How much rates vary
Facilitymedian $2,344 · 10th to 90th $1,047 to $5,888Professionalmedian $2,884 · 10th to 90th $1,413 to $5,370
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 $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | None | $1,288.25 | $1,288.25 | $1,288.25 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $977.24 Median $977.24 Typical High $977.24 | Facility | 54 · Surgery only | $977.24 | $977.24 | $977.24 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | 55 · Aftercare only | $194.98 | $194.98 | $194.98 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $912.01 Median $912.01 Typical High $912.01 | Facility | 78 · Unplanned return to OR | $912.01 | $912.01 | $912.01 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,737.80 | Professional | None | $1,288.25 | $1,288.25 | $1,737.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $977.24 Median $977.24 Typical High $1,288.25 | Professional | 54 · Surgery only | $977.24 | $977.24 | $1,288.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $194.98 Typical High $257.04 | Professional | 55 · Aftercare only | $194.98 | $194.98 | $257.04 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $912.01 Median $912.01 Typical High $1,202.26 | Professional | 78 · Unplanned return to OR | $912.01 | $912.01 | $1,202.26 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,258.93 Median $3,388.44 Typical High $11,748.98 | Facility | None | $1,258.93 | $3,388.44 | $11,748.98 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,290.87 Median $2,951.21 Typical High $4,570.88 | Professional | None | $2,290.87 | $2,951.21 | $4,570.88 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,819.70 Median $2,398.83 Typical High $3,630.78 | Professional | 54 · Surgery only | $1,819.70 | $2,398.83 | $3,630.78 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $457.09 Median $588.84 Typical High $912.01 | Professional | 55 · Aftercare only | $457.09 | $588.84 | $912.01 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,905.46 Median $2,511.89 Typical High $3,801.89 | Professional | 78 · Unplanned return to OR | $1,905.46 | $2,511.89 | $3,801.89 |
Cigna Setting Facility Modifier None Typical Low $2,238.72 Median $3,467.37 Typical High $6,606.93 | Facility | None | $2,238.72 | $3,467.37 | $6,606.93 |
Cigna Setting Professional Modifier None Typical Low $2,041.74 Median $3,235.94 Typical High $5,495.41 | Professional | None | $2,041.74 | $3,235.94 | $5,495.41 |
Health Partners Setting Facility Modifier None Typical Low $1,995.26 Median $3,162.28 Typical High $5,623.41 | Facility | None | $1,995.26 | $3,162.28 | $5,623.41 |
Health Partners Setting Professional Modifier None Typical Low $2,238.72 Median $3,019.95 Typical High $4,897.79 | Professional | None | $2,238.72 | $3,019.95 | $4,897.79 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $3,467.37 | Facility | None | $758.58 | $1,445.44 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $1,621.81 Median $3,235.94 Typical High $10,471.29 | Professional | None | $1,621.81 | $3,235.94 | $10,471.29 |
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 $1,513.56 Median $2,570.40 Typical High $5,248.07 | Professional | None | $1,513.56 | $2,570.40 | $5,248.07 |
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 $645.65 Median $645.65 Typical High $645.65 | Facility | 52 · Reduced service | $645.65 | $645.65 | $645.65 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | 53 · Discontinued | $257.04 | $257.04 | $257.04 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | 56 · Pre-op care only | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $645.65 Median $645.65 Typical High $870.96 | Professional | 52 · Reduced service | $645.65 | $645.65 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $257.04 Typical High $346.74 | Professional | 53 · Discontinued | $257.04 | $257.04 | $346.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $128.82 Typical High $173.78 | Professional | 56 · Pre-op care only | $128.82 | $128.82 | $173.78 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,412.54 Median $1,862.09 Typical High $2,818.38 | Professional | 62 · Two surgeons | $1,412.54 | $1,862.09 | $2,818.38 |
Where Minnesota sits
The same service costs 5.0 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
$2,884
AK $5,012TX $1,000
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.