How much rates vary
Facilitymedian $3,020 · 10th to 90th $1,122 to $7,943Professionalmedian $3,802 · 10th to 90th $2,239 to $6,918
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 $1,862.09 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,862.09 | $1,862.09 | $1,862.09 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | 54 · Surgery only | $1,412.54 | $1,412.54 | $1,412.54 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | 55 · Aftercare only | $281.84 | $281.84 | $281.84 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | 78 · Unplanned return to OR | $1,318.26 | $1,318.26 | $1,318.26 |
Aetna Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $2,238.72 | Professional | None | $1,862.09 | $1,862.09 | $2,238.72 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,412.54 Median $1,412.54 Typical High $1,659.59 | Professional | 54 · Surgery only | $1,412.54 | $1,412.54 | $1,659.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $281.84 Median $281.84 Typical High $338.84 | Professional | 55 · Aftercare only | $281.84 | $281.84 | $338.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,318.26 Median $1,318.26 Typical High $1,548.82 | Professional | 78 · Unplanned return to OR | $1,318.26 | $1,318.26 | $1,548.82 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,548.13 Median $7,585.78 Typical High $19,498.45 | Facility | None | $3,548.13 | $7,585.78 | $19,498.45 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,884.03 Median $3,715.35 Typical High $6,165.95 | Professional | None | $2,884.03 | $3,715.35 | $6,165.95 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $2,290.87 Median $3,019.95 Typical High $4,897.79 | Professional | 54 · Surgery only | $2,290.87 | $3,019.95 | $4,897.79 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $575.44 Median $758.58 Typical High $1,202.26 | Professional | 55 · Aftercare only | $575.44 | $758.58 | $1,202.26 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,398.83 Median $3,162.28 Typical High $5,128.61 | Professional | 78 · Unplanned return to OR | $2,398.83 | $3,162.28 | $5,128.61 |
Cigna Setting Facility Modifier None Typical Low $2,691.53 Median $4,168.69 Typical High $7,943.28 | Facility | None | $2,691.53 | $4,168.69 | $7,943.28 |
Cigna Setting Professional Modifier None Typical Low $3,162.28 Median $4,677.35 Typical High $7,244.36 | Professional | None | $3,162.28 | $4,677.35 | $7,244.36 |
Health Partners Setting Facility Modifier None Typical Low $2,398.83 Median $3,890.45 Typical High $6,760.83 | Facility | None | $2,398.83 | $3,890.45 | $6,760.83 |
Health Partners Setting Professional Modifier None Typical Low $2,691.53 Median $4,073.80 Typical High $6,606.93 | Professional | None | $2,691.53 | $4,073.80 | $6,606.93 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $3,467.37 | Facility | None | $758.58 | $1,445.44 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $2,187.76 Median $3,548.13 Typical High $7,244.36 | Professional | None | $2,187.76 | $3,548.13 | $7,244.36 |
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 $2,041.74 Median $3,548.13 Typical High $7,413.10 | Professional | None | $2,041.74 | $3,548.13 | $7,413.10 |
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 $933.25 Median $933.25 Typical High $933.25 | Facility | 52 · Reduced service | $933.25 | $933.25 | $933.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | 53 · Discontinued | $371.54 | $371.54 | $371.54 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | 56 · Pre-op care only | $186.21 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $933.25 Median $933.25 Typical High $1,122.02 | Professional | 52 · Reduced service | $933.25 | $933.25 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $371.54 Median $371.54 Typical High $446.68 | Professional | 53 · Discontinued | $371.54 | $371.54 | $446.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $186.21 Median $186.21 Typical High $223.87 | Professional | 56 · Pre-op care only | $186.21 | $186.21 | $223.87 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,778.28 Median $2,344.23 Typical High $3,715.35 | Professional | 62 · Two surgeons | $1,778.28 | $2,344.23 | $3,715.35 |
Where Minnesota sits
The same service costs 5.8 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
$3,631
AK $7,079TX $1,230
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.