How much rates vary
Facilitymedian $3,311 · 10th to 90th $1,122 to $8,710Professionalmedian $4,266 · 10th to 90th $2,512 to $7,762
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 $2,089.30 Median $2,089.30 Typical High $2,089.30 | Facility | None | $2,089.30 | $2,089.30 | $2,089.30 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | 54 · Surgery only | $1,584.89 | $1,584.89 | $1,584.89 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | 55 · Aftercare only | $316.23 | $316.23 | $316.23 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Facility | 78 · Unplanned return to OR | $1,479.11 | $1,479.11 | $1,479.11 |
Aetna Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,511.89 | Professional | None | $2,089.30 | $2,089.30 | $2,511.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,584.89 Median $1,584.89 Typical High $1,905.46 | Professional | 54 · Surgery only | $1,584.89 | $1,584.89 | $1,905.46 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $316.23 Median $316.23 Typical High $380.19 | Professional | 55 · Aftercare only | $316.23 | $316.23 | $380.19 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,479.11 Median $1,479.11 Typical High $1,778.28 | Professional | 78 · Unplanned return to OR | $1,479.11 | $1,479.11 | $1,778.28 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,073.80 Median $8,511.38 Typical High $20,417.38 | Facility | None | $4,073.80 | $8,511.38 | $20,417.38 |
BCBS Minnesota Setting Professional Modifier None Typical Low $3,235.94 Median $4,265.80 Typical High $6,918.31 | Professional | None | $3,235.94 | $4,265.80 | $6,918.31 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $2,570.40 Median $3,467.37 Typical High $5,623.41 | Professional | 54 · Surgery only | $2,570.40 | $3,467.37 | $5,623.41 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $645.65 Median $851.14 Typical High $1,348.96 | Professional | 55 · Aftercare only | $645.65 | $851.14 | $1,348.96 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,691.53 Median $3,630.78 Typical High $5,888.44 | Professional | 78 · Unplanned return to OR | $2,691.53 | $3,630.78 | $5,888.44 |
Cigna Setting Facility Modifier None Typical Low $3,090.30 Median $4,786.30 Typical High $9,120.11 | Facility | None | $3,090.30 | $4,786.30 | $9,120.11 |
Cigna Setting Professional Modifier None Typical Low $3,548.13 Median $5,248.07 Typical High $8,128.31 | Professional | None | $3,548.13 | $5,248.07 | $8,128.31 |
Health Partners Setting Facility Modifier None Typical Low $2,691.53 Median $4,365.16 Typical High $7,585.78 | Facility | None | $2,691.53 | $4,365.16 | $7,585.78 |
Health Partners Setting Professional Modifier None Typical Low $3,090.30 Median $4,570.88 Typical High $7,585.78 | Professional | None | $3,090.30 | $4,570.88 | $7,585.78 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $3,715.35 | Facility | None | $758.58 | $1,445.44 | $3,715.35 |
Medica Setting Professional Modifier None Typical Low $2,398.83 Median $4,073.80 Typical High $8,317.64 | Professional | None | $2,398.83 | $4,073.80 | $8,317.64 |
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 $2,344.23 Median $4,073.80 Typical High $8,511.38 | Professional | None | $2,344.23 | $4,073.80 | $8,511.38 |
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 $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | 52 · Reduced service | $1,047.13 | $1,047.13 | $1,047.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | 53 · Discontinued | $426.58 | $426.58 | $426.58 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | 56 · Pre-op care only | $208.93 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,047.13 Median $1,047.13 Typical High $1,258.93 | Professional | 52 · Reduced service | $1,047.13 | $1,047.13 | $1,258.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $426.58 Median $426.58 Typical High $512.86 | Professional | 53 · Discontinued | $426.58 | $426.58 | $512.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $208.93 Median $208.93 Typical High $251.19 | Professional | 56 · Pre-op care only | $208.93 | $208.93 | $251.19 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,995.26 Median $2,691.53 Typical High $4,365.16 | Professional | 62 · Two surgeons | $1,995.26 | $2,691.53 | $4,365.16 |
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· 4th of 51
$4,074
AK $8,128TX $1,514
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.