How much rates vary
Facilitymedian $3,631 · 10th to 90th $1,122 to $12,882Professionalmedian $4,467 · 10th to 90th $2,399 to $8,710
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 $2,238.72 Median $2,238.72 Typical High $2,238.72 | Facility | None | $2,238.72 | $2,238.72 | $2,238.72 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Facility | 54 · Surgery only | $1,698.24 | $1,698.24 | $1,698.24 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | 55 · Aftercare only | $338.84 | $338.84 | $338.84 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | 78 · Unplanned return to OR | $1,584.89 | $1,584.89 | $1,584.89 |
Aetna Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,630.27 | Professional | None | $2,238.72 | $2,238.72 | $2,630.27 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,698.24 Median $1,698.24 Typical High $1,995.26 | Professional | 54 · Surgery only | $1,698.24 | $1,698.24 | $1,995.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $338.84 Median $338.84 Typical High $398.11 | Professional | 55 · Aftercare only | $338.84 | $338.84 | $398.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,584.89 Median $1,584.89 Typical High $1,862.09 | Professional | 78 · Unplanned return to OR | $1,584.89 | $1,584.89 | $1,862.09 |
BCBS Minnesota Setting Facility Modifier None Typical Low $7,762.47 Median $14,125.38 Typical High $23,988.33 | Facility | None | $7,762.47 | $14,125.38 | $23,988.33 |
BCBS Minnesota Setting Professional Modifier None Typical Low $3,162.28 Median $4,265.80 Typical High $7,244.36 | Professional | None | $3,162.28 | $4,265.80 | $7,244.36 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $2,511.89 Median $3,388.44 Typical High $5,888.44 | Professional | 54 · Surgery only | $2,511.89 | $3,388.44 | $5,888.44 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $630.96 Median $851.14 Typical High $1,445.44 | Professional | 55 · Aftercare only | $630.96 | $851.14 | $1,445.44 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,630.27 Median $3,630.78 Typical High $6,165.95 | Professional | 78 · Unplanned return to OR | $2,630.27 | $3,630.78 | $6,165.95 |
Cigna Setting Facility Modifier None Typical Low $3,388.44 Median $5,248.07 Typical High $10,232.93 | Facility | None | $3,388.44 | $5,248.07 | $10,232.93 |
Cigna Setting Professional Modifier None Typical Low $3,890.45 Median $6,165.95 Typical High $9,549.93 | Professional | None | $3,890.45 | $6,165.95 | $9,549.93 |
Health Partners Setting Facility Modifier None Typical Low $3,019.95 Median $4,897.79 Typical High $8,511.38 | Facility | None | $3,019.95 | $4,897.79 | $8,511.38 |
Health Partners Setting Professional Modifier None Typical Low $3,467.37 Median $5,495.41 Typical High $8,511.38 | Professional | None | $3,467.37 | $5,495.41 | $8,511.38 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $3,981.07 | Facility | None | $758.58 | $1,445.44 | $3,981.07 |
Medica Setting Professional Modifier None Typical Low $2,398.83 Median $4,570.88 Typical High $15,488.17 | Professional | None | $2,398.83 | $4,570.88 | $15,488.17 |
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 $2,290.87 Median $4,365.16 Typical High $8,709.64 | Professional | None | $2,290.87 | $4,365.16 | $8,709.64 |
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 $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | 52 · Reduced service | $1,122.02 | $1,122.02 | $1,122.02 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | 53 · Discontinued | $446.68 | $446.68 | $446.68 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | 56 · Pre-op care only | $223.87 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,122.02 Median $1,122.02 Typical High $1,318.26 | Professional | 52 · Reduced service | $1,122.02 | $1,122.02 | $1,318.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $446.68 Median $446.68 Typical High $537.03 | Professional | 53 · Discontinued | $446.68 | $446.68 | $537.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $223.87 Median $223.87 Typical High $263.03 | Professional | 56 · Pre-op care only | $223.87 | $223.87 | $263.03 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,995.26 Median $2,691.53 Typical High $4,466.84 | Professional | 62 · Two surgeons | $1,995.26 | $2,691.53 | $4,466.84 |
Where Minnesota sits
The same service costs 22.9 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
$4,266
AK $8,511TX $372
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.