How much rates vary
Facilitymedian $3,090 · 10th to 90th $1,122 to $10,000Professionalmedian $3,548 · 10th to 90th $1,738 to $6,607
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 $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,621.81 | $1,621.81 | $1,621.81 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Facility | 54 · Surgery only | $1,202.26 | $1,202.26 | $1,202.26 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | 55 · Aftercare only | $245.47 | $245.47 | $245.47 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | 78 · Unplanned return to OR | $1,122.02 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $2,041.74 | Professional | None | $1,621.81 | $1,621.81 | $2,041.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,202.26 Median $1,202.26 Typical High $1,513.56 | Professional | 54 · Surgery only | $1,202.26 | $1,202.26 | $1,513.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $245.47 Median $245.47 Typical High $302.00 | Professional | 55 · Aftercare only | $245.47 | $245.47 | $302.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,122.02 Median $1,122.02 Typical High $1,412.54 | Professional | 78 · Unplanned return to OR | $1,122.02 | $1,122.02 | $1,412.54 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,897.79 Median $10,715.19 Typical High $19,498.45 | Facility | None | $4,897.79 | $10,715.19 | $19,498.45 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,754.23 Median $3,548.13 Typical High $5,754.40 | Professional | None | $2,754.23 | $3,548.13 | $5,754.40 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $2,187.76 Median $2,884.03 Typical High $4,570.88 | Professional | 54 · Surgery only | $2,187.76 | $2,884.03 | $4,570.88 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $562.34 Median $724.44 Typical High $1,148.15 | Professional | 55 · Aftercare only | $562.34 | $724.44 | $1,148.15 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,290.87 Median $3,019.95 Typical High $4,786.30 | Professional | 78 · Unplanned return to OR | $2,290.87 | $3,019.95 | $4,786.30 |
Cigna Setting Facility Modifier None Typical Low $2,818.38 Median $4,365.16 Typical High $8,317.64 | Facility | None | $2,818.38 | $4,365.16 | $8,317.64 |
Cigna Setting Professional Modifier None Typical Low $2,570.40 Median $3,981.07 Typical High $6,456.54 | Professional | None | $2,570.40 | $3,981.07 | $6,456.54 |
Health Partners Setting Facility Modifier None Typical Low $2,454.71 Median $3,981.07 Typical High $6,918.31 | Facility | None | $2,454.71 | $3,981.07 | $6,918.31 |
Health Partners Setting Professional Modifier None Typical Low $2,818.38 Median $3,715.35 Typical High $5,888.44 | Professional | None | $2,818.38 | $3,715.35 | $5,888.44 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $3,548.13 | Facility | None | $758.58 | $1,445.44 | $3,548.13 |
Medica Setting Professional Modifier None Typical Low $1,949.84 Median $4,073.80 Typical High $13,182.57 | Professional | None | $1,949.84 | $4,073.80 | $13,182.57 |
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 $1,862.09 Median $3,019.95 Typical High $6,606.93 | Professional | None | $1,862.09 | $3,019.95 | $6,606.93 |
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 $812.83 Median $812.83 Typical High $812.83 | Facility | 52 · Reduced service | $812.83 | $812.83 | $812.83 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $323.59 Median $323.59 Typical High $323.59 | Facility | 53 · Discontinued | $323.59 | $323.59 | $323.59 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | 56 · Pre-op care only | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $812.83 Median $812.83 Typical High $1,000.00 | Professional | 52 · Reduced service | $812.83 | $812.83 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $323.59 Median $323.59 Typical High $398.11 | Professional | 53 · Discontinued | $323.59 | $323.59 | $398.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $162.18 Median $162.18 Typical High $199.53 | Professional | 56 · Pre-op care only | $162.18 | $162.18 | $199.53 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,737.80 Median $2,238.72 Typical High $3,548.13 | Professional | 62 · Two surgeons | $1,737.80 | $2,238.72 | $3,548.13 |
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
$3,548
AK $6,310TX $1,175
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.