How much rates vary
Facilitymedian $3,548 · 10th to 90th $1,349 to $11,220Professionalmedian $2,818 · 10th to 90th $1,349 to $5,129
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 $1,348.96 Median $1,348.96 Typical High $1,348.96 | Facility | None | $1,348.96 | $1,348.96 | $1,348.96 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | 54 · Surgery only | $1,023.29 | $1,023.29 | $1,023.29 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | 55 · Aftercare only | $204.17 | $204.17 | $204.17 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $954.99 Median $954.99 Typical High $954.99 | Facility | 78 · Unplanned return to OR | $954.99 | $954.99 | $954.99 |
Aetna Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,380.38 | Professional | None | $1,348.96 | $1,348.96 | $1,380.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,023.29 Median $1,023.29 Typical High $1,047.13 | Professional | 54 · Surgery only | $1,023.29 | $1,023.29 | $1,047.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $204.17 Typical High $208.93 | Professional | 55 · Aftercare only | $204.17 | $204.17 | $208.93 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $954.99 Median $954.99 Typical High $977.24 | Professional | 78 · Unplanned return to OR | $954.99 | $954.99 | $977.24 |
BCBS Minnesota Setting Facility Modifier None Typical Low $7,585.78 Median $11,481.54 Typical High $22,387.21 | Facility | None | $7,585.78 | $11,481.54 | $22,387.21 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,137.96 Median $2,818.38 Typical High $4,570.88 | Professional | None | $2,137.96 | $2,818.38 | $4,570.88 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,698.24 Median $2,238.72 Typical High $3,548.13 | Professional | 54 · Surgery only | $1,698.24 | $2,238.72 | $3,548.13 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $426.58 Median $562.34 Typical High $891.25 | Professional | 55 · Aftercare only | $426.58 | $562.34 | $891.25 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,778.28 Median $2,398.83 Typical High $3,801.89 | Professional | 78 · Unplanned return to OR | $1,778.28 | $2,398.83 | $3,801.89 |
Cigna Setting Facility Modifier None Typical Low $2,238.72 Median $3,467.37 Typical High $6,606.93 | Facility | None | $2,238.72 | $3,467.37 | $6,606.93 |
Cigna Setting Professional Modifier None Typical Low $2,137.96 Median $3,630.78 Typical High $5,623.41 | Professional | None | $2,137.96 | $3,630.78 | $5,623.41 |
Health Partners Setting Facility Modifier None Typical Low $1,995.26 Median $3,162.28 Typical High $5,495.41 | Facility | None | $1,995.26 | $3,162.28 | $5,495.41 |
Health Partners Setting Professional Modifier None Typical Low $1,905.46 Median $3,311.31 Typical High $5,370.32 | Professional | None | $1,905.46 | $3,311.31 | $5,370.32 |
Medica Setting Facility Modifier None Typical Low $1,862.09 Median $3,548.13 Typical High $7,943.28 | Facility | None | $1,862.09 | $3,548.13 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $1,412.54 Median $2,691.53 Typical High $14,791.08 | Professional | None | $1,412.54 | $2,691.53 | $14,791.08 |
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 $1,348.96 Median $2,344.23 Typical High $5,011.87 | Professional | None | $1,348.96 | $2,344.23 | $5,011.87 |
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 $676.08 Median $676.08 Typical High $676.08 | Facility | 52 · Reduced service | $676.08 | $676.08 | $676.08 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $269.15 Median $269.15 Typical High $269.15 | Facility | 53 · Discontinued | $269.15 | $269.15 | $269.15 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | 56 · Pre-op care only | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $676.08 Median $676.08 Typical High $691.83 | Professional | 52 · Reduced service | $676.08 | $676.08 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $269.15 Median $269.15 Typical High $275.42 | Professional | 53 · Discontinued | $269.15 | $269.15 | $275.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $134.90 Median $134.90 Typical High $138.04 | Professional | 56 · Pre-op care only | $134.90 | $134.90 | $138.04 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,318.26 Median $1,737.80 Typical High $2,691.53 | Professional | 62 · Two surgeons | $1,318.26 | $1,737.80 | $2,691.53 |
Where Minnesota sits
The same service costs 17.0 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
$2,884
AK $5,495TX $324
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.