How much rates vary
Facilitymedian $2,291 · 10th to 90th $977 to $8,710Professionalmedian $1,995 · 10th to 90th $1,230 to $3,631
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 $977.24 Median $977.24 Typical High $977.24 | Facility | None | $977.24 | $977.24 | $977.24 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $741.31 Median $741.31 Typical High $741.31 | Facility | 54 · Surgery only | $741.31 | $741.31 | $741.31 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | 55 · Aftercare only | $147.91 | $147.91 | $147.91 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $691.83 Typical High $691.83 | Facility | 78 · Unplanned return to OR | $691.83 | $691.83 | $691.83 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,230.27 | Professional | None | $977.24 | $977.24 | $1,230.27 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $741.31 Typical High $891.25 | Professional | 54 · Surgery only | $741.31 | $741.31 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $147.91 Typical High $177.83 | Professional | 55 · Aftercare only | $147.91 | $147.91 | $177.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $691.83 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $691.83 | $691.83 | $831.76 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,168.69 Median $9,120.11 Typical High $21,379.62 | Facility | None | $4,168.69 | $9,120.11 | $21,379.62 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,479.11 Median $1,995.26 Typical High $3,235.94 | Professional | None | $1,479.11 | $1,995.26 | $3,235.94 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,202.26 Median $1,621.81 Typical High $2,630.27 | Professional | 54 · Surgery only | $1,202.26 | $1,621.81 | $2,630.27 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $302.00 Median $398.11 Typical High $645.65 | Professional | 55 · Aftercare only | $302.00 | $398.11 | $645.65 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,258.93 Median $1,698.24 Typical High $2,754.23 | Professional | 78 · Unplanned return to OR | $1,258.93 | $1,698.24 | $2,754.23 |
Cigna Setting Facility Modifier None Typical Low $1,412.54 Median $2,187.76 Typical High $4,265.80 | Facility | None | $1,412.54 | $2,187.76 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $1,659.59 Median $2,454.71 Typical High $3,801.89 | Professional | None | $1,659.59 | $2,454.71 | $3,801.89 |
Health Partners Setting Facility Modifier None Typical Low $1,258.93 Median $2,041.74 Typical High $3,548.13 | Facility | None | $1,258.93 | $2,041.74 | $3,548.13 |
Health Partners Setting Professional Modifier None Typical Low $1,445.44 Median $2,137.96 Typical High $3,548.13 | Professional | None | $1,445.44 | $2,137.96 | $3,548.13 |
Medica Setting Facility Modifier None Typical Low $1,513.56 Median $2,754.23 Typical High $6,606.93 | Facility | None | $1,513.56 | $2,754.23 | $6,606.93 |
Medica Setting Professional Modifier None Typical Low $1,258.93 Median $2,041.74 Typical High $3,801.89 | Professional | None | $1,258.93 | $2,041.74 | $3,801.89 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $8,128.31 | Facility | None | $1,995.26 | $3,090.30 | $8,128.31 |
United Setting Professional Modifier None Typical Low $1,122.02 Median $2,041.74 Typical High $3,890.45 | Professional | None | $1,122.02 | $2,041.74 | $3,890.45 |
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 $489.78 Median $489.78 Typical High $489.78 | Facility | 52 · Reduced service | $489.78 | $489.78 | $489.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | 53 · Discontinued | $194.98 | $194.98 | $194.98 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | 56 · Pre-op care only | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $489.78 Median $489.78 Typical High $588.84 | Professional | 52 · Reduced service | $489.78 | $489.78 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $194.98 Typical High $234.42 | Professional | 53 · Discontinued | $194.98 | $194.98 | $234.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $97.72 Typical High $117.49 | Professional | 56 · Pre-op care only | $97.72 | $97.72 | $117.49 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $933.25 Median $1,258.93 Typical High $1,995.26 | Professional | 62 · Two surgeons | $933.25 | $1,258.93 | $1,995.26 |
Where Minnesota sits
The same service costs 4.6 times more in Wisconsin 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· 8th of 51
$2,042
WI $3,981TX $871
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.