How much rates vary
Facilitymedian $2,291 · 10th to 90th $851 to $7,762Professionalmedian $1,738 · 10th to 90th $851 to $3,090
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 $851.14 Median $851.14 Typical High $851.14 | Facility | None | $851.14 | $851.14 | $851.14 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | 54 · Surgery only | $630.96 | $630.96 | $630.96 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | 55 · Aftercare only | $125.89 | $125.89 | $125.89 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | 78 · Unplanned return to OR | $588.84 | $588.84 | $588.84 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | None | $851.14 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | 54 · Surgery only | $630.96 | $630.96 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 55 · Aftercare only | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $588.84 | $588.84 | $588.84 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,265.80 Median $6,309.57 Typical High $12,302.69 | Facility | None | $4,265.80 | $6,309.57 | $12,302.69 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,412.54 Median $1,778.28 Typical High $2,754.23 | Professional | None | $1,412.54 | $1,778.28 | $2,754.23 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,122.02 Median $1,412.54 Typical High $2,187.76 | Professional | 54 · Surgery only | $1,122.02 | $1,412.54 | $2,187.76 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $281.84 Median $354.81 Typical High $549.54 | Professional | 55 · Aftercare only | $281.84 | $354.81 | $549.54 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,174.90 Median $1,479.11 Typical High $2,344.23 | Professional | 78 · Unplanned return to OR | $1,174.90 | $1,479.11 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $2,137.96 Typical High $4,168.69 | Facility | None | $1,380.38 | $2,137.96 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $2,238.72 Typical High $3,548.13 | Professional | None | $1,318.26 | $2,238.72 | $3,548.13 |
Health Partners Setting Facility Modifier None Typical Low $1,230.27 Median $1,995.26 Typical High $3,467.37 | Facility | None | $1,230.27 | $1,995.26 | $3,467.37 |
Health Partners Setting Professional Modifier None Typical Low $1,174.90 Median $2,089.30 Typical High $3,388.44 | Professional | None | $1,174.90 | $2,089.30 | $3,388.44 |
Medica Setting Facility Modifier None Typical Low $1,479.11 Median $2,754.23 Typical High $7,762.47 | Facility | None | $1,479.11 | $2,754.23 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $851.14 Median $1,621.81 Typical High $6,309.57 | Professional | None | $851.14 | $1,621.81 | $6,309.57 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $8,511.38 | Facility | None | $1,995.26 | $3,090.30 | $8,511.38 |
United Setting Professional Modifier None Typical Low $831.76 Median $1,445.44 Typical High $2,951.21 | Professional | None | $831.76 | $1,445.44 | $2,951.21 |
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 $426.58 Median $426.58 Typical High $426.58 | Facility | 52 · Reduced service | $426.58 | $426.58 | $426.58 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | 53 · Discontinued | $169.82 | $169.82 | $169.82 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | 56 · Pre-op care only | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | 52 · Reduced service | $426.58 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | 53 · Discontinued | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 56 · Pre-op care only | $85.11 | $85.11 | $85.11 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $870.96 Median $1,096.48 Typical High $1,659.59 | Professional | 62 · Two surgeons | $870.96 | $1,096.48 | $1,659.59 |
Where Minnesota sits
The same service costs 7.4 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
$1,820
AK $3,467TX $468
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.