How much rates vary
Facilitymedian $4,266 · 10th to 90th $1,259 to $9,550Professionalmedian $5,012 · 10th to 90th $2,818 to $10,233
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 $2,570.40 Median $2,570.40 Typical High $2,570.40 | Facility | None | $2,570.40 | $2,570.40 | $2,570.40 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Facility | 54 · Surgery only | $1,949.84 | $1,949.84 | $1,949.84 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | 55 · Aftercare only | $389.05 | $389.05 | $389.05 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | 78 · Unplanned return to OR | $1,819.70 | $1,819.70 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,570.40 | $2,570.40 | $2,570.40 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | 54 · Surgery only | $1,949.84 | $1,949.84 | $1,949.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | 55 · Aftercare only | $389.05 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | 78 · Unplanned return to OR | $1,819.70 | $1,819.70 | $1,819.70 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,454.71 Median $6,309.57 Typical High $10,000.00 | Facility | None | $2,454.71 | $6,309.57 | $10,000.00 |
BCBS Minnesota Setting Professional Modifier None Typical Low $3,981.07 Median $5,128.61 Typical High $9,120.11 | Professional | None | $3,981.07 | $5,128.61 | $9,120.11 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $3,235.94 Median $4,073.80 Typical High $7,244.36 | Professional | 54 · Surgery only | $3,235.94 | $4,073.80 | $7,244.36 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $794.33 Median $1,000.00 Typical High $1,778.28 | Professional | 55 · Aftercare only | $794.33 | $1,000.00 | $1,778.28 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $3,388.44 Median $4,265.80 Typical High $7,585.78 | Professional | 78 · Unplanned return to OR | $3,388.44 | $4,265.80 | $7,585.78 |
Cigna Setting Facility Modifier None Typical Low $4,365.16 Median $6,760.83 Typical High $12,882.50 | Facility | None | $4,365.16 | $6,760.83 | $12,882.50 |
Cigna Setting Professional Modifier None Typical Low $4,365.16 Median $6,165.95 Typical High $11,220.18 | Professional | None | $4,365.16 | $6,165.95 | $11,220.18 |
Health Partners Setting Facility Modifier None Typical Low $3,801.89 Median $6,165.95 Typical High $10,715.19 | Facility | None | $3,801.89 | $6,165.95 | $10,715.19 |
Health Partners Setting Professional Modifier None Typical Low $4,365.16 Median $6,165.95 Typical High $10,471.29 | Professional | None | $4,365.16 | $6,165.95 | $10,471.29 |
Medica Setting Facility Modifier None Typical Low $794.33 Median $1,995.26 Typical High $5,623.41 | Facility | None | $794.33 | $1,995.26 | $5,623.41 |
Medica Setting Professional Modifier None Typical Low $3,090.30 Median $4,786.30 Typical High $19,952.62 | Professional | None | $3,090.30 | $4,786.30 | $19,952.62 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,659.59 Typical High $4,897.79 | Facility | None | $776.25 | $1,659.59 | $4,897.79 |
United Setting Professional Modifier None Typical Low $3,090.30 Median $4,466.84 Typical High $9,772.37 | Professional | None | $3,090.30 | $4,466.84 | $9,772.37 |
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 $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | 52 · Reduced service | $1,288.25 | $1,288.25 | $1,288.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | 53 · Discontinued | $512.86 | $512.86 | $512.86 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | 56 · Pre-op care only | $257.04 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | 52 · Reduced service | $1,288.25 | $1,288.25 | $1,288.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | 53 · Discontinued | $512.86 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | 56 · Pre-op care only | $257.04 | $257.04 | $257.04 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $2,511.89 Median $3,162.28 Typical High $5,495.41 | Professional | 62 · Two surgeons | $2,511.89 | $3,162.28 | $5,495.41 |
Where Minnesota sits
The same service costs 15.8 times more in Alaska 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.
Minnesota· 4th of 51
$5,012
AK $8,128TX $513
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.