How much rates vary
Facilitymedian $4,169 · 10th to 90th $1,905 to $13,490Professionalmedian $3,631 · 10th to 90th $1,995 to $7,244
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 $1,905.46 Median $1,905.46 Typical High $1,905.46 | Facility | None | $1,905.46 | $1,905.46 | $1,905.46 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | 54 · Surgery only | $1,412.54 | $1,412.54 | $1,412.54 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | 55 · Aftercare only | $281.84 | $281.84 | $281.84 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | 78 · Unplanned return to OR | $1,318.26 | $1,318.26 | $1,318.26 |
Aetna Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $2,187.76 | Professional | None | $1,905.46 | $1,905.46 | $2,187.76 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,412.54 Median $1,412.54 Typical High $1,659.59 | Professional | 54 · Surgery only | $1,412.54 | $1,412.54 | $1,659.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $281.84 Median $281.84 Typical High $331.13 | Professional | 55 · Aftercare only | $281.84 | $281.84 | $331.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,318.26 Median $1,318.26 Typical High $1,548.82 | Professional | 78 · Unplanned return to OR | $1,318.26 | $1,318.26 | $1,548.82 |
BCBS Minnesota Setting Facility Modifier None Typical Low $7,762.47 Median $13,182.57 Typical High $22,908.68 | Facility | None | $7,762.47 | $13,182.57 | $22,908.68 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,691.53 Median $3,630.78 Typical High $6,025.60 | Professional | None | $2,691.53 | $3,630.78 | $6,025.60 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $2,187.76 Median $2,951.21 Typical High $4,786.30 | Professional | 54 · Surgery only | $2,187.76 | $2,951.21 | $4,786.30 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $537.03 Median $741.31 Typical High $1,202.26 | Professional | 55 · Aftercare only | $537.03 | $741.31 | $1,202.26 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,290.87 Median $3,090.30 Typical High $5,011.87 | Professional | 78 · Unplanned return to OR | $2,290.87 | $3,090.30 | $5,011.87 |
Cigna Setting Facility Modifier None Typical Low $2,884.03 Median $4,466.84 Typical High $8,511.38 | Facility | None | $2,884.03 | $4,466.84 | $8,511.38 |
Cigna Setting Professional Modifier None Typical Low $3,235.94 Median $5,128.61 Typical High $8,128.31 | Professional | None | $3,235.94 | $5,128.61 | $8,128.31 |
Health Partners Setting Facility Modifier None Typical Low $2,570.40 Median $4,073.80 Typical High $7,079.46 | Facility | None | $2,570.40 | $4,073.80 | $7,079.46 |
Health Partners Setting Professional Modifier None Typical Low $2,884.03 Median $4,677.35 Typical High $7,079.46 | Professional | None | $2,884.03 | $4,677.35 | $7,079.46 |
Medica Setting Facility Modifier None Typical Low $2,570.40 Median $3,890.45 Typical High $9,772.37 | Facility | None | $2,570.40 | $3,890.45 | $9,772.37 |
Medica Setting Professional Modifier None Typical Low $1,949.84 Median $3,801.89 Typical High $12,882.50 | Professional | None | $1,949.84 | $3,801.89 | $12,882.50 |
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 $1,949.84 Median $3,548.13 Typical High $7,244.36 | Professional | None | $1,949.84 | $3,548.13 | $7,244.36 |
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 $954.99 Median $954.99 Typical High $954.99 | Facility | 52 · Reduced service | $954.99 | $954.99 | $954.99 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | 53 · Discontinued | $380.19 | $380.19 | $380.19 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | 56 · Pre-op care only | $190.55 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $954.99 Median $954.99 Typical High $1,096.48 | Professional | 52 · Reduced service | $954.99 | $954.99 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $380.19 Median $380.19 Typical High $446.68 | Professional | 53 · Discontinued | $380.19 | $380.19 | $446.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $190.55 Median $190.55 Typical High $218.78 | Professional | 56 · Pre-op care only | $190.55 | $190.55 | $218.78 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,698.24 Median $2,290.87 Typical High $3,715.35 | Professional | 62 · Two surgeons | $1,698.24 | $2,290.87 | $3,715.35 |
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· 5th of 51
$3,802
AK $7,079TX $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.