How much rates vary
Facilitymedian $4,571 · 10th to 90th $2,188 to $14,454Professionalmedian $4,571 · 10th to 90th $2,188 to $8,318
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 $2,187.76 Median $2,187.76 Typical High $2,187.76 | Facility | None | $2,187.76 | $2,187.76 | $2,187.76 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | 54 · Surgery only | $1,659.59 | $1,659.59 | $1,659.59 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | 55 · Aftercare only | $331.13 | $331.13 | $331.13 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | 78 · Unplanned return to OR | $1,548.82 | $1,548.82 | $1,548.82 |
Aetna Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,290.87 | Professional | None | $2,187.76 | $2,187.76 | $2,290.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,659.59 Median $1,659.59 Typical High $1,698.24 | Professional | 54 · Surgery only | $1,659.59 | $1,659.59 | $1,698.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $331.13 Median $331.13 Typical High $338.84 | Professional | 55 · Aftercare only | $331.13 | $331.13 | $338.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,548.82 Median $1,548.82 Typical High $1,584.89 | Professional | 78 · Unplanned return to OR | $1,548.82 | $1,548.82 | $1,584.89 |
BCBS Minnesota Setting Facility Modifier None Typical Low $7,943.28 Median $14,454.40 Typical High $26,302.68 | Facility | None | $7,943.28 | $14,454.40 | $26,302.68 |
BCBS Minnesota Setting Professional Modifier None Typical Low $3,467.37 Median $4,570.88 Typical High $7,413.10 | Professional | None | $3,467.37 | $4,570.88 | $7,413.10 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $2,754.23 Median $3,630.78 Typical High $5,888.44 | Professional | 54 · Surgery only | $2,754.23 | $3,630.78 | $5,888.44 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $691.83 Median $912.01 Typical High $1,445.44 | Professional | 55 · Aftercare only | $691.83 | $912.01 | $1,445.44 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,884.03 Median $3,801.89 Typical High $6,165.95 | Professional | 78 · Unplanned return to OR | $2,884.03 | $3,801.89 | $6,165.95 |
Cigna Setting Facility Modifier None Typical Low $3,630.78 Median $5,623.41 Typical High $10,715.19 | Facility | None | $3,630.78 | $5,623.41 | $10,715.19 |
Cigna Setting Professional Modifier None Typical Low $3,467.37 Median $5,888.44 Typical High $9,332.54 | Professional | None | $3,467.37 | $5,888.44 | $9,332.54 |
Health Partners Setting Facility Modifier None Typical Low $3,235.94 Median $5,248.07 Typical High $9,120.11 | Facility | None | $3,235.94 | $5,248.07 | $9,120.11 |
Health Partners Setting Professional Modifier None Typical Low $3,090.30 Median $5,495.41 Typical High $8,709.64 | Professional | None | $3,090.30 | $5,495.41 | $8,709.64 |
Medica Setting Facility Modifier None Typical Low $2,818.38 Median $4,073.80 Typical High $7,943.28 | Facility | None | $2,818.38 | $4,073.80 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $2,238.72 Median $4,168.69 Typical High $24,547.09 | Professional | None | $2,238.72 | $4,168.69 | $24,547.09 |
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 $2,137.96 Median $3,630.78 Typical High $8,317.64 | Professional | None | $2,137.96 | $3,630.78 | $8,317.64 |
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 $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | 52 · Reduced service | $1,096.48 | $1,096.48 | $1,096.48 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | 53 · Discontinued | $436.52 | $436.52 | $436.52 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | 56 · Pre-op care only | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,096.48 Median $1,096.48 Typical High $1,148.15 | Professional | 52 · Reduced service | $1,096.48 | $1,096.48 | $1,148.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $436.52 Median $436.52 Typical High $457.09 | Professional | 53 · Discontinued | $436.52 | $436.52 | $457.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $218.78 Median $218.78 Typical High $229.09 | Professional | 56 · Pre-op care only | $218.78 | $218.78 | $229.09 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $2,137.96 Median $2,818.38 Typical High $4,570.88 | Professional | 62 · Two surgeons | $2,137.96 | $2,818.38 | $4,570.88 |
Where Minnesota sits
The same service costs 21.4 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
$4,571
AK $9,120TX $427
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.