How much rates vary
Facilitymedian $4,571 · 10th to 90th $1,122 to $15,849Professionalmedian $5,129 · 10th to 90th $2,630 to $10,000
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 $2,570.40 Median $2,570.40 Typical High $2,570.40 | Facility | None | $2,570.40 | $2,570.40 | $2,570.40 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Facility | 54 · Surgery only | $1,949.84 | $1,949.84 | $1,949.84 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | 55 · Aftercare only | $389.05 | $389.05 | $389.05 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | 78 · Unplanned return to OR | $1,819.70 | $1,819.70 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $3,235.94 | Professional | None | $2,570.40 | $2,570.40 | $3,235.94 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,949.84 Median $1,949.84 Typical High $2,454.71 | Professional | 54 · Surgery only | $1,949.84 | $1,949.84 | $2,454.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $389.05 Median $389.05 Typical High $489.78 | Professional | 55 · Aftercare only | $389.05 | $389.05 | $489.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,819.70 Median $1,819.70 Typical High $2,290.87 | Professional | 78 · Unplanned return to OR | $1,819.70 | $1,819.70 | $2,290.87 |
BCBS Minnesota Setting Facility Modifier None Typical Low $7,762.47 Median $16,595.87 Typical High $30,199.52 | Facility | None | $7,762.47 | $16,595.87 | $30,199.52 |
BCBS Minnesota Setting Professional Modifier None Typical Low $3,890.45 Median $5,128.61 Typical High $8,511.38 | Professional | None | $3,890.45 | $5,128.61 | $8,511.38 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $3,162.28 Median $4,073.80 Typical High $6,760.83 | Professional | 54 · Surgery only | $3,162.28 | $4,073.80 | $6,760.83 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $812.83 Median $1,023.29 Typical High $1,698.24 | Professional | 55 · Aftercare only | $812.83 | $1,023.29 | $1,698.24 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $3,311.31 Median $4,265.80 Typical High $7,244.36 | Professional | 78 · Unplanned return to OR | $3,311.31 | $4,265.80 | $7,244.36 |
Cigna Setting Facility Modifier None Typical Low $4,466.84 Median $6,918.31 Typical High $13,182.57 | Facility | None | $4,466.84 | $6,918.31 | $13,182.57 |
Cigna Setting Professional Modifier None Typical Low $3,981.07 Median $6,309.57 Typical High $10,715.19 | Professional | None | $3,981.07 | $6,309.57 | $10,715.19 |
Health Partners Setting Facility Modifier None Typical Low $3,981.07 Median $6,309.57 Typical High $10,964.78 | Facility | None | $3,981.07 | $6,309.57 | $10,964.78 |
Health Partners Setting Professional Modifier None Typical Low $4,466.84 Median $5,888.44 Typical High $9,772.37 | Professional | None | $4,466.84 | $5,888.44 | $9,772.37 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $5,128.61 | Facility | None | $758.58 | $1,445.44 | $5,128.61 |
Medica Setting Professional Modifier None Typical Low $3,090.30 Median $6,165.95 Typical High $20,417.38 | Professional | None | $3,090.30 | $6,165.95 | $20,417.38 |
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 $2,818.38 Median $4,897.79 Typical High $9,772.37 | Professional | None | $2,818.38 | $4,897.79 | $9,772.37 |
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 $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | 52 · Reduced service | $1,288.25 | $1,288.25 | $1,288.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | 53 · Discontinued | $512.86 | $512.86 | $512.86 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | 56 · Pre-op care only | $257.04 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,288.25 Median $1,288.25 Typical High $1,621.81 | Professional | 52 · Reduced service | $1,288.25 | $1,288.25 | $1,621.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $512.86 Median $512.86 Typical High $645.65 | Professional | 53 · Discontinued | $512.86 | $512.86 | $645.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $257.04 Median $257.04 Typical High $323.59 | Professional | 56 · Pre-op care only | $257.04 | $257.04 | $323.59 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $2,570.40 Median $3,235.94 Typical High $5,370.32 | Professional | 62 · Two surgeons | $2,570.40 | $3,235.94 | $5,370.32 |
Where Minnesota sits
The same service costs 22.9 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
$5,129
AK $9,120TX $398
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.