How much rates vary
Facilitymedian $2,570 · 10th to 90th $977 to $8,128Professionalmedian $1,950 · 10th to 90th $1,072 to $3,890
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 $977.24 Median $977.24 Typical High $977.24 | Facility | None | $977.24 | $977.24 | $977.24 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $741.31 Median $741.31 Typical High $741.31 | Facility | 54 · Surgery only | $741.31 | $741.31 | $741.31 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | 55 · Aftercare only | $147.91 | $147.91 | $147.91 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $691.83 Typical High $691.83 | Facility | 78 · Unplanned return to OR | $691.83 | $691.83 | $691.83 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,000.00 | Professional | None | $977.24 | $977.24 | $1,000.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | 54 · Surgery only | $741.31 | $741.31 | $741.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | 55 · Aftercare only | $147.91 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | 78 · Unplanned return to OR | $691.83 | $691.83 | $691.83 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,344.23 Median $5,754.40 Typical High $13,803.84 | Facility | None | $2,344.23 | $5,754.40 | $13,803.84 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,548.82 Median $1,949.84 Typical High $3,388.44 | Professional | None | $1,548.82 | $1,949.84 | $3,388.44 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,258.93 Median $1,548.82 Typical High $2,754.23 | Professional | 54 · Surgery only | $1,258.93 | $1,548.82 | $2,754.23 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $309.03 Median $389.05 Typical High $660.69 | Professional | 55 · Aftercare only | $309.03 | $389.05 | $660.69 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,318.26 Median $1,659.59 Typical High $2,884.03 | Professional | 78 · Unplanned return to OR | $1,318.26 | $1,659.59 | $2,884.03 |
Cigna Setting Facility Modifier None Typical Low $1,659.59 Median $2,570.40 Typical High $4,897.79 | Facility | None | $1,659.59 | $2,570.40 | $4,897.79 |
Cigna Setting Professional Modifier None Typical Low $1,659.59 Median $2,344.23 Typical High $4,265.80 | Professional | None | $1,659.59 | $2,344.23 | $4,265.80 |
Health Partners Setting Facility Modifier None Typical Low $1,479.11 Median $2,344.23 Typical High $4,073.80 | Facility | None | $1,479.11 | $2,344.23 | $4,073.80 |
Health Partners Setting Professional Modifier None Typical Low $1,659.59 Median $2,344.23 Typical High $3,981.07 | Professional | None | $1,659.59 | $2,344.23 | $3,981.07 |
Medica Setting Facility Modifier None Typical Low $1,737.80 Median $2,818.38 Typical High $7,762.47 | Facility | None | $1,737.80 | $2,818.38 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $1,174.90 Median $1,862.09 Typical High $7,413.10 | Professional | None | $1,174.90 | $1,862.09 | $7,413.10 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $9,120.11 | Facility | None | $1,995.26 | $3,090.30 | $9,120.11 |
United Setting Professional Modifier None Typical Low $1,122.02 Median $1,737.80 Typical High $3,630.78 | Professional | None | $1,122.02 | $1,737.80 | $3,630.78 |
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 $489.78 Median $489.78 Typical High $489.78 | Facility | 52 · Reduced service | $489.78 | $489.78 | $489.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | 53 · Discontinued | $194.98 | $194.98 | $194.98 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | 56 · Pre-op care only | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | 52 · Reduced service | $489.78 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | 53 · Discontinued | $194.98 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | 56 · Pre-op care only | $97.72 | $97.72 | $97.72 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $977.24 Median $1,230.27 Typical High $2,089.30 | Professional | 62 · Two surgeons | $977.24 | $1,230.27 | $2,089.30 |
Where Minnesota sits
The same service costs 8.3 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· 6th of 51
$2,089
AK $4,074TX $490
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.