How much rates vary
Facilitymedian $5,012 · 10th to 90th $1,122 to $13,490Professionalmedian $6,761 · 10th to 90th $3,981 to $12,303
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 $3,311.31 Median $3,311.31 Typical High $3,311.31 | Facility | None | $3,311.31 | $3,311.31 | $3,311.31 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Facility | 54 · Surgery only | $2,511.89 | $2,511.89 | $2,511.89 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | 55 · Aftercare only | $501.19 | $501.19 | $501.19 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Facility | 78 · Unplanned return to OR | $2,344.23 | $2,344.23 | $2,344.23 |
Aetna Setting Professional Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $3,981.07 | Professional | None | $3,311.31 | $3,311.31 | $3,981.07 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,511.89 Median $2,511.89 Typical High $3,019.95 | Professional | 54 · Surgery only | $2,511.89 | $2,511.89 | $3,019.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $501.19 Median $501.19 Typical High $602.56 | Professional | 55 · Aftercare only | $501.19 | $501.19 | $602.56 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,344.23 Median $2,344.23 Typical High $2,818.38 | Professional | 78 · Unplanned return to OR | $2,344.23 | $2,344.23 | $2,818.38 |
BCBS Minnesota Setting Facility Modifier None Typical Low $6,309.57 Median $13,489.63 Typical High $32,359.37 | Facility | None | $6,309.57 | $13,489.63 | $32,359.37 |
BCBS Minnesota Setting Professional Modifier None Typical Low $5,128.61 Median $6,760.83 Typical High $10,964.78 | Professional | None | $5,128.61 | $6,760.83 | $10,964.78 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $4,073.80 Median $5,370.32 Typical High $8,709.64 | Professional | 54 · Surgery only | $4,073.80 | $5,370.32 | $8,709.64 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $1,023.29 Median $1,348.96 Typical High $2,137.96 | Professional | 55 · Aftercare only | $1,023.29 | $1,348.96 | $2,137.96 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $4,265.80 Median $5,623.41 Typical High $9,120.11 | Professional | 78 · Unplanned return to OR | $4,265.80 | $5,623.41 | $9,120.11 |
Cigna Setting Facility Modifier None Typical Low $4,786.30 Median $7,413.10 Typical High $14,454.40 | Facility | None | $4,786.30 | $7,413.10 | $14,454.40 |
Cigna Setting Professional Modifier None Typical Low $5,623.41 Median $8,317.64 Typical High $12,882.50 | Professional | None | $5,623.41 | $8,317.64 | $12,882.50 |
Health Partners Setting Facility Modifier None Typical Low $4,265.80 Median $6,918.31 Typical High $12,022.64 | Facility | None | $4,265.80 | $6,918.31 | $12,022.64 |
Health Partners Setting Professional Modifier None Typical Low $4,897.79 Median $7,244.36 Typical High $12,022.64 | Professional | None | $4,897.79 | $7,244.36 | $12,022.64 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $5,754.40 | Facility | None | $758.58 | $1,445.44 | $5,754.40 |
Medica Setting Professional Modifier None Typical Low $3,890.45 Median $6,456.54 Typical High $12,882.50 | Professional | None | $3,890.45 | $6,456.54 | $12,882.50 |
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 $3,630.78 Median $6,456.54 Typical High $13,182.57 | Professional | None | $3,630.78 | $6,456.54 | $13,182.57 |
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 $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | 52 · Reduced service | $1,659.59 | $1,659.59 | $1,659.59 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | 53 · Discontinued | $660.69 | $660.69 | $660.69 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | 56 · Pre-op care only | $331.13 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,659.59 Median $1,659.59 Typical High $1,995.26 | Professional | 52 · Reduced service | $1,659.59 | $1,659.59 | $1,995.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $660.69 Median $660.69 Typical High $794.33 | Professional | 53 · Discontinued | $660.69 | $660.69 | $794.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $331.13 Median $331.13 Typical High $398.11 | Professional | 56 · Pre-op care only | $331.13 | $331.13 | $398.11 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $3,235.94 Median $4,168.69 Typical High $6,606.93 | Professional | 62 · Two surgeons | $3,235.94 | $4,168.69 | $6,606.93 |
Where Minnesota sits
The same service costs 6.3 times more in Alaska than in Arkansas. 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
$6,457
AK $12,589AR $1,995
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.