How much rates vary
Facilitymedian $2,512 · 10th to 90th $1,072 to $6,607Professionalmedian $3,090 · 10th to 90th $1,820 to $5,623
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 $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | None | $1,548.82 | $1,548.82 | $1,548.82 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Facility | 54 · Surgery only | $1,148.15 | $1,148.15 | $1,148.15 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | 55 · Aftercare only | $229.09 | $229.09 | $229.09 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | 78 · Unplanned return to OR | $1,071.52 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,819.70 | Professional | None | $1,548.82 | $1,548.82 | $1,819.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,148.15 Median $1,148.15 Typical High $1,380.38 | Professional | 54 · Surgery only | $1,148.15 | $1,148.15 | $1,380.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $229.09 Median $229.09 Typical High $275.42 | Professional | 55 · Aftercare only | $229.09 | $229.09 | $275.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,071.52 Median $1,071.52 Typical High $1,288.25 | Professional | 78 · Unplanned return to OR | $1,071.52 | $1,071.52 | $1,288.25 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,951.21 Median $6,165.95 Typical High $14,791.08 | Facility | None | $2,951.21 | $6,165.95 | $14,791.08 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,398.83 Median $3,090.30 Typical High $5,011.87 | Professional | None | $2,398.83 | $3,090.30 | $5,011.87 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,905.46 Median $2,454.71 Typical High $3,981.07 | Professional | 54 · Surgery only | $1,905.46 | $2,454.71 | $3,981.07 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $478.63 Median $616.60 Typical High $977.24 | Professional | 55 · Aftercare only | $478.63 | $616.60 | $977.24 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,995.26 Median $2,570.40 Typical High $4,265.80 | Professional | 78 · Unplanned return to OR | $1,995.26 | $2,570.40 | $4,265.80 |
Cigna Setting Facility Modifier None Typical Low $2,238.72 Median $3,467.37 Typical High $6,606.93 | Facility | None | $2,238.72 | $3,467.37 | $6,606.93 |
Cigna Setting Professional Modifier None Typical Low $2,570.40 Median $3,890.45 Typical High $6,025.60 | Professional | None | $2,570.40 | $3,890.45 | $6,025.60 |
Health Partners Setting Facility Modifier None Typical Low $1,995.26 Median $3,162.28 Typical High $5,495.41 | Facility | None | $1,995.26 | $3,162.28 | $5,495.41 |
Health Partners Setting Professional Modifier None Typical Low $2,238.72 Median $3,388.44 Typical High $5,495.41 | Professional | None | $2,238.72 | $3,388.44 | $5,495.41 |
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 $1,819.70 Median $2,884.03 Typical High $5,888.44 | Professional | None | $1,819.70 | $2,884.03 | $5,888.44 |
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 $1,698.24 Median $2,884.03 Typical High $6,025.60 | Professional | None | $1,698.24 | $2,884.03 | $6,025.60 |
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 $776.25 Median $776.25 Typical High $776.25 | Facility | 52 · Reduced service | $776.25 | $776.25 | $776.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $309.03 Median $309.03 Typical High $309.03 | Facility | 53 · Discontinued | $309.03 | $309.03 | $309.03 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $154.88 Median $154.88 Typical High $154.88 | Facility | 56 · Pre-op care only | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $776.25 Median $776.25 Typical High $912.01 | Professional | 52 · Reduced service | $776.25 | $776.25 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $309.03 Median $309.03 Typical High $371.54 | Professional | 53 · Discontinued | $309.03 | $309.03 | $371.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $154.88 Median $154.88 Typical High $181.97 | Professional | 56 · Pre-op care only | $154.88 | $154.88 | $181.97 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,479.11 Median $1,949.84 Typical High $3,162.28 | Professional | 62 · Two surgeons | $1,479.11 | $1,949.84 | $3,162.28 |
Where Minnesota sits
The same service costs 5.9 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· 5th of 51
$3,020
AK $5,888TX $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.