How much rates vary
Facilitymedian $2,884 · 10th to 90th $1,072 to $7,586Professionalmedian $2,188 · 10th to 90th $1,072 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 $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,071.52 | $1,071.52 | $1,071.52 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $812.83 Median $812.83 Typical High $812.83 | Facility | 54 · Surgery only | $812.83 | $812.83 | $812.83 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | 55 · Aftercare only | $162.18 | $162.18 | $162.18 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | 78 · Unplanned return to OR | $758.58 | $758.58 | $758.58 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,148.15 | Professional | None | $1,071.52 | $1,071.52 | $1,148.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $812.83 Median $812.83 Typical High $831.76 | Professional | 54 · Surgery only | $812.83 | $812.83 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $162.18 Typical High $165.96 | Professional | 55 · Aftercare only | $162.18 | $162.18 | $165.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $758.58 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $758.58 | $758.58 | $776.25 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,238.72 Median $5,888.44 Typical High $11,748.98 | Facility | None | $2,238.72 | $5,888.44 | $11,748.98 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,621.81 Median $2,137.96 Typical High $3,548.13 | Professional | None | $1,621.81 | $2,137.96 | $3,548.13 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,288.25 Median $1,698.24 Typical High $2,818.38 | Professional | 54 · Surgery only | $1,288.25 | $1,698.24 | $2,818.38 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $323.59 Median $426.58 Typical High $691.83 | Professional | 55 · Aftercare only | $323.59 | $426.58 | $691.83 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,348.96 Median $1,778.28 Typical High $2,951.21 | Professional | 78 · Unplanned return to OR | $1,348.96 | $1,778.28 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $2,754.23 Typical High $5,248.07 | Facility | None | $1,778.28 | $2,754.23 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $1,698.24 Median $2,884.03 Typical High $4,570.88 | Professional | None | $1,698.24 | $2,884.03 | $4,570.88 |
Health Partners Setting Facility Modifier None Typical Low $1,584.89 Median $2,570.40 Typical High $4,466.84 | Facility | None | $1,584.89 | $2,570.40 | $4,466.84 |
Health Partners Setting Professional Modifier None Typical Low $1,513.56 Median $2,691.53 Typical High $4,265.80 | Professional | None | $1,513.56 | $2,691.53 | $4,265.80 |
Medica Setting Facility Modifier None Typical Low $1,584.89 Median $3,235.94 Typical High $6,918.31 | Facility | None | $1,584.89 | $3,235.94 | $6,918.31 |
Medica Setting Professional Modifier None Typical Low $1,230.27 Median $2,238.72 Typical High $10,232.93 | Professional | None | $1,230.27 | $2,238.72 | $10,232.93 |
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 $1,096.48 Median $2,089.30 Typical High $3,890.45 | Professional | None | $1,096.48 | $2,089.30 | $3,890.45 |
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 $537.03 Median $537.03 Typical High $537.03 | Facility | 52 · Reduced service | $537.03 | $537.03 | $537.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | 53 · Discontinued | $218.78 | $218.78 | $218.78 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | 56 · Pre-op care only | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $537.03 Median $537.03 Typical High $549.54 | Professional | 52 · Reduced service | $537.03 | $537.03 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | 53 · Discontinued | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $107.15 Typical High $109.65 | Professional | 56 · Pre-op care only | $107.15 | $107.15 | $109.65 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,000.00 Median $1,348.96 Typical High $2,187.76 | Professional | 62 · Two surgeons | $1,000.00 | $1,348.96 | $2,187.76 |
Where Minnesota sits
The same service costs 17.8 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
$2,291
AK $4,467TX $251
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.