76 |
Health Partners Setting Professional Modifier None Typical Low $288.40 Median $467.74 Typical High $794.33 | Professional | None | $288.40 | $467.74 | $794.33 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $380.19 Typical High $1,737.80 | Facility | None | $125.89 | $380.19 | $1,737.80 |
Medica Setting Professional Modifier None Typical Low $363.08 Median $630.96 Typical High $3,715.35 | Professional | None | $363.08 | $630.96 | $3,715.35 |
United Setting Facility Modifier None Typical Low $125.89 Median $389.05 Typical High $1,778.28 | Facility | None | $125.89 | $389.05 | $1,778.28 |
United Setting Professional Modifier None Typical Low $338.84 Median $575.44 Typical High $1,174.90 | Professional | None | $338.84 | $575.44 | $1,174.90 |
10 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 $107.15 Median $107.15 Typical High $107.15 | Facility | 52 · Reduced service | $107.15 | $107.15 | $107.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | 53 · Discontinued | $42.66 | $42.66 | $42.66 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | 54 · Surgery only | $158.49 | $158.49 | $158.49 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | 55 · Aftercare only | $31.62 | $31.62 | $31.62 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | 56 · Pre-op care only | $21.38 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $107.15 Typical High $138.04 | Professional | 52 · Reduced service | $107.15 | $107.15 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $42.66 Typical High $56.23 | Professional | 53 · Discontinued | $42.66 | $42.66 | $56.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $158.49 Median $158.49 Typical High $208.93 | Professional | 54 · Surgery only | $158.49 | $158.49 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $31.62 Typical High $41.69 | Professional | 55 · Aftercare only | $31.62 | $31.62 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $21.38 Typical High $27.54 | Professional | 56 · Pre-op care only | $21.38 | $21.38 | $27.54 |
Where Minnesota sits
The same service costs 10.8 times more in New York 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
NY $4,667MD $433
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.