How much rates vary
Facilitymedian $5,248 · 10th to 90th $1,122 to $14,454Professionalmedian $7,079 · 10th to 90th $4,169 to $12,882
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 $3,467.37 Median $3,467.37 Typical High $3,467.37 | Facility | None | $3,467.37 | $3,467.37 | $3,467.37 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Facility | 54 · Surgery only | $2,630.27 | $2,630.27 | $2,630.27 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | 55 · Aftercare only | $524.81 | $524.81 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $4,168.69 | Professional | None | $3,467.37 | $3,467.37 | $4,168.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,630.27 Median $2,630.27 Typical High $3,162.28 | Professional | 54 · Surgery only | $2,630.27 | $2,630.27 | $3,162.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $524.81 Median $524.81 Typical High $630.96 | Professional | 55 · Aftercare only | $524.81 | $524.81 | $630.96 |
BCBS Minnesota Setting Facility Modifier None Typical Low $6,760.83 Median $14,125.38 Typical High $34,673.69 | Facility | None | $6,760.83 | $14,125.38 | $34,673.69 |
BCBS Minnesota Setting Professional Modifier None Typical Low $5,370.32 Median $7,079.46 Typical High $11,481.54 | Professional | None | $5,370.32 | $7,079.46 | $11,481.54 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $4,265.80 Median $5,623.41 Typical High $9,120.11 | Professional | 54 · Surgery only | $4,265.80 | $5,623.41 | $9,120.11 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $1,071.52 Median $1,412.54 Typical High $2,238.72 | Professional | 55 · Aftercare only | $1,071.52 | $1,412.54 | $2,238.72 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $4,570.88 Median $5,888.44 Typical High $9,549.93 | Professional | 78 · Unplanned return to OR | $4,570.88 | $5,888.44 | $9,549.93 |
Cigna Setting Facility Modifier None Typical Low $5,128.61 Median $7,943.28 Typical High $15,135.61 | Facility | None | $5,128.61 | $7,943.28 | $15,135.61 |
Cigna Setting Professional Modifier None Typical Low $5,888.44 Median $8,709.64 Typical High $13,489.63 | Professional | None | $5,888.44 | $8,709.64 | $13,489.63 |
Health Partners Setting Facility Modifier None Typical Low $4,466.84 Median $7,244.36 Typical High $12,589.25 | Facility | None | $4,466.84 | $7,244.36 | $12,589.25 |
Health Partners Setting Professional Modifier None Typical Low $5,128.61 Median $7,585.78 Typical High $12,589.25 | Professional | None | $5,128.61 | $7,585.78 | $12,589.25 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $6,025.60 | Facility | None | $758.58 | $1,445.44 | $6,025.60 |
Medica Setting Professional Modifier None Typical Low $4,168.69 Median $6,760.83 Typical High $13,803.84 | Professional | None | $4,168.69 | $6,760.83 | $13,803.84 |
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 $3,981.07 Median $6,760.83 Typical High $14,125.38 | Professional | None | $3,981.07 | $6,760.83 | $14,125.38 |
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 $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | 52 · Reduced service | $1,737.80 | $1,737.80 | $1,737.80 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $691.83 Median $691.83 Typical High $691.83 | Facility | 53 · Discontinued | $691.83 | $691.83 | $691.83 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | 56 · Pre-op care only | $346.74 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,737.80 Median $1,737.80 Typical High $2,089.30 | Professional | 52 · Reduced service | $1,737.80 | $1,737.80 | $2,089.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $691.83 Median $691.83 Typical High $851.14 | Professional | 53 · Discontinued | $691.83 | $691.83 | $851.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $346.74 Median $346.74 Typical High $416.87 | Professional | 56 · Pre-op care only | $346.74 | $346.74 | $416.87 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $3,388.44 Median $4,466.84 Typical High $6,918.31 | Professional | 62 · Two surgeons | $3,388.44 | $4,466.84 | $6,918.31 |
Where Minnesota sits
The same service costs 7.4 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
$6,761
AK $13,490AR $1,820
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.