How much rates vary
Facilitymedian $3,631 · 10th to 90th $1,072 to $13,490Professionalmedian $6,918 · 10th to 90th $3,388 to $13,183
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 $3,162.28 Median $3,162.28 Typical High $3,162.28 | Facility | None | $3,162.28 | $3,162.28 | $3,162.28 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Facility | 54 · Surgery only | $2,344.23 | $2,344.23 | $2,344.23 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | 55 · Aftercare only | $467.74 | $467.74 | $467.74 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Facility | 78 · Unplanned return to OR | $2,187.76 | $2,187.76 | $2,187.76 |
Aetna Setting Professional Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $4,265.80 | Professional | None | $3,162.28 | $3,162.28 | $4,265.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,344.23 Median $2,344.23 Typical High $3,235.94 | Professional | 54 · Surgery only | $2,344.23 | $2,344.23 | $3,235.94 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $467.74 Median $467.74 Typical High $645.65 | Professional | 55 · Aftercare only | $467.74 | $467.74 | $645.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,187.76 Median $2,187.76 Typical High $3,019.95 | Professional | 78 · Unplanned return to OR | $2,187.76 | $2,187.76 | $3,019.95 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,479.11 Median $3,311.31 Typical High $29,512.09 | Facility | None | $1,479.11 | $3,311.31 | $29,512.09 |
BCBS Minnesota Setting Professional Modifier None Typical Low $5,495.41 Median $7,079.46 Typical High $11,220.18 | Professional | None | $5,495.41 | $7,079.46 | $11,220.18 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $4,365.16 Median $5,754.40 Typical High $8,912.51 | Professional | 54 · Surgery only | $4,365.16 | $5,754.40 | $8,912.51 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $1,096.48 Median $1,412.54 Typical High $2,238.72 | Professional | 55 · Aftercare only | $1,096.48 | $1,412.54 | $2,238.72 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $4,570.88 Median $6,025.60 Typical High $9,332.54 | Professional | 78 · Unplanned return to OR | $4,570.88 | $6,025.60 | $9,332.54 |
Cigna Setting Facility Modifier None Typical Low $5,370.32 Median $8,317.64 Typical High $16,218.10 | Facility | None | $5,370.32 | $8,317.64 | $16,218.10 |
Cigna Setting Professional Modifier None Typical Low $4,897.79 Median $7,762.47 Typical High $13,182.57 | Professional | None | $4,897.79 | $7,762.47 | $13,182.57 |
Health Partners Setting Facility Modifier None Typical Low $4,786.30 Median $7,762.47 Typical High $13,489.63 | Facility | None | $4,786.30 | $7,762.47 | $13,489.63 |
Health Partners Setting Professional Modifier None Typical Low $5,495.41 Median $7,244.36 Typical High $12,022.64 | Professional | None | $5,495.41 | $7,244.36 | $12,022.64 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $6,456.54 | Facility | None | $758.58 | $1,445.44 | $6,456.54 |
Medica Setting Professional Modifier None Typical Low $3,981.07 Median $8,128.31 Typical High $25,703.96 | Professional | None | $3,981.07 | $8,128.31 | $25,703.96 |
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 $3,715.35 Median $6,456.54 Typical High $13,182.57 | Professional | None | $3,715.35 | $6,456.54 | $13,182.57 |
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 $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | 52 · Reduced service | $1,584.89 | $1,584.89 | $1,584.89 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | 53 · Discontinued | $630.96 | $630.96 | $630.96 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | 56 · Pre-op care only | $316.23 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,584.89 Median $1,584.89 Typical High $2,137.96 | Professional | 52 · Reduced service | $1,584.89 | $1,584.89 | $2,137.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $630.96 Median $630.96 Typical High $851.14 | Professional | 53 · Discontinued | $630.96 | $630.96 | $851.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $316.23 Median $316.23 Typical High $426.58 | Professional | 56 · Pre-op care only | $316.23 | $316.23 | $426.58 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $3,467.37 Median $4,466.84 Typical High $6,918.31 | Professional | 62 · Two surgeons | $3,467.37 | $4,466.84 | $6,918.31 |
Where Minnesota sits
The same service costs 21.9 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
$6,761
AK $12,303TX $562
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.