How much rates vary
Facilitymedian $3,162 · 10th to 90th $1,148 to $9,333Professionalmedian $2,512 · 10th to 90th $1,230 to $4,677
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 $1,148.15 Median $1,148.15 Typical High $1,148.15 | Facility | None | $1,148.15 | $1,148.15 | $1,148.15 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $870.96 Median $870.96 Typical High $870.96 | Facility | 54 · Surgery only | $870.96 | $870.96 | $870.96 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | 55 · Aftercare only | $173.78 | $173.78 | $173.78 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $812.83 Typical High $812.83 | Facility | 78 · Unplanned return to OR | $812.83 | $812.83 | $812.83 |
Aetna Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,412.54 | Professional | None | $1,148.15 | $1,148.15 | $1,412.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $870.96 Typical High $1,071.52 | Professional | 54 · Surgery only | $870.96 | $870.96 | $1,071.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $173.78 Typical High $213.80 | Professional | 55 · Aftercare only | $173.78 | $173.78 | $213.80 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $812.83 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $812.83 | $812.83 | $1,000.00 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,897.79 Median $8,709.64 Typical High $14,454.40 | Facility | None | $4,897.79 | $8,709.64 | $14,454.40 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,949.84 Median $2,570.40 Typical High $4,073.80 | Professional | None | $1,949.84 | $2,570.40 | $4,073.80 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,584.89 Median $2,041.74 Typical High $3,235.94 | Professional | 54 · Surgery only | $1,584.89 | $2,041.74 | $3,235.94 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $398.11 Median $512.86 Typical High $812.83 | Professional | 55 · Aftercare only | $398.11 | $512.86 | $812.83 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,659.59 Median $2,137.96 Typical High $3,388.44 | Professional | 78 · Unplanned return to OR | $1,659.59 | $2,137.96 | $3,388.44 |
Cigna Setting Facility Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $5,888.44 | Facility | None | $1,995.26 | $3,090.30 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $2,884.03 Typical High $4,677.35 | Professional | None | $1,819.70 | $2,884.03 | $4,677.35 |
Health Partners Setting Facility Modifier None Typical Low $1,778.28 Median $2,884.03 Typical High $5,011.87 | Facility | None | $1,778.28 | $2,884.03 | $5,011.87 |
Health Partners Setting Professional Modifier None Typical Low $1,995.26 Median $2,630.27 Typical High $4,265.80 | Professional | None | $1,995.26 | $2,630.27 | $4,265.80 |
Medica Setting Facility Modifier None Typical Low $1,659.59 Median $3,467.37 Typical High $6,918.31 | Facility | None | $1,659.59 | $3,467.37 | $6,918.31 |
Medica Setting Professional Modifier None Typical Low $1,380.38 Median $2,818.38 Typical High $11,748.98 | Professional | None | $1,380.38 | $2,818.38 | $11,748.98 |
United Setting Facility Modifier None Typical Low $2,818.38 Median $4,265.80 Typical High $9,772.37 | Facility | None | $2,818.38 | $4,265.80 | $9,772.37 |
United Setting Professional Modifier None Typical Low $1,318.26 Median $2,187.76 Typical High $4,677.35 | Professional | None | $1,318.26 | $2,187.76 | $4,677.35 |
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 $575.44 Median $575.44 Typical High $575.44 | Facility | 52 · Reduced service | $575.44 | $575.44 | $575.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | 53 · Discontinued | $229.09 | $229.09 | $229.09 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $114.82 Median $114.82 Typical High $114.82 | Facility | 56 · Pre-op care only | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $575.44 Median $575.44 Typical High $707.95 | Professional | 52 · Reduced service | $575.44 | $575.44 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $229.09 Typical High $281.84 | Professional | 53 · Discontinued | $229.09 | $229.09 | $281.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $114.82 Typical High $141.25 | Professional | 56 · Pre-op care only | $114.82 | $114.82 | $141.25 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,230.27 Median $1,584.89 Typical High $2,511.89 | Professional | 62 · Two surgeons | $1,230.27 | $1,584.89 | $2,511.89 |
Where Minnesota sits
The same service costs 26.3 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 $5,248TX $200
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.