How much rates vary
Facilitymedian $3,890 · 10th to 90th $1,072 to $16,596Professionalmedian $8,710 · 10th to 90th $4,266 to $16,218
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 $3,890.45 Median $3,890.45 Typical High $3,890.45 | Facility | None | $3,890.45 | $3,890.45 | $3,890.45 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Facility | 54 · Surgery only | $2,951.21 | $2,951.21 | $2,951.21 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | 55 · Aftercare only | $588.84 | $588.84 | $588.84 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Facility | 78 · Unplanned return to OR | $2,754.23 | $2,754.23 | $2,754.23 |
Aetna Setting Professional Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $5,370.32 | Professional | None | $3,890.45 | $3,890.45 | $5,370.32 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,951.21 Median $2,951.21 Typical High $3,981.07 | Professional | 54 · Surgery only | $2,951.21 | $2,951.21 | $3,981.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $588.84 Median $588.84 Typical High $794.33 | Professional | 55 · Aftercare only | $588.84 | $588.84 | $794.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,754.23 Median $2,754.23 Typical High $3,715.35 | Professional | 78 · Unplanned return to OR | $2,754.23 | $2,754.23 | $3,715.35 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,479.11 Median $3,388.44 Typical High $36,307.81 | Facility | None | $1,479.11 | $3,388.44 | $36,307.81 |
BCBS Minnesota Setting Professional Modifier None Typical Low $6,760.83 Median $8,912.51 Typical High $13,803.84 | Professional | None | $6,760.83 | $8,912.51 | $13,803.84 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $5,495.41 Median $7,079.46 Typical High $11,220.18 | Professional | 54 · Surgery only | $5,495.41 | $7,079.46 | $11,220.18 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $1,380.38 Median $1,778.28 Typical High $2,754.23 | Professional | 55 · Aftercare only | $1,380.38 | $1,778.28 | $2,754.23 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $5,754.40 Median $7,413.10 Typical High $11,748.98 | Professional | 78 · Unplanned return to OR | $5,754.40 | $7,413.10 | $11,748.98 |
Cigna Setting Facility Modifier None Typical Low $6,760.83 Median $10,471.29 Typical High $19,952.62 | Facility | None | $6,760.83 | $10,471.29 | $19,952.62 |
Cigna Setting Professional Modifier None Typical Low $6,165.95 Median $9,549.93 Typical High $16,218.10 | Professional | None | $6,165.95 | $9,549.93 | $16,218.10 |
Health Partners Setting Facility Modifier None Typical Low $6,025.60 Median $9,549.93 Typical High $16,595.87 | Facility | None | $6,025.60 | $9,549.93 | $16,595.87 |
Health Partners Setting Professional Modifier None Typical Low $6,760.83 Median $9,120.11 Typical High $14,791.08 | Professional | None | $6,760.83 | $9,120.11 | $14,791.08 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $7,762.47 | Facility | None | $758.58 | $1,445.44 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $4,897.79 Median $10,000.00 Typical High $31,622.78 | Professional | None | $4,897.79 | $10,000.00 | $31,622.78 |
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 $4,570.88 Median $7,943.28 Typical High $16,218.10 | Professional | None | $4,570.88 | $7,943.28 | $16,218.10 |
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 $1,949.84 Median $1,949.84 Typical High $1,949.84 | Facility | 52 · Reduced service | $1,949.84 | $1,949.84 | $1,949.84 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $776.25 Median $776.25 Typical High $776.25 | Facility | 53 · Discontinued | $776.25 | $776.25 | $776.25 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | 56 · Pre-op care only | $389.05 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,949.84 Median $1,949.84 Typical High $2,691.53 | Professional | 52 · Reduced service | $1,949.84 | $1,949.84 | $2,691.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $776.25 Median $776.25 Typical High $1,071.52 | Professional | 53 · Discontinued | $776.25 | $776.25 | $1,071.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $389.05 Median $389.05 Typical High $537.03 | Professional | 56 · Pre-op care only | $389.05 | $389.05 | $537.03 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $4,265.80 Median $5,495.41 Typical High $8,709.64 | Professional | 62 · Two surgeons | $4,265.80 | $5,495.41 | $8,709.64 |
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
$8,511
AK $15,136TX $692
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.