How much rates vary
Facilitymedian $5,370 · 10th to 90th $1,122 to $14,454Professionalmedian $7,244 · 10th to 90th $4,266 to $13,183
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 $3,548.13 Median $3,548.13 Typical High $3,548.13 | Facility | None | $3,548.13 | $3,548.13 | $3,548.13 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Facility | 54 · Surgery only | $2,691.53 | $2,691.53 | $2,691.53 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Facility | 78 · Unplanned return to OR | $2,511.89 | $2,511.89 | $2,511.89 |
Aetna Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $4,265.80 | Professional | None | $3,548.13 | $3,548.13 | $4,265.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,691.53 Median $2,691.53 Typical High $3,235.94 | Professional | 54 · Surgery only | $2,691.53 | $2,691.53 | $3,235.94 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,511.89 Median $2,511.89 Typical High $3,019.95 | Professional | 78 · Unplanned return to OR | $2,511.89 | $2,511.89 | $3,019.95 |
BCBS Minnesota Setting Facility Modifier None Typical Low $6,918.31 Median $14,454.40 Typical High $35,481.34 | Facility | None | $6,918.31 | $14,454.40 | $35,481.34 |
BCBS Minnesota Setting Professional Modifier None Typical Low $5,495.41 Median $7,244.36 Typical High $11,748.98 | Professional | None | $5,495.41 | $7,244.36 | $11,748.98 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $4,365.16 Median $5,754.40 Typical High $9,549.93 | Professional | 54 · Surgery only | $4,365.16 | $5,754.40 | $9,549.93 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $4,570.88 Median $6,165.95 Typical High $10,000.00 | Professional | 78 · Unplanned return to OR | $4,570.88 | $6,165.95 | $10,000.00 |
Cigna Setting Facility Modifier None Typical Low $5,128.61 Median $7,943.28 Typical High $15,488.17 | Facility | None | $5,128.61 | $7,943.28 | $15,488.17 |
Cigna Setting Professional Modifier None Typical Low $6,025.60 Median $8,912.51 Typical High $13,803.84 | Professional | None | $6,025.60 | $8,912.51 | $13,803.84 |
Health Partners Setting Facility Modifier None Typical Low $4,570.88 Median $7,413.10 Typical High $12,882.50 | Facility | None | $4,570.88 | $7,413.10 | $12,882.50 |
Health Partners Setting Professional Modifier None Typical Low $5,248.07 Median $7,762.47 Typical High $12,882.50 | Professional | None | $5,248.07 | $7,762.47 | $12,882.50 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $6,309.57 | Facility | None | $758.58 | $1,445.44 | $6,309.57 |
Medica Setting Professional Modifier None Typical Low $4,265.80 Median $6,918.31 Typical High $13,803.84 | Professional | None | $4,265.80 | $6,918.31 | $13,803.84 |
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 $3,981.07 Median $6,918.31 Typical High $14,454.40 | Professional | None | $3,981.07 | $6,918.31 | $14,454.40 |
6 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 $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | 52 · Reduced service | $1,778.28 | $1,778.28 | $1,778.28 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | 53 · Discontinued | $707.95 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,778.28 Median $1,778.28 Typical High $2,137.96 | Professional | 52 · Reduced service | $1,778.28 | $1,778.28 | $2,137.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $707.95 Median $707.95 Typical High $851.14 | Professional | 53 · Discontinued | $707.95 | $707.95 | $851.14 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $1,096.48 Median $1,445.44 Typical High $2,290.87 | Professional | 55 · Aftercare only | $1,096.48 | $1,445.44 | $2,290.87 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $3,388.44 Median $4,570.88 Typical High $7,244.36 | Professional | 62 · Two surgeons | $3,388.44 | $4,570.88 | $7,244.36 |
Where Minnesota sits
The same service costs 7.6 times more in Alaska than in Arkansas. 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
$6,918
AK $13,804AR $1,820
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.