How much rates vary
Facilitymedian $3,236 · 10th to 90th $955 to $9,333Professionalmedian $2,089 · 10th to 90th $1,000 to $3,715
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 $954.99 Median $954.99 Typical High $954.99 | Facility | None | $954.99 | $954.99 | $954.99 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | 54 · Surgery only | $724.44 | $724.44 | $724.44 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | 55 · Aftercare only | $144.54 | $144.54 | $144.54 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $676.08 Typical High $676.08 | Facility | 78 · Unplanned return to OR | $676.08 | $676.08 | $676.08 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,071.52 | Professional | None | $954.99 | $954.99 | $1,071.52 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $724.44 Typical High $776.25 | Professional | 54 · Surgery only | $724.44 | $724.44 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $144.54 Typical High $154.88 | Professional | 55 · Aftercare only | $144.54 | $144.54 | $154.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $676.08 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $676.08 | $676.08 | $724.44 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,801.89 Median $6,918.31 Typical High $12,589.25 | Facility | None | $3,801.89 | $6,918.31 | $12,589.25 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,698.24 Median $2,187.76 Typical High $3,311.31 | Professional | None | $1,698.24 | $2,187.76 | $3,311.31 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,348.96 Median $1,737.80 Typical High $2,630.27 | Professional | 54 · Surgery only | $1,348.96 | $1,737.80 | $2,630.27 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $338.84 Median $436.52 Typical High $645.65 | Professional | 55 · Aftercare only | $338.84 | $436.52 | $645.65 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,412.54 Median $1,819.70 Typical High $2,754.23 | Professional | 78 · Unplanned return to OR | $1,412.54 | $1,819.70 | $2,754.23 |
Cigna Setting Facility Modifier None Typical Low $1,584.89 Median $2,454.71 Typical High $4,677.35 | Facility | None | $1,584.89 | $2,454.71 | $4,677.35 |
Cigna Setting Professional Modifier None Typical Low $1,513.56 Median $2,570.40 Typical High $3,981.07 | Professional | None | $1,513.56 | $2,570.40 | $3,981.07 |
Health Partners Setting Facility Modifier None Typical Low $1,412.54 Median $2,238.72 Typical High $3,890.45 | Facility | None | $1,412.54 | $2,238.72 | $3,890.45 |
Health Partners Setting Professional Modifier None Typical Low $1,348.96 Median $2,344.23 Typical High $3,801.89 | Professional | None | $1,348.96 | $2,344.23 | $3,801.89 |
Medica Setting Facility Modifier None Typical Low $1,621.81 Median $4,168.69 Typical High $9,332.54 | Facility | None | $1,621.81 | $4,168.69 | $9,332.54 |
Medica Setting Professional Modifier None Typical Low $1,096.48 Median $1,995.26 Typical High $11,481.54 | Professional | None | $1,096.48 | $1,995.26 | $11,481.54 |
United Setting Facility Modifier None Typical Low $3,235.94 Median $5,370.32 Typical High $12,882.50 | Facility | None | $3,235.94 | $5,370.32 | $12,882.50 |
United Setting Professional Modifier None Typical Low $1,047.13 Median $1,819.70 Typical High $3,715.35 | Professional | None | $1,047.13 | $1,819.70 | $3,715.35 |
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 $478.63 Median $478.63 Typical High $478.63 | Facility | 52 · Reduced service | $478.63 | $478.63 | $478.63 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | 53 · Discontinued | $190.55 | $190.55 | $190.55 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | 56 · Pre-op care only | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $478.63 Median $478.63 Typical High $524.81 | Professional | 52 · Reduced service | $478.63 | $478.63 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $190.55 Typical High $208.93 | Professional | 53 · Discontinued | $190.55 | $190.55 | $208.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $95.50 Typical High $104.71 | Professional | 56 · Pre-op care only | $95.50 | $95.50 | $104.71 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,047.13 Median $1,348.96 Typical High $2,041.74 | Professional | 62 · Two surgeons | $1,047.13 | $1,348.96 | $2,041.74 |
Where Minnesota sits
The same service costs 14.8 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
$2,188
AK $4,169TX $282
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.