How much rates vary
Facilitymedian $3,467 · 10th to 90th $1,122 to $11,749Professionalmedian $4,074 · 10th to 90th $2,239 to $8,128
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 $2,089.30 Median $2,089.30 Typical High $2,089.30 | Facility | None | $2,089.30 | $2,089.30 | $2,089.30 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | 54 · Surgery only | $1,584.89 | $1,584.89 | $1,584.89 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | 55 · Aftercare only | $316.23 | $316.23 | $316.23 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Facility | 78 · Unplanned return to OR | $1,479.11 | $1,479.11 | $1,479.11 |
Aetna Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,454.71 | Professional | None | $2,089.30 | $2,089.30 | $2,454.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,584.89 Median $1,584.89 Typical High $1,862.09 | Professional | 54 · Surgery only | $1,584.89 | $1,584.89 | $1,862.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $316.23 Median $316.23 Typical High $371.54 | Professional | 55 · Aftercare only | $316.23 | $316.23 | $371.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,479.11 Median $1,479.11 Typical High $1,737.80 | Professional | 78 · Unplanned return to OR | $1,479.11 | $1,479.11 | $1,737.80 |
BCBS Minnesota Setting Facility Modifier None Typical Low $7,762.47 Median $13,803.84 Typical High $22,908.68 | Facility | None | $7,762.47 | $13,803.84 | $22,908.68 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,951.21 Median $3,981.07 Typical High $6,760.83 | Professional | None | $2,951.21 | $3,981.07 | $6,760.83 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $2,344.23 Median $3,162.28 Typical High $5,370.32 | Professional | 54 · Surgery only | $2,344.23 | $3,162.28 | $5,370.32 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $588.84 Median $794.33 Typical High $1,348.96 | Professional | 55 · Aftercare only | $588.84 | $794.33 | $1,348.96 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,454.71 Median $3,311.31 Typical High $5,623.41 | Professional | 78 · Unplanned return to OR | $2,454.71 | $3,311.31 | $5,623.41 |
Cigna Setting Facility Modifier None Typical Low $3,162.28 Median $4,897.79 Typical High $9,332.54 | Facility | None | $3,162.28 | $4,897.79 | $9,332.54 |
Cigna Setting Professional Modifier None Typical Low $3,630.78 Median $5,623.41 Typical High $8,912.51 | Professional | None | $3,630.78 | $5,623.41 | $8,912.51 |
Health Partners Setting Facility Modifier None Typical Low $2,818.38 Median $4,570.88 Typical High $7,943.28 | Facility | None | $2,818.38 | $4,570.88 | $7,943.28 |
Health Partners Setting Professional Modifier None Typical Low $3,162.28 Median $5,128.61 Typical High $7,762.47 | Professional | None | $3,162.28 | $5,128.61 | $7,762.47 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $3,801.89 | Facility | None | $758.58 | $1,445.44 | $3,801.89 |
Medica Setting Professional Modifier None Typical Low $2,238.72 Median $4,265.80 Typical High $14,454.40 | Professional | None | $2,238.72 | $4,265.80 | $14,454.40 |
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 $2,187.76 Median $3,981.07 Typical High $8,128.31 | Professional | None | $2,187.76 | $3,981.07 | $8,128.31 |
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 $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | 52 · Reduced service | $1,047.13 | $1,047.13 | $1,047.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | 53 · Discontinued | $416.87 | $416.87 | $416.87 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | 56 · Pre-op care only | $208.93 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,047.13 Median $1,047.13 Typical High $1,230.27 | Professional | 52 · Reduced service | $1,047.13 | $1,047.13 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $416.87 Typical High $489.78 | Professional | 53 · Discontinued | $416.87 | $416.87 | $489.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $208.93 Median $208.93 Typical High $245.47 | Professional | 56 · Pre-op care only | $208.93 | $208.93 | $245.47 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,819.70 Median $2,454.71 Typical High $4,265.80 | Professional | 62 · Two surgeons | $1,819.70 | $2,454.71 | $4,265.80 |
Where Minnesota sits
The same service costs 7.8 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
$3,981
AK $7,762TX $1,000
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.