How much rates vary
Facilitymedian $3,548 · 10th to 90th $1,072 to $10,715Professionalmedian $5,495 · 10th to 90th $2,754 to $10,471
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 $2,511.89 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,511.89 | $2,511.89 | $2,511.89 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Facility | 54 · Surgery only | $1,862.09 | $1,862.09 | $1,862.09 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | 55 · Aftercare only | $371.54 | $371.54 | $371.54 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | 78 · Unplanned return to OR | $1,737.80 | $1,737.80 | $1,737.80 |
Aetna Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $3,388.44 | Professional | None | $2,511.89 | $2,511.89 | $3,388.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,862.09 Median $1,862.09 Typical High $2,511.89 | Professional | 54 · Surgery only | $1,862.09 | $1,862.09 | $2,511.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $371.54 Median $371.54 Typical High $512.86 | Professional | 55 · Aftercare only | $371.54 | $371.54 | $512.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,737.80 Median $1,737.80 Typical High $2,344.23 | Professional | 78 · Unplanned return to OR | $1,737.80 | $1,737.80 | $2,344.23 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,479.11 Median $3,388.44 Typical High $22,908.68 | Facility | None | $1,479.11 | $3,388.44 | $22,908.68 |
BCBS Minnesota Setting Professional Modifier None Typical Low $4,365.16 Median $5,754.40 Typical High $8,912.51 | Professional | None | $4,365.16 | $5,754.40 | $8,912.51 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $3,467.37 Median $4,570.88 Typical High $7,079.46 | Professional | 54 · Surgery only | $3,467.37 | $4,570.88 | $7,079.46 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $870.96 Median $1,148.15 Typical High $1,778.28 | Professional | 55 · Aftercare only | $870.96 | $1,148.15 | $1,778.28 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $3,630.78 Median $4,786.30 Typical High $7,413.10 | Professional | 78 · Unplanned return to OR | $3,630.78 | $4,786.30 | $7,413.10 |
Cigna Setting Facility Modifier None Typical Low $4,265.80 Median $6,606.93 Typical High $12,882.50 | Facility | None | $4,265.80 | $6,606.93 | $12,882.50 |
Cigna Setting Professional Modifier None Typical Low $3,890.45 Median $6,165.95 Typical High $10,471.29 | Professional | None | $3,890.45 | $6,165.95 | $10,471.29 |
Health Partners Setting Facility Modifier None Typical Low $3,801.89 Median $6,165.95 Typical High $10,715.19 | Facility | None | $3,801.89 | $6,165.95 | $10,715.19 |
Health Partners Setting Professional Modifier None Typical Low $4,365.16 Median $5,754.40 Typical High $9,549.93 | Professional | None | $4,365.16 | $5,754.40 | $9,549.93 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $4,897.79 | Facility | None | $758.58 | $1,445.44 | $4,897.79 |
Medica Setting Professional Modifier None Typical Low $3,019.95 Median $6,456.54 Typical High $20,417.38 | Professional | None | $3,019.95 | $6,456.54 | $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 $2,884.03 Median $4,786.30 Typical High $10,232.93 | Professional | None | $2,884.03 | $4,786.30 | $10,232.93 |
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 $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | 52 · Reduced service | $1,258.93 | $1,258.93 | $1,258.93 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | 53 · Discontinued | $501.19 | $501.19 | $501.19 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | 56 · Pre-op care only | $251.19 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,258.93 Median $1,258.93 Typical High $1,698.24 | Professional | 52 · Reduced service | $1,258.93 | $1,258.93 | $1,698.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $501.19 Median $501.19 Typical High $676.08 | Professional | 53 · Discontinued | $501.19 | $501.19 | $676.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $251.19 Median $251.19 Typical High $338.84 | Professional | 56 · Pre-op care only | $251.19 | $251.19 | $338.84 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $2,754.23 Median $3,548.13 Typical High $5,495.41 | Professional | 62 · Two surgeons | $2,754.23 | $3,548.13 | $5,495.41 |
Where Minnesota sits
The same service costs 5.1 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
$5,495
AK $9,772TX $1,905
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.