How much rates vary
Facilitymedian $3,311 · 10th to 90th $1,122 to $8,511Professionalmedian $4,074 · 10th to 90th $2,455 to $7,413
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 $2,041.74 Median $2,041.74 Typical High $2,041.74 | Facility | None | $2,041.74 | $2,041.74 | $2,041.74 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | 54 · Surgery only | $1,513.56 | $1,513.56 | $1,513.56 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | 55 · Aftercare only | $302.00 | $302.00 | $302.00 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | 78 · Unplanned return to OR | $1,412.54 | $1,412.54 | $1,412.54 |
Aetna Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,454.71 | Professional | None | $2,041.74 | $2,041.74 | $2,454.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,513.56 Median $1,513.56 Typical High $1,819.70 | Professional | 54 · Surgery only | $1,513.56 | $1,513.56 | $1,819.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $302.00 Median $302.00 Typical High $363.08 | Professional | 55 · Aftercare only | $302.00 | $302.00 | $363.08 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,412.54 Median $1,412.54 Typical High $1,698.24 | Professional | 78 · Unplanned return to OR | $1,412.54 | $1,412.54 | $1,698.24 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,890.45 Median $8,317.64 Typical High $19,952.62 | Facility | None | $3,890.45 | $8,317.64 | $19,952.62 |
BCBS Minnesota Setting Professional Modifier None Typical Low $3,090.30 Median $4,073.80 Typical High $6,606.93 | Professional | None | $3,090.30 | $4,073.80 | $6,606.93 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $2,454.71 Median $3,311.31 Typical High $5,370.32 | Professional | 54 · Surgery only | $2,454.71 | $3,311.31 | $5,370.32 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $616.60 Median $812.83 Typical High $1,318.26 | Professional | 55 · Aftercare only | $616.60 | $812.83 | $1,318.26 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,570.40 Median $3,467.37 Typical High $5,623.41 | Professional | 78 · Unplanned return to OR | $2,570.40 | $3,467.37 | $5,623.41 |
Cigna Setting Facility Modifier None Typical Low $2,951.21 Median $4,570.88 Typical High $8,709.64 | Facility | None | $2,951.21 | $4,570.88 | $8,709.64 |
Cigna Setting Professional Modifier None Typical Low $3,388.44 Median $5,011.87 Typical High $7,943.28 | Professional | None | $3,388.44 | $5,011.87 | $7,943.28 |
Health Partners Setting Facility Modifier None Typical Low $2,630.27 Median $4,168.69 Typical High $7,244.36 | Facility | None | $2,630.27 | $4,168.69 | $7,244.36 |
Health Partners Setting Professional Modifier None Typical Low $2,951.21 Median $4,466.84 Typical High $7,244.36 | Professional | None | $2,951.21 | $4,466.84 | $7,244.36 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $3,548.13 | Facility | None | $758.58 | $1,445.44 | $3,548.13 |
Medica Setting Professional Modifier None Typical Low $2,454.71 Median $3,890.45 Typical High $7,943.28 | Professional | None | $2,454.71 | $3,890.45 | $7,943.28 |
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 $2,290.87 Median $3,890.45 Typical High $8,128.31 | Professional | None | $2,290.87 | $3,890.45 | $8,128.31 |
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 $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | 52 · Reduced service | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | 53 · Discontinued | $407.38 | $407.38 | $407.38 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | 56 · Pre-op care only | $204.17 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,000.00 Median $1,000.00 Typical High $1,202.26 | Professional | 52 · Reduced service | $1,000.00 | $1,000.00 | $1,202.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $407.38 Median $407.38 Typical High $489.78 | Professional | 53 · Discontinued | $407.38 | $407.38 | $489.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $204.17 Median $204.17 Typical High $245.47 | Professional | 56 · Pre-op care only | $204.17 | $204.17 | $245.47 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,949.84 Median $2,570.40 Typical High $4,073.80 | Professional | 62 · Two surgeons | $1,949.84 | $2,570.40 | $4,073.80 |
Where Minnesota sits
The same service costs 6.0 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
$3,981
AK $7,762TX $1,288
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.