How much rates vary
Facilitymedian $2,344 · 10th to 90th $1,047 to $6,166Professionalmedian $2,884 · 10th to 90th $1,698 to $5,248
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 $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | 54 · Surgery only | $1,071.52 | $1,071.52 | $1,071.52 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | 55 · Aftercare only | $213.80 | $213.80 | $213.80 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | 78 · Unplanned return to OR | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,698.24 | Professional | None | $1,412.54 | $1,412.54 | $1,698.24 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,071.52 Median $1,071.52 Typical High $1,288.25 | Professional | 54 · Surgery only | $1,071.52 | $1,071.52 | $1,288.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $213.80 Typical High $257.04 | Professional | 55 · Aftercare only | $213.80 | $213.80 | $257.04 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,000.00 Median $1,000.00 Typical High $1,202.26 | Professional | 78 · Unplanned return to OR | $1,000.00 | $1,000.00 | $1,202.26 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,691.53 Median $5,754.40 Typical High $13,803.84 | Facility | None | $2,691.53 | $5,754.40 | $13,803.84 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,238.72 Median $2,884.03 Typical High $4,677.35 | Professional | None | $2,238.72 | $2,884.03 | $4,677.35 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,778.28 Median $2,290.87 Typical High $3,715.35 | Professional | 54 · Surgery only | $1,778.28 | $2,290.87 | $3,715.35 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $446.68 Median $575.44 Typical High $912.01 | Professional | 55 · Aftercare only | $446.68 | $575.44 | $912.01 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,862.09 Median $2,398.83 Typical High $3,890.45 | Professional | 78 · Unplanned return to OR | $1,862.09 | $2,398.83 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $2,089.30 Median $3,235.94 Typical High $6,165.95 | Facility | None | $2,089.30 | $3,235.94 | $6,165.95 |
Cigna Setting Professional Modifier None Typical Low $2,398.83 Median $3,548.13 Typical High $5,623.41 | Professional | None | $2,398.83 | $3,548.13 | $5,623.41 |
Health Partners Setting Facility Modifier None Typical Low $1,819.70 Median $2,951.21 Typical High $5,128.61 | Facility | None | $1,819.70 | $2,951.21 | $5,128.61 |
Health Partners Setting Professional Modifier None Typical Low $2,089.30 Median $3,162.28 Typical High $5,128.61 | Professional | None | $2,089.30 | $3,162.28 | $5,128.61 |
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 $1,698.24 Median $2,691.53 Typical High $5,495.41 | Professional | None | $1,698.24 | $2,691.53 | $5,495.41 |
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 $1,584.89 Median $2,691.53 Typical High $5,623.41 | Professional | None | $1,584.89 | $2,691.53 | $5,623.41 |
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 $707.95 Median $707.95 Typical High $707.95 | Facility | 52 · Reduced service | $707.95 | $707.95 | $707.95 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $288.40 Median $288.40 Typical High $288.40 | Facility | 53 · Discontinued | $288.40 | $288.40 | $288.40 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | 56 · Pre-op care only | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $707.95 Median $707.95 Typical High $851.14 | Professional | 52 · Reduced service | $707.95 | $707.95 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $288.40 Typical High $338.84 | Professional | 53 · Discontinued | $288.40 | $288.40 | $338.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $141.25 Typical High $169.82 | Professional | 56 · Pre-op care only | $141.25 | $141.25 | $169.82 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,380.38 Median $1,778.28 Typical High $2,818.38 | Professional | 62 · Two surgeons | $1,380.38 | $1,778.28 | $2,818.38 |
Where Minnesota sits
The same service costs 5.4 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
$2,818
AK $5,370TX $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.