How much rates vary
Facilitymedian $3,802 · 10th to 90th $1,622 to $9,772Professionalmedian $3,311 · 10th to 90th $1,622 to $6,166
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 $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,621.81 | $1,621.81 | $1,621.81 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | 54 · Surgery only | $1,230.27 | $1,230.27 | $1,230.27 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | 55 · Aftercare only | $245.47 | $245.47 | $245.47 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Facility | 78 · Unplanned return to OR | $1,148.15 | $1,148.15 | $1,148.15 |
Aetna Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,737.80 | Professional | None | $1,621.81 | $1,621.81 | $1,737.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | 54 · Surgery only | $1,230.27 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | 55 · Aftercare only | $245.47 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | 78 · Unplanned return to OR | $1,148.15 | $1,148.15 | $1,148.15 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,238.72 Median $6,165.95 Typical High $14,454.40 | Facility | None | $2,238.72 | $6,165.95 | $14,454.40 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,454.71 Median $3,311.31 Typical High $5,370.32 | Professional | None | $2,454.71 | $3,311.31 | $5,370.32 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,995.26 Median $2,630.27 Typical High $4,168.69 | Professional | 54 · Surgery only | $1,995.26 | $2,630.27 | $4,168.69 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $489.78 Median $660.69 Typical High $1,047.13 | Professional | 55 · Aftercare only | $489.78 | $660.69 | $1,047.13 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,089.30 Median $2,754.23 Typical High $4,466.84 | Professional | 78 · Unplanned return to OR | $2,089.30 | $2,754.23 | $4,466.84 |
Cigna Setting Facility Modifier None Typical Low $2,691.53 Median $4,168.69 Typical High $7,943.28 | Facility | None | $2,691.53 | $4,168.69 | $7,943.28 |
Cigna Setting Professional Modifier None Typical Low $2,570.40 Median $4,365.16 Typical High $6,760.83 | Professional | None | $2,570.40 | $4,365.16 | $6,760.83 |
Health Partners Setting Facility Modifier None Typical Low $2,344.23 Median $3,801.89 Typical High $6,606.93 | Facility | None | $2,344.23 | $3,801.89 | $6,606.93 |
Health Partners Setting Professional Modifier None Typical Low $2,290.87 Median $3,981.07 Typical High $6,456.54 | Professional | None | $2,290.87 | $3,981.07 | $6,456.54 |
Medica Setting Facility Modifier None Typical Low $2,238.72 Median $3,467.37 Typical High $6,918.31 | Facility | None | $2,238.72 | $3,467.37 | $6,918.31 |
Medica Setting Professional Modifier None Typical Low $1,778.28 Median $3,311.31 Typical High $14,454.40 | Professional | None | $1,778.28 | $3,311.31 | $14,454.40 |
United Setting Facility Modifier None Typical Low $2,818.38 Median $4,265.80 Typical High $11,220.18 | Facility | None | $2,818.38 | $4,265.80 | $11,220.18 |
United Setting Professional Modifier None Typical Low $1,659.59 Median $2,951.21 Typical High $5,888.44 | Professional | None | $1,659.59 | $2,951.21 | $5,888.44 |
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 $812.83 Median $812.83 Typical High $812.83 | Facility | 52 · Reduced service | $812.83 | $812.83 | $812.83 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $323.59 Median $323.59 Typical High $323.59 | Facility | 53 · Discontinued | $323.59 | $323.59 | $323.59 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | 56 · Pre-op care only | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $812.83 Median $812.83 Typical High $831.76 | Professional | 52 · Reduced service | $812.83 | $812.83 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $323.59 Median $323.59 Typical High $331.13 | Professional | 53 · Discontinued | $323.59 | $323.59 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $162.18 Median $162.18 Typical High $165.96 | Professional | 56 · Pre-op care only | $162.18 | $162.18 | $165.96 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,548.82 Median $2,041.74 Typical High $3,162.28 | Professional | 62 · Two surgeons | $1,548.82 | $2,041.74 | $3,162.28 |
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· 6th of 51
$3,311
AK $6,457TX $331
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.