How much rates vary
Facilitymedian $5,495 · 10th to 90th $2,399 to $23,442Professionalmedian $5,012 · 10th to 90th $2,455 to $9,120
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 $2,398.83 Median $2,398.83 Typical High $2,398.83 | Facility | None | $2,398.83 | $2,398.83 | $2,398.83 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | 54 · Surgery only | $1,778.28 | $1,778.28 | $1,778.28 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | 55 · Aftercare only | $354.81 | $354.81 | $354.81 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | 78 · Unplanned return to OR | $1,659.59 | $1,659.59 | $1,659.59 |
Aetna Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,570.40 | Professional | None | $2,398.83 | $2,398.83 | $2,570.40 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,778.28 Median $1,778.28 Typical High $1,905.46 | Professional | 54 · Surgery only | $1,778.28 | $1,778.28 | $1,905.46 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $354.81 Median $354.81 Typical High $380.19 | Professional | 55 · Aftercare only | $354.81 | $354.81 | $380.19 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,659.59 Median $1,659.59 Typical High $1,778.28 | Professional | 78 · Unplanned return to OR | $1,659.59 | $1,659.59 | $1,778.28 |
BCBS Minnesota Setting Facility Modifier None Typical Low $13,489.63 Median $33,113.11 Typical High $69,183.10 | Facility | None | $13,489.63 | $33,113.11 | $69,183.10 |
BCBS Minnesota Setting Professional Modifier None Typical Low $3,715.35 Median $5,011.87 Typical High $8,128.31 | Professional | None | $3,715.35 | $5,011.87 | $8,128.31 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $3,019.95 Median $3,981.07 Typical High $6,456.54 | Professional | 54 · Surgery only | $3,019.95 | $3,981.07 | $6,456.54 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $741.31 Median $1,000.00 Typical High $1,584.89 | Professional | 55 · Aftercare only | $741.31 | $1,000.00 | $1,584.89 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $3,162.28 Median $4,168.69 Typical High $6,760.83 | Professional | 78 · Unplanned return to OR | $3,162.28 | $4,168.69 | $6,760.83 |
Cigna Setting Facility Modifier None Typical Low $3,890.45 Median $6,025.60 Typical High $11,748.98 | Facility | None | $3,890.45 | $6,025.60 | $11,748.98 |
Cigna Setting Professional Modifier None Typical Low $3,715.35 Median $6,309.57 Typical High $10,000.00 | Professional | None | $3,715.35 | $6,309.57 | $10,000.00 |
Health Partners Setting Facility Modifier None Typical Low $3,467.37 Median $5,623.41 Typical High $9,772.37 | Facility | None | $3,467.37 | $5,623.41 | $9,772.37 |
Health Partners Setting Professional Modifier None Typical Low $3,311.31 Median $5,888.44 Typical High $9,549.93 | Professional | None | $3,311.31 | $5,888.44 | $9,549.93 |
Medica Setting Facility Modifier None Typical Low $3,235.94 Median $5,128.61 Typical High $11,481.54 | Facility | None | $3,235.94 | $5,128.61 | $11,481.54 |
Medica Setting Professional Modifier None Typical Low $2,754.23 Median $5,011.87 Typical High $20,892.96 | Professional | None | $2,754.23 | $5,011.87 | $20,892.96 |
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 $2,511.89 Median $4,570.88 Typical High $9,120.11 | Professional | None | $2,511.89 | $4,570.88 | $9,120.11 |
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 $1,202.26 Median $1,202.26 Typical High $1,202.26 | Facility | 52 · Reduced service | $1,202.26 | $1,202.26 | $1,202.26 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | 53 · Discontinued | $478.63 | $478.63 | $478.63 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | 56 · Pre-op care only | $239.88 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,202.26 Median $1,202.26 Typical High $1,288.25 | Professional | 52 · Reduced service | $1,202.26 | $1,202.26 | $1,288.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $478.63 Median $478.63 Typical High $512.86 | Professional | 53 · Discontinued | $478.63 | $478.63 | $512.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $239.88 Median $239.88 Typical High $257.04 | Professional | 56 · Pre-op care only | $239.88 | $239.88 | $257.04 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $2,344.23 Median $3,090.30 Typical High $4,897.79 | Professional | 62 · Two surgeons | $2,344.23 | $3,090.30 | $4,897.79 |
Where Minnesota sits
The same service costs 25.7 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· 7th of 51
$5,012
AK $10,000TX $389
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.