How much rates vary
Facilitymedian $5,888 · 10th to 90th $2,754 to $17,783Professionalmedian $5,623 · 10th to 90th $2,754 to $10,471
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 $2,754.23 Median $2,754.23 Typical High $2,754.23 | Facility | None | $2,754.23 | $2,754.23 | $2,754.23 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Facility | 54 · Surgery only | $2,041.74 | $2,041.74 | $2,041.74 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | 55 · Aftercare only | $407.38 | $407.38 | $407.38 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Facility | 78 · Unplanned return to OR | $1,905.46 | $1,905.46 | $1,905.46 |
Aetna Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $2,818.38 | Professional | None | $2,754.23 | $2,754.23 | $2,818.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,041.74 Median $2,041.74 Typical High $2,137.96 | Professional | 54 · Surgery only | $2,041.74 | $2,041.74 | $2,137.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $407.38 Median $407.38 Typical High $426.58 | Professional | 55 · Aftercare only | $407.38 | $407.38 | $426.58 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,905.46 Median $1,905.46 Typical High $1,995.26 | Professional | 78 · Unplanned return to OR | $1,905.46 | $1,905.46 | $1,995.26 |
BCBS Minnesota Setting Facility Modifier None Typical Low $9,549.93 Median $17,782.79 Typical High $31,622.78 | Facility | None | $9,549.93 | $17,782.79 | $31,622.78 |
BCBS Minnesota Setting Professional Modifier None Typical Low $4,265.80 Median $5,623.41 Typical High $9,120.11 | Professional | None | $4,265.80 | $5,623.41 | $9,120.11 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $3,467.37 Median $4,466.84 Typical High $7,413.10 | Professional | 54 · Surgery only | $3,467.37 | $4,466.84 | $7,413.10 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $851.14 Median $1,122.02 Typical High $1,778.28 | Professional | 55 · Aftercare only | $851.14 | $1,122.02 | $1,778.28 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $3,630.78 Median $4,786.30 Typical High $7,585.78 | Professional | 78 · Unplanned return to OR | $3,630.78 | $4,786.30 | $7,585.78 |
Cigna Setting Facility Modifier None Typical Low $4,466.84 Median $6,918.31 Typical High $13,489.63 | Facility | None | $4,466.84 | $6,918.31 | $13,489.63 |
Cigna Setting Professional Modifier None Typical Low $4,265.80 Median $7,244.36 Typical High $11,481.54 | Professional | None | $4,265.80 | $7,244.36 | $11,481.54 |
Health Partners Setting Facility Modifier None Typical Low $3,981.07 Median $6,456.54 Typical High $11,220.18 | Facility | None | $3,981.07 | $6,456.54 | $11,220.18 |
Health Partners Setting Professional Modifier None Typical Low $3,801.89 Median $6,760.83 Typical High $10,964.78 | Professional | None | $3,801.89 | $6,760.83 | $10,964.78 |
Medica Setting Facility Modifier None Typical Low $3,235.94 Median $4,897.79 Typical High $9,332.54 | Facility | None | $3,235.94 | $4,897.79 | $9,332.54 |
Medica Setting Professional Modifier None Typical Low $2,884.03 Median $5,128.61 Typical High $20,892.96 | Professional | None | $2,884.03 | $5,128.61 | $20,892.96 |
United Setting Facility Modifier None Typical Low $3,235.94 Median $5,370.32 Typical High $12,882.50 | Facility | None | $3,235.94 | $5,370.32 | $12,882.50 |
United Setting Professional Modifier None Typical Low $2,691.53 Median $4,570.88 Typical High $10,471.29 | Professional | None | $2,691.53 | $4,570.88 | $10,471.29 |
6 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 $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | 52 · Reduced service | $1,380.38 | $1,380.38 | $1,380.38 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | 53 · Discontinued | $549.54 | $549.54 | $549.54 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | 56 · Pre-op care only | $275.42 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,380.38 Median $1,380.38 Typical High $1,412.54 | Professional | 52 · Reduced service | $1,380.38 | $1,380.38 | $1,412.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $549.54 Median $549.54 Typical High $575.44 | Professional | 53 · Discontinued | $549.54 | $549.54 | $575.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $275.42 Median $275.42 Typical High $281.84 | Professional | 56 · Pre-op care only | $275.42 | $275.42 | $281.84 |
Where Minnesota sits
The same service costs 19.5 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· 5th of 51
$5,623
AK $11,482TX $589
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.