How much rates vary
Facilitymedian $4,786 · 10th to 90th $1,820 to $21,380Professionalmedian $4,169 · 10th to 90th $1,862 to $7,079
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 $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Facility | 54 · Surgery only | $1,348.96 | $1,348.96 | $1,348.96 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | 55 · Aftercare only | $275.42 | $275.42 | $275.42 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | 78 · Unplanned return to OR | $1,258.93 | $1,258.93 | $1,258.93 |
Aetna Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,995.26 | Professional | None | $1,819.70 | $1,819.70 | $1,995.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,348.96 Median $1,348.96 Typical High $1,513.56 | Professional | 54 · Surgery only | $1,348.96 | $1,348.96 | $1,513.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $275.42 Median $275.42 Typical High $302.00 | Professional | 55 · Aftercare only | $275.42 | $275.42 | $302.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,258.93 Median $1,258.93 Typical High $1,412.54 | Professional | 78 · Unplanned return to OR | $1,258.93 | $1,258.93 | $1,412.54 |
BCBS Minnesota Setting Facility Modifier None Typical Low $10,715.19 Median $31,622.78 Typical High $69,183.10 | Facility | None | $10,715.19 | $31,622.78 | $69,183.10 |
BCBS Minnesota Setting Professional Modifier None Typical Low $3,311.31 Median $4,265.80 Typical High $6,456.54 | Professional | None | $3,311.31 | $4,265.80 | $6,456.54 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $2,630.27 Median $3,388.44 Typical High $5,248.07 | Professional | 54 · Surgery only | $2,630.27 | $3,388.44 | $5,248.07 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $660.69 Median $851.14 Typical High $1,258.93 | Professional | 55 · Aftercare only | $660.69 | $851.14 | $1,258.93 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,754.23 Median $3,548.13 Typical High $5,495.41 | Professional | 78 · Unplanned return to OR | $2,754.23 | $3,548.13 | $5,495.41 |
Cigna Setting Facility Modifier None Typical Low $2,951.21 Median $4,677.35 Typical High $8,912.51 | Facility | None | $2,951.21 | $4,677.35 | $8,912.51 |
Cigna Setting Professional Modifier None Typical Low $2,818.38 Median $4,897.79 Typical High $7,585.78 | Professional | None | $2,818.38 | $4,897.79 | $7,585.78 |
Health Partners Setting Facility Modifier None Typical Low $2,630.27 Median $4,265.80 Typical High $7,413.10 | Facility | None | $2,630.27 | $4,265.80 | $7,413.10 |
Health Partners Setting Professional Modifier None Typical Low $2,511.89 Median $4,466.84 Typical High $7,244.36 | Professional | None | $2,511.89 | $4,466.84 | $7,244.36 |
Medica Setting Facility Modifier None Typical Low $2,511.89 Median $5,011.87 Typical High $11,481.54 | Facility | None | $2,511.89 | $5,011.87 | $11,481.54 |
Medica Setting Professional Modifier None Typical Low $2,041.74 Median $3,715.35 Typical High $14,125.38 | Professional | None | $2,041.74 | $3,715.35 | $14,125.38 |
United Setting Facility Modifier None Typical Low $3,981.07 Median $5,623.41 Typical High $13,803.84 | Facility | None | $3,981.07 | $5,623.41 | $13,803.84 |
United Setting Professional Modifier None Typical Low $1,995.26 Median $3,388.44 Typical High $7,079.46 | Professional | None | $1,995.26 | $3,388.44 | $7,079.46 |
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 $912.01 Median $912.01 Typical High $912.01 | Facility | 52 · Reduced service | $912.01 | $912.01 | $912.01 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | 53 · Discontinued | $363.08 | $363.08 | $363.08 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | 56 · Pre-op care only | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $912.01 Median $912.01 Typical High $1,000.00 | Professional | 52 · Reduced service | $912.01 | $912.01 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $363.08 Median $363.08 Typical High $398.11 | Professional | 53 · Discontinued | $363.08 | $363.08 | $398.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $181.97 Median $181.97 Typical High $199.53 | Professional | 56 · Pre-op care only | $181.97 | $181.97 | $199.53 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $2,041.74 Median $2,691.53 Typical High $4,073.80 | Professional | 62 · Two surgeons | $2,041.74 | $2,691.53 | $4,073.80 |
Where Minnesota sits
The same service costs 16.2 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· 4th of 51
$4,169
AK $8,128TX $501
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.