How much rates vary
Facilitymedian $2,138 · 10th to 90th $1,047 to $5,495Professionalmedian $2,570 · 10th to 90th $1,549 to $4,677
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 $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | None | $1,258.93 | $1,258.93 | $1,258.93 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $954.99 Median $954.99 Typical High $954.99 | Facility | 54 · Surgery only | $954.99 | $954.99 | $954.99 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | 55 · Aftercare only | $190.55 | $190.55 | $190.55 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | 78 · Unplanned return to OR | $891.25 | $891.25 | $891.25 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,584.89 | Professional | None | $1,258.93 | $1,258.93 | $1,584.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $954.99 Median $954.99 Typical High $1,148.15 | Professional | 54 · Surgery only | $954.99 | $954.99 | $1,148.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $190.55 Typical High $229.09 | Professional | 55 · Aftercare only | $190.55 | $190.55 | $229.09 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $891.25 Median $891.25 Typical High $1,071.52 | Professional | 78 · Unplanned return to OR | $891.25 | $891.25 | $1,071.52 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,454.71 Median $5,248.07 Typical High $13,489.63 | Facility | None | $2,454.71 | $5,248.07 | $13,489.63 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,949.84 Median $2,570.40 Typical High $4,265.80 | Professional | None | $1,949.84 | $2,570.40 | $4,265.80 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,548.82 Median $2,089.30 Typical High $3,388.44 | Professional | 54 · Surgery only | $1,548.82 | $2,089.30 | $3,388.44 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $389.05 Median $524.81 Typical High $831.76 | Professional | 55 · Aftercare only | $389.05 | $524.81 | $831.76 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,621.81 Median $2,187.76 Typical High $3,548.13 | Professional | 78 · Unplanned return to OR | $1,621.81 | $2,187.76 | $3,548.13 |
Cigna Setting Facility Modifier None Typical Low $1,819.70 Median $2,818.38 Typical High $5,495.41 | Facility | None | $1,819.70 | $2,818.38 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $2,137.96 Median $3,162.28 Typical High $4,897.79 | Professional | None | $2,137.96 | $3,162.28 | $4,897.79 |
Health Partners Setting Facility Modifier None Typical Low $1,621.81 Median $2,630.27 Typical High $4,570.88 | Facility | None | $1,621.81 | $2,630.27 | $4,570.88 |
Health Partners Setting Professional Modifier None Typical Low $1,862.09 Median $2,754.23 Typical High $4,570.88 | Professional | None | $1,862.09 | $2,754.23 | $4,570.88 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $3,388.44 | Facility | None | $758.58 | $1,445.44 | $3,388.44 |
Medica Setting Professional Modifier None Typical Low $1,548.82 Median $2,454.71 Typical High $4,897.79 | Professional | None | $1,548.82 | $2,454.71 | $4,897.79 |
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 $1,445.44 Median $2,398.83 Typical High $5,128.61 | Professional | None | $1,445.44 | $2,398.83 | $5,128.61 |
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 $630.96 Median $630.96 Typical High $630.96 | Facility | 52 · Reduced service | $630.96 | $630.96 | $630.96 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | 53 · Discontinued | $251.19 | $251.19 | $251.19 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | 56 · Pre-op care only | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $630.96 Median $630.96 Typical High $758.58 | Professional | 52 · Reduced service | $630.96 | $630.96 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $251.19 Typical High $309.03 | Professional | 53 · Discontinued | $251.19 | $251.19 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $125.89 Typical High $151.36 | Professional | 56 · Pre-op care only | $125.89 | $125.89 | $151.36 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,202.26 Median $1,621.81 Typical High $2,630.27 | Professional | 62 · Two surgeons | $1,202.26 | $1,621.81 | $2,630.27 |
Where Minnesota sits
The same service costs 5.5 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· 7th of 51
$2,512
AK $4,898TX $891
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.