How much rates vary
Facilitymedian $2,630 · 10th to 90th $1,072 to $8,318Professionalmedian $3,090 · 10th to 90th $1,660 to $5,754
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 $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,513.56 | $1,513.56 | $1,513.56 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Facility | 54 · Surgery only | $1,148.15 | $1,148.15 | $1,148.15 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | 55 · Aftercare only | $229.09 | $229.09 | $229.09 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | 78 · Unplanned return to OR | $1,071.52 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,819.70 | Professional | None | $1,513.56 | $1,513.56 | $1,819.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,148.15 Median $1,148.15 Typical High $1,348.96 | Professional | 54 · Surgery only | $1,148.15 | $1,148.15 | $1,348.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $229.09 Median $229.09 Typical High $275.42 | Professional | 55 · Aftercare only | $229.09 | $229.09 | $275.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,071.52 Median $1,071.52 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $1,071.52 | $1,071.52 | $1,258.93 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,801.89 Median $8,317.64 Typical High $15,135.61 | Facility | None | $3,801.89 | $8,317.64 | $15,135.61 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,089.30 Median $2,818.38 Typical High $5,011.87 | Professional | None | $2,089.30 | $2,818.38 | $5,011.87 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,659.59 Median $2,238.72 Typical High $3,981.07 | Professional | 54 · Surgery only | $1,659.59 | $2,238.72 | $3,981.07 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $416.87 Median $562.34 Typical High $1,000.00 | Professional | 55 · Aftercare only | $416.87 | $562.34 | $1,000.00 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,737.80 Median $2,344.23 Typical High $4,265.80 | Professional | 78 · Unplanned return to OR | $1,737.80 | $2,344.23 | $4,265.80 |
Cigna Setting Facility Modifier None Typical Low $2,290.87 Median $3,548.13 Typical High $6,918.31 | Facility | None | $2,290.87 | $3,548.13 | $6,918.31 |
Cigna Setting Professional Modifier None Typical Low $2,630.27 Median $4,168.69 Typical High $6,456.54 | Professional | None | $2,630.27 | $4,168.69 | $6,456.54 |
Health Partners Setting Facility Modifier None Typical Low $2,041.74 Median $3,311.31 Typical High $5,754.40 | Facility | None | $2,041.74 | $3,311.31 | $5,754.40 |
Health Partners Setting Professional Modifier None Typical Low $2,344.23 Median $3,715.35 Typical High $5,754.40 | Professional | None | $2,344.23 | $3,715.35 | $5,754.40 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $3,467.37 | Facility | None | $758.58 | $1,445.44 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $1,584.89 Median $3,019.95 Typical High $10,715.19 | Professional | None | $1,584.89 | $3,019.95 | $10,715.19 |
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 $1,548.82 Median $2,754.23 Typical High $5,754.40 | Professional | None | $1,548.82 | $2,754.23 | $5,754.40 |
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 $758.58 Median $758.58 Typical High $758.58 | Facility | 52 · Reduced service | $758.58 | $758.58 | $758.58 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | 53 · Discontinued | $302.00 | $302.00 | $302.00 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | 56 · Pre-op care only | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $758.58 Median $758.58 Typical High $912.01 | Professional | 52 · Reduced service | $758.58 | $758.58 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $302.00 Typical High $363.08 | Professional | 53 · Discontinued | $302.00 | $302.00 | $363.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $151.36 Median $151.36 Typical High $181.97 | Professional | 56 · Pre-op care only | $151.36 | $151.36 | $181.97 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,288.25 Median $1,778.28 Typical High $3,162.28 | Professional | 62 · Two surgeons | $1,288.25 | $1,778.28 | $3,162.28 |
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· 5th of 51
$2,951
AK $5,754TX $741
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.