How much rates vary
Facilitymedian $3,802 · 10th to 90th $1,622 to $11,749Professionalmedian $3,162 · 10th to 90th $1,778 to $6,166
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 $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,621.81 | $1,621.81 | $1,621.81 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Facility | 54 · Surgery only | $1,202.26 | $1,202.26 | $1,202.26 |
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 $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | 78 · Unplanned return to OR | $1,122.02 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,905.46 | Professional | None | $1,621.81 | $1,621.81 | $1,905.46 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,202.26 Median $1,202.26 Typical High $1,412.54 | Professional | 54 · Surgery only | $1,202.26 | $1,202.26 | $1,412.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $239.88 Median $239.88 Typical High $288.40 | Professional | 55 · Aftercare only | $239.88 | $239.88 | $288.40 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,122.02 Median $1,122.02 Typical High $1,318.26 | Professional | 78 · Unplanned return to OR | $1,122.02 | $1,122.02 | $1,318.26 |
BCBS Minnesota Setting Facility Modifier None Typical Low $7,762.47 Median $11,481.54 Typical High $22,387.21 | Facility | None | $7,762.47 | $11,481.54 | $22,387.21 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,238.72 Median $3,090.30 Typical High $5,248.07 | Professional | None | $2,238.72 | $3,090.30 | $5,248.07 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,819.70 Median $2,454.71 Typical High $4,168.69 | Professional | 54 · Surgery only | $1,819.70 | $2,454.71 | $4,168.69 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $446.68 Median $616.60 Typical High $1,023.29 | Professional | 55 · Aftercare only | $446.68 | $616.60 | $1,023.29 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,905.46 Median $2,570.40 Typical High $4,365.16 | Professional | 78 · Unplanned return to OR | $1,905.46 | $2,570.40 | $4,365.16 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $3,801.89 Typical High $7,244.36 | Facility | None | $2,454.71 | $3,801.89 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $2,754.23 Median $4,365.16 Typical High $6,918.31 | Professional | None | $2,754.23 | $4,365.16 | $6,918.31 |
Health Partners Setting Facility Modifier None Typical Low $2,187.76 Median $3,467.37 Typical High $6,165.95 | Facility | None | $2,187.76 | $3,467.37 | $6,165.95 |
Health Partners Setting Professional Modifier None Typical Low $2,454.71 Median $3,981.07 Typical High $6,025.60 | Professional | None | $2,454.71 | $3,981.07 | $6,025.60 |
Medica Setting Facility Modifier None Typical Low $2,570.40 Median $3,801.89 Typical High $8,709.64 | Facility | None | $2,570.40 | $3,801.89 | $8,709.64 |
Medica Setting Professional Modifier None Typical Low $1,698.24 Median $3,235.94 Typical High $10,964.78 | Professional | None | $1,698.24 | $3,235.94 | $10,964.78 |
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 $1,621.81 Median $3,019.95 Typical High $6,165.95 | Professional | None | $1,621.81 | $3,019.95 | $6,165.95 |
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 $812.83 Median $812.83 Typical High $812.83 | Facility | 52 · Reduced service | $812.83 | $812.83 | $812.83 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $323.59 Median $323.59 Typical High $323.59 | Facility | 53 · Discontinued | $323.59 | $323.59 | $323.59 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | 56 · Pre-op care only | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $812.83 Median $812.83 Typical High $954.99 | Professional | 52 · Reduced service | $812.83 | $812.83 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $323.59 Median $323.59 Typical High $380.19 | Professional | 53 · Discontinued | $323.59 | $323.59 | $380.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $162.18 Median $162.18 Typical High $190.55 | Professional | 56 · Pre-op care only | $162.18 | $162.18 | $190.55 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,412.54 Median $1,905.46 Typical High $3,235.94 | Professional | 62 · Two surgeons | $1,412.54 | $1,905.46 | $3,235.94 |
Where Minnesota sits
The same service costs 7.1 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· 6th of 51
$3,236
AK $6,026TX $851
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.