How much rates vary
Facilitymedian $4,074 · 10th to 90th $1,122 to $14,454Professionalmedian $5,129 · 10th to 90th $2,818 to $10,000
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 $2,570.40 Median $2,570.40 Typical High $2,570.40 | Facility | None | $2,570.40 | $2,570.40 | $2,570.40 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Facility | 54 · Surgery only | $1,949.84 | $1,949.84 | $1,949.84 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | 55 · Aftercare only | $389.05 | $389.05 | $389.05 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | 78 · Unplanned return to OR | $1,819.70 | $1,819.70 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $3,019.95 | Professional | None | $2,570.40 | $2,570.40 | $3,019.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,949.84 Median $1,949.84 Typical High $2,290.87 | Professional | 54 · Surgery only | $1,949.84 | $1,949.84 | $2,290.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $389.05 Median $389.05 Typical High $457.09 | Professional | 55 · Aftercare only | $389.05 | $389.05 | $457.09 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,819.70 Median $1,819.70 Typical High $2,137.96 | Professional | 78 · Unplanned return to OR | $1,819.70 | $1,819.70 | $2,137.96 |
BCBS Minnesota Setting Facility Modifier None Typical Low $7,762.47 Median $14,791.08 Typical High $26,915.35 | Facility | None | $7,762.47 | $14,791.08 | $26,915.35 |
BCBS Minnesota Setting Professional Modifier None Typical Low $3,630.78 Median $4,897.79 Typical High $8,317.64 | Professional | None | $3,630.78 | $4,897.79 | $8,317.64 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $2,884.03 Median $3,890.45 Typical High $6,760.83 | Professional | 54 · Surgery only | $2,884.03 | $3,890.45 | $6,760.83 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $724.44 Median $977.24 Typical High $1,659.59 | Professional | 55 · Aftercare only | $724.44 | $977.24 | $1,659.59 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $3,019.95 Median $4,073.80 Typical High $7,079.46 | Professional | 78 · Unplanned return to OR | $3,019.95 | $4,073.80 | $7,079.46 |
Cigna Setting Facility Modifier None Typical Low $3,890.45 Median $6,025.60 Typical High $11,481.54 | Facility | None | $3,890.45 | $6,025.60 | $11,481.54 |
Cigna Setting Professional Modifier None Typical Low $4,466.84 Median $6,918.31 Typical High $10,964.78 | Professional | None | $4,466.84 | $6,918.31 | $10,964.78 |
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 $3,890.45 Median $6,309.57 Typical High $9,549.93 | Professional | None | $3,890.45 | $6,309.57 | $9,549.93 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $4,677.35 | Facility | None | $758.58 | $1,445.44 | $4,677.35 |
Medica Setting Professional Modifier None Typical Low $2,754.23 Median $5,248.07 Typical High $17,782.79 | Professional | None | $2,754.23 | $5,248.07 | $17,782.79 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,513.56 Typical High $3,630.78 | Facility | None | $758.58 | $1,513.56 | $3,630.78 |
United Setting Professional Modifier None Typical Low $2,691.53 Median $5,011.87 Typical High $10,232.93 | Professional | None | $2,691.53 | $5,011.87 | $10,232.93 |
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 $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | 52 · Reduced service | $1,288.25 | $1,288.25 | $1,288.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | 53 · Discontinued | $512.86 | $512.86 | $512.86 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | 56 · Pre-op care only | $257.04 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,288.25 Median $1,288.25 Typical High $1,513.56 | Professional | 52 · Reduced service | $1,288.25 | $1,288.25 | $1,513.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $512.86 Median $512.86 Typical High $602.56 | Professional | 53 · Discontinued | $512.86 | $512.86 | $602.56 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $257.04 Median $257.04 Typical High $302.00 | Professional | 56 · Pre-op care only | $257.04 | $257.04 | $302.00 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $2,238.72 Median $3,019.95 Typical High $5,128.61 | Professional | 62 · Two surgeons | $2,238.72 | $3,019.95 | $5,128.61 |
Where Minnesota sits
The same service costs 11.0 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
$4,898
AK $9,772TX $891
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.