How much rates vary
Facilitymedian $3,020 · 10th to 90th $1,122 to $7,943Professionalmedian $3,715 · 10th to 90th $2,239 to $6,761
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 $1,862.09 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,862.09 | $1,862.09 | $1,862.09 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | 54 · Surgery only | $1,380.38 | $1,380.38 | $1,380.38 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | 55 · Aftercare only | $275.42 | $275.42 | $275.42 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | 78 · Unplanned return to OR | $1,288.25 | $1,288.25 | $1,288.25 |
Aetna Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $2,238.72 | Professional | None | $1,862.09 | $1,862.09 | $2,238.72 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,380.38 Median $1,380.38 Typical High $1,659.59 | Professional | 54 · Surgery only | $1,380.38 | $1,380.38 | $1,659.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $275.42 Median $275.42 Typical High $331.13 | Professional | 55 · Aftercare only | $275.42 | $275.42 | $331.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,288.25 Median $1,288.25 Typical High $1,548.82 | Professional | 78 · Unplanned return to OR | $1,288.25 | $1,288.25 | $1,548.82 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,548.13 Median $7,413.10 Typical High $18,197.01 | Facility | None | $3,548.13 | $7,413.10 | $18,197.01 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,818.38 Median $3,715.35 Typical High $6,025.60 | Professional | None | $2,818.38 | $3,715.35 | $6,025.60 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $2,290.87 Median $2,951.21 Typical High $4,897.79 | Professional | 54 · Surgery only | $2,290.87 | $2,951.21 | $4,897.79 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $575.44 Median $741.31 Typical High $1,174.90 | Professional | 55 · Aftercare only | $575.44 | $741.31 | $1,174.90 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,398.83 Median $3,162.28 Typical High $5,128.61 | Professional | 78 · Unplanned return to OR | $2,398.83 | $3,162.28 | $5,128.61 |
Cigna Setting Facility Modifier None Typical Low $2,691.53 Median $4,168.69 Typical High $7,943.28 | Facility | None | $2,691.53 | $4,168.69 | $7,943.28 |
Cigna Setting Professional Modifier None Typical Low $3,090.30 Median $4,677.35 Typical High $7,244.36 | Professional | None | $3,090.30 | $4,677.35 | $7,244.36 |
Health Partners Setting Facility Modifier None Typical Low $2,398.83 Median $3,801.89 Typical High $6,760.83 | Facility | None | $2,398.83 | $3,801.89 | $6,760.83 |
Health Partners Setting Professional Modifier None Typical Low $2,691.53 Median $4,073.80 Typical High $6,606.93 | Professional | None | $2,691.53 | $4,073.80 | $6,606.93 |
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 $2,187.76 Median $3,467.37 Typical High $7,079.46 | Professional | None | $2,187.76 | $3,467.37 | $7,079.46 |
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 $2,041.74 Median $3,467.37 Typical High $7,244.36 | Professional | None | $2,041.74 | $3,467.37 | $7,244.36 |
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 $933.25 Median $933.25 Typical High $933.25 | Facility | 52 · Reduced service | $933.25 | $933.25 | $933.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | 53 · Discontinued | $371.54 | $371.54 | $371.54 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | 56 · Pre-op care only | $186.21 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $933.25 Median $933.25 Typical High $1,096.48 | Professional | 52 · Reduced service | $933.25 | $933.25 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $371.54 Median $371.54 Typical High $446.68 | Professional | 53 · Discontinued | $371.54 | $371.54 | $446.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $186.21 Median $186.21 Typical High $223.87 | Professional | 56 · Pre-op care only | $186.21 | $186.21 | $223.87 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,778.28 Median $2,344.23 Typical High $3,801.89 | Professional | 62 · Two surgeons | $1,778.28 | $2,344.23 | $3,801.89 |
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
$3,631
AK $7,079TX $1,202
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.