How much rates vary
Facilitymedian $3,467 · 10th to 90th $1,122 to $9,120Professionalmedian $4,571 · 10th to 90th $2,692 to $8,128
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 $2,238.72 Median $2,238.72 Typical High $2,238.72 | Facility | None | $2,238.72 | $2,238.72 | $2,238.72 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | 54 · Surgery only | $1,659.59 | $1,659.59 | $1,659.59 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | 55 · Aftercare only | $331.13 | $331.13 | $331.13 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | 78 · Unplanned return to OR | $1,548.82 | $1,548.82 | $1,548.82 |
Aetna Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,691.53 | Professional | None | $2,238.72 | $2,238.72 | $2,691.53 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,659.59 Median $1,659.59 Typical High $1,995.26 | Professional | 54 · Surgery only | $1,659.59 | $1,659.59 | $1,995.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $331.13 Median $331.13 Typical High $398.11 | Professional | 55 · Aftercare only | $331.13 | $331.13 | $398.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,548.82 Median $1,548.82 Typical High $1,862.09 | Professional | 78 · Unplanned return to OR | $1,548.82 | $1,548.82 | $1,862.09 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,265.80 Median $9,120.11 Typical High $22,387.21 | Facility | None | $4,265.80 | $9,120.11 | $22,387.21 |
BCBS Minnesota Setting Professional Modifier None Typical Low $3,388.44 Median $4,570.88 Typical High $7,413.10 | Professional | None | $3,388.44 | $4,570.88 | $7,413.10 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $2,754.23 Median $3,630.78 Typical High $5,888.44 | Professional | 54 · Surgery only | $2,754.23 | $3,630.78 | $5,888.44 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $676.08 Median $912.01 Typical High $1,445.44 | Professional | 55 · Aftercare only | $676.08 | $912.01 | $1,445.44 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,884.03 Median $3,801.89 Typical High $6,165.95 | Professional | 78 · Unplanned return to OR | $2,884.03 | $3,801.89 | $6,165.95 |
Cigna Setting Facility Modifier None Typical Low $3,235.94 Median $5,011.87 Typical High $9,549.93 | Facility | None | $3,235.94 | $5,011.87 | $9,549.93 |
Cigna Setting Professional Modifier None Typical Low $3,801.89 Median $5,623.41 Typical High $8,709.64 | Professional | None | $3,801.89 | $5,623.41 | $8,709.64 |
Health Partners Setting Facility Modifier None Typical Low $2,884.03 Median $4,677.35 Typical High $8,128.31 | Facility | None | $2,884.03 | $4,677.35 | $8,128.31 |
Health Partners Setting Professional Modifier None Typical Low $3,235.94 Median $4,897.79 Typical High $7,943.28 | Professional | None | $3,235.94 | $4,897.79 | $7,943.28 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $3,890.45 | Facility | None | $758.58 | $1,445.44 | $3,890.45 |
Medica Setting Professional Modifier None Typical Low $2,630.27 Median $4,466.84 Typical High $8,709.64 | Professional | None | $2,630.27 | $4,466.84 | $8,709.64 |
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 $2,511.89 Median $4,466.84 Typical High $8,912.51 | Professional | None | $2,511.89 | $4,466.84 | $8,912.51 |
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 $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | 52 · Reduced service | $1,122.02 | $1,122.02 | $1,122.02 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | 53 · Discontinued | $446.68 | $446.68 | $446.68 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | 56 · Pre-op care only | $223.87 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,122.02 Median $1,122.02 Typical High $1,348.96 | Professional | 52 · Reduced service | $1,122.02 | $1,122.02 | $1,348.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $446.68 Median $446.68 Typical High $537.03 | Professional | 53 · Discontinued | $446.68 | $446.68 | $537.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $223.87 Median $223.87 Typical High $269.15 | Professional | 56 · Pre-op care only | $223.87 | $223.87 | $269.15 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $2,137.96 Median $2,818.38 Typical High $4,466.84 | Professional | 62 · Two surgeons | $2,137.96 | $2,818.38 | $4,466.84 |
Where Minnesota sits
The same service costs 6.6 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
$4,365
AK $8,710TX $1,318
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.