How much rates vary
Facilitymedian $4,266 · 10th to 90th $1,585 to $18,621Professionalmedian $3,311 · 10th to 90th $1,585 to $6,026
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 $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,584.89 | $1,584.89 | $1,584.89 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | 54 · Surgery only | $1,174.90 | $1,174.90 | $1,174.90 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | 55 · Aftercare only | $239.88 | $239.88 | $239.88 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | 78 · Unplanned return to OR | $1,096.48 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,659.59 | Professional | None | $1,584.89 | $1,584.89 | $1,659.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,174.90 Median $1,174.90 Typical High $1,258.93 | Professional | 54 · Surgery only | $1,174.90 | $1,174.90 | $1,258.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $239.88 Median $239.88 Typical High $251.19 | Professional | 55 · Aftercare only | $239.88 | $239.88 | $251.19 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,096.48 Median $1,096.48 Typical High $1,174.90 | Professional | 78 · Unplanned return to OR | $1,096.48 | $1,096.48 | $1,174.90 |
BCBS Minnesota Setting Facility Modifier None Typical Low $9,120.11 Median $31,622.78 Typical High $69,183.10 | Facility | None | $9,120.11 | $31,622.78 | $69,183.10 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,511.89 Median $3,311.31 Typical High $5,248.07 | Professional | None | $2,511.89 | $3,311.31 | $5,248.07 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,995.26 Median $2,630.27 Typical High $4,265.80 | Professional | 54 · Surgery only | $1,995.26 | $2,630.27 | $4,265.80 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $501.19 Median $660.69 Typical High $1,047.13 | Professional | 55 · Aftercare only | $501.19 | $660.69 | $1,047.13 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,089.30 Median $2,754.23 Typical High $4,466.84 | Professional | 78 · Unplanned return to OR | $2,089.30 | $2,754.23 | $4,466.84 |
Cigna Setting Facility Modifier None Typical Low $2,570.40 Median $4,073.80 Typical High $7,762.47 | Facility | None | $2,570.40 | $4,073.80 | $7,762.47 |
Cigna Setting Professional Modifier None Typical Low $2,454.71 Median $4,168.69 Typical High $6,606.93 | Professional | None | $2,454.71 | $4,168.69 | $6,606.93 |
Health Partners Setting Facility Modifier None Typical Low $2,290.87 Median $3,715.35 Typical High $6,456.54 | Facility | None | $2,290.87 | $3,715.35 | $6,456.54 |
Health Partners Setting Professional Modifier None Typical Low $2,187.76 Median $3,890.45 Typical High $6,309.57 | Professional | None | $2,187.76 | $3,890.45 | $6,309.57 |
Medica Setting Facility Modifier None Typical Low $2,187.76 Median $4,570.88 Typical High $11,481.54 | Facility | None | $2,187.76 | $4,570.88 | $11,481.54 |
Medica Setting Professional Modifier None Typical Low $1,737.80 Median $3,162.28 Typical High $14,454.40 | Professional | None | $1,737.80 | $3,162.28 | $14,454.40 |
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 $1,659.59 Median $2,884.03 Typical High $5,888.44 | Professional | None | $1,659.59 | $2,884.03 | $5,888.44 |
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 $794.33 Median $794.33 Typical High $794.33 | Facility | 52 · Reduced service | $794.33 | $794.33 | $794.33 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | 53 · Discontinued | $316.23 | $316.23 | $316.23 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | 56 · Pre-op care only | $158.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $794.33 Median $794.33 Typical High $831.76 | Professional | 52 · Reduced service | $794.33 | $794.33 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $316.23 Median $316.23 Typical High $331.13 | Professional | 53 · Discontinued | $316.23 | $316.23 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $158.49 Median $158.49 Typical High $165.96 | Professional | 56 · Pre-op care only | $158.49 | $158.49 | $165.96 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,548.82 Median $2,089.30 Typical High $3,311.31 | Professional | 62 · Two surgeons | $1,548.82 | $2,089.30 | $3,311.31 |
Where Minnesota sits
The same service costs 20.4 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
$3,388
AK $6,607TX $324
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.