How much rates vary
Facilitymedian $4,365 · 10th to 90th $1,122 to $11,749Professionalmedian $6,310 · 10th to 90th $3,548 to $11,749
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 $3,019.95 Median $3,019.95 Typical High $3,019.95 | Facility | None | $3,019.95 | $3,019.95 | $3,019.95 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Facility | 54 · Surgery only | $2,238.72 | $2,238.72 | $2,238.72 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | 55 · Aftercare only | $446.68 | $446.68 | $446.68 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Facility | 78 · Unplanned return to OR | $2,089.30 | $2,089.30 | $2,089.30 |
Aetna Setting Professional Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,630.78 | Professional | None | $3,019.95 | $3,019.95 | $3,630.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,238.72 Median $2,238.72 Typical High $2,691.53 | Professional | 54 · Surgery only | $2,238.72 | $2,238.72 | $2,691.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $446.68 Median $446.68 Typical High $537.03 | Professional | 55 · Aftercare only | $446.68 | $446.68 | $537.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,089.30 Median $2,089.30 Typical High $2,511.89 | Professional | 78 · Unplanned return to OR | $2,089.30 | $2,089.30 | $2,511.89 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,801.89 Median $10,471.29 Typical High $24,547.09 | Facility | None | $3,801.89 | $10,471.29 | $24,547.09 |
BCBS Minnesota Setting Professional Modifier None Typical Low $4,786.30 Median $6,309.57 Typical High $10,471.29 | Professional | None | $4,786.30 | $6,309.57 | $10,471.29 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $3,801.89 Median $5,128.61 Typical High $8,317.64 | Professional | 54 · Surgery only | $3,801.89 | $5,128.61 | $8,317.64 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $954.99 Median $1,288.25 Typical High $2,089.30 | Professional | 55 · Aftercare only | $954.99 | $1,288.25 | $2,089.30 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $4,073.80 Median $5,370.32 Typical High $8,709.64 | Professional | 78 · Unplanned return to OR | $4,073.80 | $5,370.32 | $8,709.64 |
Cigna Setting Facility Modifier None Typical Low $4,570.88 Median $7,079.46 Typical High $13,489.63 | Facility | None | $4,570.88 | $7,079.46 | $13,489.63 |
Cigna Setting Professional Modifier None Typical Low $5,248.07 Median $8,128.31 Typical High $12,882.50 | Professional | None | $5,248.07 | $8,128.31 | $12,882.50 |
Health Partners Setting Facility Modifier None Typical Low $4,073.80 Median $6,456.54 Typical High $11,481.54 | Facility | None | $4,073.80 | $6,456.54 | $11,481.54 |
Health Partners Setting Professional Modifier None Typical Low $4,570.88 Median $7,413.10 Typical High $11,220.18 | Professional | None | $4,570.88 | $7,413.10 | $11,220.18 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $5,248.07 | Facility | None | $758.58 | $1,445.44 | $5,248.07 |
Medica Setting Professional Modifier None Typical Low $3,548.13 Median $6,606.93 Typical High $21,379.62 | Professional | None | $3,548.13 | $6,606.93 | $21,379.62 |
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 $3,162.28 Median $6,025.60 Typical High $12,589.25 | Professional | None | $3,162.28 | $6,025.60 | $12,589.25 |
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 $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | 52 · Reduced service | $1,513.56 | $1,513.56 | $1,513.56 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | 53 · Discontinued | $602.56 | $602.56 | $602.56 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | 56 · Pre-op care only | $302.00 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,513.56 Median $1,513.56 Typical High $1,819.70 | Professional | 52 · Reduced service | $1,513.56 | $1,513.56 | $1,819.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $602.56 Median $602.56 Typical High $724.44 | Professional | 53 · Discontinued | $602.56 | $602.56 | $724.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $302.00 Median $302.00 Typical High $363.08 | Professional | 56 · Pre-op care only | $302.00 | $302.00 | $363.08 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $3,019.95 Median $3,981.07 Typical High $6,456.54 | Professional | 62 · Two surgeons | $3,019.95 | $3,981.07 | $6,456.54 |
Where Minnesota sits
The same service costs 12.6 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
$6,026
AK $12,023TX $955
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.