How much rates vary
Facilitymedian $3,548 · 10th to 90th $1,122 to $9,550Professionalmedian $4,786 · 10th to 90th $2,818 to $8,710
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 $2,344.23 Median $2,344.23 Typical High $2,344.23 | Facility | None | $2,344.23 | $2,344.23 | $2,344.23 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | 54 · Surgery only | $1,737.80 | $1,737.80 | $1,737.80 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | 55 · Aftercare only | $354.81 | $354.81 | $354.81 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | 78 · Unplanned return to OR | $1,621.81 | $1,621.81 | $1,621.81 |
Aetna Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,818.38 | Professional | None | $2,344.23 | $2,344.23 | $2,818.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,737.80 Median $1,737.80 Typical High $2,089.30 | Professional | 54 · Surgery only | $1,737.80 | $1,737.80 | $2,089.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $354.81 Median $354.81 Typical High $426.58 | Professional | 55 · Aftercare only | $354.81 | $354.81 | $426.58 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,621.81 Median $1,621.81 Typical High $1,949.84 | Professional | 78 · Unplanned return to OR | $1,621.81 | $1,621.81 | $1,949.84 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,570.88 Median $9,549.93 Typical High $23,442.29 | Facility | None | $4,570.88 | $9,549.93 | $23,442.29 |
BCBS Minnesota Setting Professional Modifier None Typical Low $3,548.13 Median $4,786.30 Typical High $7,762.47 | Professional | None | $3,548.13 | $4,786.30 | $7,762.47 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $2,884.03 Median $3,801.89 Typical High $6,165.95 | Professional | 54 · Surgery only | $2,884.03 | $3,801.89 | $6,165.95 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $724.44 Median $954.99 Typical High $1,513.56 | Professional | 55 · Aftercare only | $724.44 | $954.99 | $1,513.56 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $3,019.95 Median $3,981.07 Typical High $6,456.54 | Professional | 78 · Unplanned return to OR | $3,019.95 | $3,981.07 | $6,456.54 |
Cigna Setting Facility Modifier None Typical Low $3,388.44 Median $5,248.07 Typical High $10,000.00 | Facility | None | $3,388.44 | $5,248.07 | $10,000.00 |
Cigna Setting Professional Modifier None Typical Low $3,890.45 Median $5,888.44 Typical High $9,120.11 | Professional | None | $3,890.45 | $5,888.44 | $9,120.11 |
Health Partners Setting Facility Modifier None Typical Low $3,019.95 Median $4,897.79 Typical High $8,511.38 | Facility | None | $3,019.95 | $4,897.79 | $8,511.38 |
Health Partners Setting Professional Modifier None Typical Low $3,388.44 Median $5,128.61 Typical High $8,317.64 | Professional | None | $3,388.44 | $5,128.61 | $8,317.64 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $4,073.80 | Facility | None | $758.58 | $1,445.44 | $4,073.80 |
Medica Setting Professional Modifier None Typical Low $2,818.38 Median $4,677.35 Typical High $9,120.11 | Professional | None | $2,818.38 | $4,677.35 | $9,120.11 |
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 $2,630.27 Median $4,570.88 Typical High $9,332.54 | Professional | None | $2,630.27 | $4,570.88 | $9,332.54 |
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 $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | 52 · Reduced service | $1,174.90 | $1,174.90 | $1,174.90 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | 53 · Discontinued | $467.74 | $467.74 | $467.74 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | 56 · Pre-op care only | $234.42 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,174.90 Median $1,174.90 Typical High $1,412.54 | Professional | 52 · Reduced service | $1,174.90 | $1,174.90 | $1,412.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $467.74 Median $467.74 Typical High $562.34 | Professional | 53 · Discontinued | $467.74 | $467.74 | $562.34 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $234.42 Median $234.42 Typical High $281.84 | Professional | 56 · Pre-op care only | $234.42 | $234.42 | $281.84 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $2,238.72 Median $2,951.21 Typical High $4,677.35 | Professional | 62 · Two surgeons | $2,238.72 | $2,951.21 | $4,677.35 |
Where Minnesota sits
The same service costs 6.2 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
$4,571
AK $9,120TX $1,479
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.