How much rates vary
Facilitymedian $2,399 · 10th to 90th $1,023 to $9,772Professionalmedian $2,089 · 10th to 90th $1,023 to $3,981
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 $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | None | $1,023.29 | $1,023.29 | $1,023.29 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | 54 · Surgery only | $758.58 | $758.58 | $758.58 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | 55 · Aftercare only | $151.36 | $151.36 | $151.36 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | 78 · Unplanned return to OR | $707.95 | $707.95 | $707.95 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,202.26 | Professional | None | $1,023.29 | $1,023.29 | $1,202.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $758.58 Median $758.58 Typical High $831.76 | Professional | 54 · Surgery only | $758.58 | $758.58 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $151.36 Typical High $165.96 | Professional | 55 · Aftercare only | $151.36 | $151.36 | $165.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $707.95 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $707.95 | $707.95 | $776.25 |
BCBS Minnesota Setting Facility Modifier None Typical Low $6,165.95 Median $11,481.54 Typical High $22,387.21 | Facility | None | $6,165.95 | $11,481.54 | $22,387.21 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,548.82 Median $2,041.74 Typical High $3,311.31 | Professional | None | $1,548.82 | $2,041.74 | $3,311.31 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,230.27 Median $1,659.59 Typical High $2,630.27 | Professional | 54 · Surgery only | $1,230.27 | $1,659.59 | $2,630.27 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $309.03 Median $416.87 Typical High $660.69 | Professional | 55 · Aftercare only | $309.03 | $416.87 | $660.69 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,288.25 Median $1,737.80 Typical High $2,818.38 | Professional | 78 · Unplanned return to OR | $1,288.25 | $1,737.80 | $2,818.38 |
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 $1,584.89 Median $2,691.53 Typical High $4,265.80 | Professional | None | $1,584.89 | $2,691.53 | $4,265.80 |
Health Partners Setting Facility Modifier None Typical Low $1,479.11 Median $2,398.83 Typical High $4,168.69 | Facility | None | $1,479.11 | $2,398.83 | $4,168.69 |
Health Partners Setting Professional Modifier None Typical Low $1,412.54 Median $2,511.89 Typical High $3,981.07 | Professional | None | $1,412.54 | $2,511.89 | $3,981.07 |
Medica Setting Facility Modifier None Typical Low $1,513.56 Median $2,187.76 Typical High $4,786.30 | Facility | None | $1,513.56 | $2,187.76 | $4,786.30 |
Medica Setting Professional Modifier None Typical Low $1,258.93 Median $2,238.72 Typical High $7,585.78 | Professional | None | $1,258.93 | $2,238.72 | $7,585.78 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $8,317.64 | Facility | None | $1,513.56 | $2,511.89 | $8,317.64 |
United Setting Professional Modifier None Typical Low $1,122.02 Median $2,089.30 Typical High $3,981.07 | Professional | None | $1,122.02 | $2,089.30 | $3,981.07 |
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 $501.19 Median $501.19 Typical High $501.19 | Facility | 52 · Reduced service | $501.19 | $501.19 | $501.19 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | 53 · Discontinued | $204.17 | $204.17 | $204.17 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | 56 · Pre-op care only | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $501.19 Median $501.19 Typical High $549.54 | Professional | 52 · Reduced service | $501.19 | $501.19 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $204.17 Typical High $218.78 | Professional | 53 · Discontinued | $204.17 | $204.17 | $218.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $102.33 Typical High $109.65 | Professional | 56 · Pre-op care only | $102.33 | $102.33 | $109.65 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $954.99 Median $1,288.25 Typical High $1,995.26 | Professional | 62 · Two surgeons | $954.99 | $1,288.25 | $1,995.26 |
Where Minnesota sits
The same service costs 7.9 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
$2,138
AK $4,074TX $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.