How much rates vary
Facilitymedian $3,311 · 10th to 90th $1,122 to $8,511Professionalmedian $4,074 · 10th to 90th $2,512 to $7,586
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 $309.03 Median $309.03 Typical High $309.03 | Facility | 55 · Aftercare only | $309.03 | $309.03 | $309.03 |
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 $309.03 Median $309.03 Typical High $363.08 | Professional | 55 · Aftercare only | $309.03 | $309.03 | $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 $19,498.45 | Facility | None | $3,890.45 | $8,317.64 | $19,498.45 |
BCBS Minnesota Setting Professional Modifier None Typical Low $3,162.28 Median $4,073.80 Typical High $6,760.83 | Professional | None | $3,162.28 | $4,073.80 | $6,760.83 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $2,511.89 Median $3,311.31 Typical High $5,370.32 | Professional | 54 · Surgery only | $2,511.89 | $3,311.31 | $5,370.32 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $630.96 Median $831.76 Typical High $1,318.26 | Professional | 55 · Aftercare only | $630.96 | $831.76 | $1,318.26 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,630.27 Median $3,467.37 Typical High $5,623.41 | Professional | 78 · Unplanned return to OR | $2,630.27 | $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 $3,467.37 Median $5,128.61 Typical High $7,943.28 | Professional | None | $3,467.37 | $5,128.61 | $7,943.28 |
Health Partners Setting Facility Modifier None Typical Low $2,630.27 Median $4,265.80 Typical High $7,413.10 | Facility | None | $2,630.27 | $4,265.80 | $7,413.10 |
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 $3,981.07 Typical High $7,943.28 | Professional | None | $2,454.71 | $3,981.07 | $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 $2,238.72 Median $3,981.07 Typical High $8,128.31 | Professional | None | $2,238.72 | $3,981.07 | $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 $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | 52 · Reduced service | $1,023.29 | $1,023.29 | $1,023.29 |
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 $1,023.29 Median $1,023.29 Typical High $1,230.27 | Professional | 52 · Reduced service | $1,023.29 | $1,023.29 | $1,230.27 |
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 $4,168.69 | Professional | 62 · Two surgeons | $1,949.84 | $2,570.40 | $4,168.69 |
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· 5th 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.