How much rates vary
Facilitymedian $4,467 · 10th to 90th $1,122 to $13,183Professionalmedian $5,623 · 10th to 90th $2,692 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 $2,570.40 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 $3,090.30 | Professional | None | $2,570.40 | $2,570.40 | $3,090.30 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,949.84 Median $1,949.84 Typical High $2,344.23 | Professional | 54 · Surgery only | $1,949.84 | $1,949.84 | $2,344.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $389.05 Median $389.05 Typical High $467.74 | Professional | 55 · Aftercare only | $389.05 | $389.05 | $467.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,819.70 Median $1,819.70 Typical High $2,187.76 | Professional | 78 · Unplanned return to OR | $1,819.70 | $1,819.70 | $2,187.76 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,897.79 Median $12,882.50 Typical High $26,915.35 | Facility | None | $4,897.79 | $12,882.50 | $26,915.35 |
BCBS Minnesota Setting Professional Modifier None Typical Low $4,365.16 Median $5,754.40 Typical High $9,120.11 | Professional | None | $4,365.16 | $5,754.40 | $9,120.11 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $3,548.13 Median $4,570.88 Typical High $7,244.36 | Professional | 54 · Surgery only | $3,548.13 | $4,570.88 | $7,244.36 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $891.25 Median $1,148.15 Typical High $1,819.70 | Professional | 55 · Aftercare only | $891.25 | $1,148.15 | $1,819.70 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $3,715.35 Median $4,786.30 Typical High $7,762.47 | Professional | 78 · Unplanned return to OR | $3,715.35 | $4,786.30 | $7,762.47 |
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 $4,073.80 Median $6,456.54 Typical High $10,964.78 | Professional | None | $4,073.80 | $6,456.54 | $10,964.78 |
Health Partners Setting Facility Modifier None Typical Low $3,981.07 Median $6,456.54 Typical High $11,220.18 | Facility | None | $3,981.07 | $6,456.54 | $11,220.18 |
Health Partners Setting Professional Modifier None Typical Low $4,466.84 Median $5,888.44 Typical High $10,000.00 | Professional | None | $4,466.84 | $5,888.44 | $10,000.00 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $5,370.32 | Facility | None | $758.58 | $1,445.44 | $5,370.32 |
Medica Setting Professional Modifier None Typical Low $2,951.21 Median $6,165.95 Typical High $20,892.96 | Professional | None | $2,951.21 | $6,165.95 | $20,892.96 |
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 $2,884.03 Median $4,786.30 Typical High $10,000.00 | Professional | None | $2,884.03 | $4,786.30 | $10,000.00 |
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 $524.81 Median $524.81 Typical High $524.81 | Facility | 53 · Discontinued | $524.81 | $524.81 | $524.81 |
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 $1,548.82 | Professional | 52 · Reduced service | $1,288.25 | $1,288.25 | $1,548.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $524.81 Median $524.81 Typical High $630.96 | Professional | 53 · Discontinued | $524.81 | $524.81 | $630.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $257.04 Median $257.04 Typical High $309.03 | Professional | 56 · Pre-op care only | $257.04 | $257.04 | $309.03 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $2,754.23 Median $3,630.78 Typical High $5,754.40 | Professional | 62 · Two surgeons | $2,754.23 | $3,630.78 | $5,754.40 |
Where Minnesota sits
The same service costs 21.4 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· 8th of 51
$5,495
AK $9,772TX $457
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.