How much rates vary
Facilitymedian $2,455 · 10th to 90th $1,072 to $6,457Professionalmedian $3,020 · 10th to 90th $1,778 to $5,495
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 $1,479.11 Median $1,479.11 Typical High $1,479.11 | Facility | None | $1,479.11 | $1,479.11 | $1,479.11 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | 54 · Surgery only | $1,122.02 | $1,122.02 | $1,122.02 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | 55 · Aftercare only | $223.87 | $223.87 | $223.87 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | 78 · Unplanned return to OR | $1,047.13 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,778.28 | Professional | None | $1,479.11 | $1,479.11 | $1,778.28 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,122.02 Median $1,122.02 Typical High $1,348.96 | Professional | 54 · Surgery only | $1,122.02 | $1,122.02 | $1,348.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $223.87 Typical High $269.15 | Professional | 55 · Aftercare only | $223.87 | $223.87 | $269.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,047.13 Median $1,047.13 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $1,047.13 | $1,047.13 | $1,258.93 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,818.38 Median $6,025.60 Typical High $15,488.17 | Facility | None | $2,818.38 | $6,025.60 | $15,488.17 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,290.87 Median $2,951.21 Typical High $4,897.79 | Professional | None | $2,290.87 | $2,951.21 | $4,897.79 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,862.09 Median $2,398.83 Typical High $3,890.45 | Professional | 54 · Surgery only | $1,862.09 | $2,398.83 | $3,890.45 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $467.74 Median $602.56 Typical High $954.99 | Professional | 55 · Aftercare only | $467.74 | $602.56 | $954.99 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,949.84 Median $2,511.89 Typical High $4,073.80 | Professional | 78 · Unplanned return to OR | $1,949.84 | $2,511.89 | $4,073.80 |
Cigna Setting Facility Modifier None Typical Low $2,137.96 Median $3,311.31 Typical High $6,456.54 | Facility | None | $2,137.96 | $3,311.31 | $6,456.54 |
Cigna Setting Professional Modifier None Typical Low $2,511.89 Median $3,715.35 Typical High $5,754.40 | Professional | None | $2,511.89 | $3,715.35 | $5,754.40 |
Health Partners Setting Facility Modifier None Typical Low $1,905.46 Median $3,090.30 Typical High $5,370.32 | Facility | None | $1,905.46 | $3,090.30 | $5,370.32 |
Health Partners Setting Professional Modifier None Typical Low $2,187.76 Median $3,235.94 Typical High $5,370.32 | Professional | None | $2,187.76 | $3,235.94 | $5,370.32 |
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 $1,737.80 Median $2,818.38 Typical High $5,754.40 | Professional | None | $1,737.80 | $2,818.38 | $5,754.40 |
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 $1,621.81 Median $2,818.38 Typical High $5,888.44 | Professional | None | $1,621.81 | $2,818.38 | $5,888.44 |
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 $741.31 Median $741.31 Typical High $741.31 | Facility | 52 · Reduced service | $741.31 | $741.31 | $741.31 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | 53 · Discontinued | $295.12 | $295.12 | $295.12 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | 56 · Pre-op care only | $147.91 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $741.31 Median $741.31 Typical High $891.25 | Professional | 52 · Reduced service | $741.31 | $741.31 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $295.12 Typical High $354.81 | Professional | 53 · Discontinued | $295.12 | $295.12 | $354.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $147.91 Median $147.91 Typical High $177.83 | Professional | 56 · Pre-op care only | $147.91 | $147.91 | $177.83 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,445.44 Median $1,862.09 Typical High $3,019.95 | Professional | 62 · Two surgeons | $1,445.44 | $1,862.09 | $3,019.95 |
Where Minnesota sits
The same service costs 5.6 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· 6th of 51
$2,884
AK $5,623TX $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.