How much rates vary
Facilitymedian $3,890 · 10th to 90th $1,698 to $12,589Professionalmedian $3,388 · 10th to 90th $1,778 to $6,607
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 $1,698.24 Median $1,698.24 Typical High $1,698.24 | Facility | None | $1,698.24 | $1,698.24 | $1,698.24 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | 54 · Surgery only | $1,288.25 | $1,288.25 | $1,288.25 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | 55 · Aftercare only | $257.04 | $257.04 | $257.04 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Facility | 78 · Unplanned return to OR | $1,202.26 | $1,202.26 | $1,202.26 |
Aetna Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,995.26 | Professional | None | $1,698.24 | $1,698.24 | $1,995.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,288.25 Median $1,288.25 Typical High $1,513.56 | Professional | 54 · Surgery only | $1,288.25 | $1,288.25 | $1,513.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $257.04 Median $257.04 Typical High $302.00 | Professional | 55 · Aftercare only | $257.04 | $257.04 | $302.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,202.26 Median $1,202.26 Typical High $1,412.54 | Professional | 78 · Unplanned return to OR | $1,202.26 | $1,202.26 | $1,412.54 |
BCBS Minnesota Setting Facility Modifier None Typical Low $7,762.47 Median $12,589.25 Typical High $22,387.21 | Facility | None | $7,762.47 | $12,589.25 | $22,387.21 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,511.89 Median $3,388.44 Typical High $5,623.41 | Professional | None | $2,511.89 | $3,388.44 | $5,623.41 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,995.26 Median $2,691.53 Typical High $4,466.84 | Professional | 54 · Surgery only | $1,995.26 | $2,691.53 | $4,466.84 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $501.19 Median $676.08 Typical High $1,096.48 | Professional | 55 · Aftercare only | $501.19 | $676.08 | $1,096.48 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,089.30 Median $2,818.38 Typical High $4,677.35 | Professional | 78 · Unplanned return to OR | $2,089.30 | $2,818.38 | $4,677.35 |
Cigna Setting Facility Modifier None Typical Low $2,570.40 Median $3,981.07 Typical High $7,762.47 | Facility | None | $2,570.40 | $3,981.07 | $7,762.47 |
Cigna Setting Professional Modifier None Typical Low $2,951.21 Median $4,677.35 Typical High $7,244.36 | Professional | None | $2,951.21 | $4,677.35 | $7,244.36 |
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 $2,630.27 Median $4,168.69 Typical High $6,456.54 | Professional | None | $2,630.27 | $4,168.69 | $6,456.54 |
Medica Setting Facility Modifier None Typical Low $2,691.53 Median $3,801.89 Typical High $9,772.37 | Facility | None | $2,691.53 | $3,801.89 | $9,772.37 |
Medica Setting Professional Modifier None Typical Low $1,778.28 Median $3,467.37 Typical High $11,748.98 | Professional | None | $1,778.28 | $3,467.37 | $11,748.98 |
United Setting Facility Modifier None Typical Low $2,818.38 Median $4,265.80 Typical High $11,220.18 | Facility | None | $2,818.38 | $4,265.80 | $11,220.18 |
United Setting Professional Modifier None Typical Low $1,778.28 Median $3,311.31 Typical High $6,760.83 | Professional | None | $1,778.28 | $3,311.31 | $6,760.83 |
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 $851.14 Median $851.14 Typical High $851.14 | Facility | 52 · Reduced service | $851.14 | $851.14 | $851.14 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | 53 · Discontinued | $338.84 | $338.84 | $338.84 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | 56 · Pre-op care only | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $851.14 Median $851.14 Typical High $1,000.00 | Professional | 52 · Reduced service | $851.14 | $851.14 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $338.84 Median $338.84 Typical High $398.11 | Professional | 53 · Discontinued | $338.84 | $338.84 | $398.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $169.82 Median $169.82 Typical High $199.53 | Professional | 56 · Pre-op care only | $169.82 | $169.82 | $199.53 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,548.82 Median $2,089.30 Typical High $3,388.44 | Professional | 62 · Two surgeons | $1,548.82 | $2,089.30 | $3,388.44 |
Where Minnesota sits
The same service costs 6.3 times more in Alaska than in Utah. 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
$3,467
AK $6,457UT $1,023
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.