How much rates vary
Facilitymedian $2,138 · 10th to 90th $1,047 to $5,248Professionalmedian $2,570 · 10th to 90th $1,259 to $4,786
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 $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,174.90 | $1,174.90 | $1,174.90 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | 54 · Surgery only | $891.25 | $891.25 | $891.25 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | 55 · Aftercare only | $177.83 | $177.83 | $177.83 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | 78 · Unplanned return to OR | $831.76 | $831.76 | $831.76 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,479.11 | Professional | None | $1,174.90 | $1,174.90 | $1,479.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $891.25 Median $891.25 Typical High $1,096.48 | Professional | 54 · Surgery only | $891.25 | $891.25 | $1,096.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $177.83 Typical High $218.78 | Professional | 55 · Aftercare only | $177.83 | $177.83 | $218.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $831.76 Typical High $1,023.29 | Professional | 78 · Unplanned return to OR | $831.76 | $831.76 | $1,023.29 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,258.93 Median $3,388.44 Typical High $10,471.29 | Facility | None | $1,258.93 | $3,388.44 | $10,471.29 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,995.26 Median $2,630.27 Typical High $4,168.69 | Professional | None | $1,995.26 | $2,630.27 | $4,168.69 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,584.89 Median $2,089.30 Typical High $3,311.31 | Professional | 54 · Surgery only | $1,584.89 | $2,089.30 | $3,311.31 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $407.38 Median $524.81 Typical High $831.76 | Professional | 55 · Aftercare only | $407.38 | $524.81 | $831.76 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,698.24 Median $2,187.76 Typical High $3,467.37 | Professional | 78 · Unplanned return to OR | $1,698.24 | $2,187.76 | $3,467.37 |
Cigna Setting Facility Modifier None Typical Low $2,041.74 Median $3,162.28 Typical High $6,025.60 | Facility | None | $2,041.74 | $3,162.28 | $6,025.60 |
Cigna Setting Professional Modifier None Typical Low $1,862.09 Median $2,884.03 Typical High $4,897.79 | Professional | None | $1,862.09 | $2,884.03 | $4,897.79 |
Health Partners Setting Facility Modifier None Typical Low $1,819.70 Median $2,884.03 Typical High $5,011.87 | Facility | None | $1,819.70 | $2,884.03 | $5,011.87 |
Health Partners Setting Professional Modifier None Typical Low $2,041.74 Median $2,691.53 Typical High $4,466.84 | Professional | None | $2,041.74 | $2,691.53 | $4,466.84 |
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 $1,412.54 Median $2,951.21 Typical High $9,549.93 | Professional | None | $1,412.54 | $2,951.21 | $9,549.93 |
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 $1,348.96 Median $2,238.72 Typical High $4,786.30 | Professional | None | $1,348.96 | $2,238.72 | $4,786.30 |
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 $588.84 Median $588.84 Typical High $588.84 | Facility | 52 · Reduced service | $588.84 | $588.84 | $588.84 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | 53 · Discontinued | $234.42 | $234.42 | $234.42 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $117.49 Median $117.49 Typical High $117.49 | Facility | 56 · Pre-op care only | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $588.84 Median $588.84 Typical High $724.44 | Professional | 52 · Reduced service | $588.84 | $588.84 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $234.42 Typical High $288.40 | Professional | 53 · Discontinued | $234.42 | $234.42 | $288.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $117.49 Typical High $144.54 | Professional | 56 · Pre-op care only | $117.49 | $117.49 | $144.54 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,258.93 Median $1,621.81 Typical High $2,570.40 | Professional | 62 · Two surgeons | $1,258.93 | $1,621.81 | $2,570.40 |
Where Minnesota sits
The same service costs 5.4 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· 7th of 51
$2,570
AK $4,571TX $851
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.