How much rates vary
Facilitymedian $4,365 · 10th to 90th $2,138 to $10,471Professionalmedian $4,266 · 10th to 90th $2,138 to $7,943
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 $2,137.96 Median $2,137.96 Typical High $2,137.96 | Facility | None | $2,137.96 | $2,137.96 | $2,137.96 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | 54 · Surgery only | $1,584.89 | $1,584.89 | $1,584.89 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | 55 · Aftercare only | $316.23 | $316.23 | $316.23 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Facility | 78 · Unplanned return to OR | $1,479.11 | $1,479.11 | $1,479.11 |
Aetna Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,187.76 | Professional | None | $2,137.96 | $2,137.96 | $2,187.76 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,584.89 Median $1,584.89 Typical High $1,621.81 | Professional | 54 · Surgery only | $1,584.89 | $1,584.89 | $1,621.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $316.23 Median $316.23 Typical High $331.13 | Professional | 55 · Aftercare only | $316.23 | $316.23 | $331.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,479.11 Median $1,479.11 Typical High $1,513.56 | Professional | 78 · Unplanned return to OR | $1,479.11 | $1,479.11 | $1,513.56 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,238.72 Median $6,165.95 Typical High $18,620.87 | Facility | None | $2,238.72 | $6,165.95 | $18,620.87 |
BCBS Minnesota Setting Professional Modifier None Typical Low $3,162.28 Median $4,168.69 Typical High $6,918.31 | Professional | None | $3,162.28 | $4,168.69 | $6,918.31 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $2,511.89 Median $3,311.31 Typical High $5,623.41 | Professional | 54 · Surgery only | $2,511.89 | $3,311.31 | $5,623.41 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $630.96 Median $831.76 Typical High $1,380.38 | Professional | 55 · Aftercare only | $630.96 | $831.76 | $1,380.38 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,630.27 Median $3,548.13 Typical High $5,888.44 | Professional | 78 · Unplanned return to OR | $2,630.27 | $3,548.13 | $5,888.44 |
Cigna Setting Facility Modifier None Typical Low $3,467.37 Median $5,370.32 Typical High $10,232.93 | Facility | None | $3,467.37 | $5,370.32 | $10,232.93 |
Cigna Setting Professional Modifier None Typical Low $3,311.31 Median $5,623.41 Typical High $8,912.51 | Professional | None | $3,311.31 | $5,623.41 | $8,912.51 |
Health Partners Setting Facility Modifier None Typical Low $3,090.30 Median $5,011.87 Typical High $8,709.64 | Facility | None | $3,090.30 | $5,011.87 | $8,709.64 |
Health Partners Setting Professional Modifier None Typical Low $2,951.21 Median $5,248.07 Typical High $8,317.64 | Professional | None | $2,951.21 | $5,248.07 | $8,317.64 |
Medica Setting Facility Modifier None Typical Low $2,818.38 Median $3,981.07 Typical High $6,918.31 | Facility | None | $2,818.38 | $3,981.07 | $6,918.31 |
Medica Setting Professional Modifier None Typical Low $2,290.87 Median $4,265.80 Typical High $22,387.21 | Professional | None | $2,290.87 | $4,265.80 | $22,387.21 |
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 $2,187.76 Median $3,801.89 Typical High $7,762.47 | Professional | None | $2,187.76 | $3,801.89 | $7,762.47 |
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 $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | 52 · Reduced service | $1,047.13 | $1,047.13 | $1,047.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | 53 · Discontinued | $426.58 | $426.58 | $426.58 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | 56 · Pre-op care only | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,047.13 Median $1,047.13 Typical High $1,096.48 | Professional | 52 · Reduced service | $1,047.13 | $1,047.13 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $426.58 Median $426.58 Typical High $436.52 | Professional | 53 · Discontinued | $426.58 | $426.58 | $436.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $213.80 Median $213.80 Typical High $218.78 | Professional | 56 · Pre-op care only | $213.80 | $213.80 | $218.78 |
Where Minnesota sits
The same service costs 21.9 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
$4,266
AK $8,710TX $398
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.