How much rates vary
Facilitymedian $2,630 · 10th to 90th $1,072 to $6,761Professionalmedian $3,311 · 10th to 90th $1,660 to $6,310
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 $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,513.56 | $1,513.56 | $1,513.56 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Facility | 54 · Surgery only | $1,148.15 | $1,148.15 | $1,148.15 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | 55 · Aftercare only | $229.09 | $229.09 | $229.09 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | 78 · Unplanned return to OR | $1,071.52 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,905.46 | Professional | None | $1,513.56 | $1,513.56 | $1,905.46 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,148.15 Median $1,148.15 Typical High $1,412.54 | Professional | 54 · Surgery only | $1,148.15 | $1,148.15 | $1,412.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $229.09 Median $229.09 Typical High $281.84 | Professional | 55 · Aftercare only | $229.09 | $229.09 | $281.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,071.52 Median $1,071.52 Typical High $1,318.26 | Professional | 78 · Unplanned return to OR | $1,071.52 | $1,071.52 | $1,318.26 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,258.93 Median $3,388.44 Typical High $13,803.84 | Facility | None | $1,258.93 | $3,388.44 | $13,803.84 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,570.40 Median $3,388.44 Typical High $5,370.32 | Professional | None | $2,570.40 | $3,388.44 | $5,370.32 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $2,089.30 Median $2,691.53 Typical High $4,265.80 | Professional | 54 · Surgery only | $2,089.30 | $2,691.53 | $4,265.80 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $524.81 Median $676.08 Typical High $1,071.52 | Professional | 55 · Aftercare only | $524.81 | $676.08 | $1,071.52 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,187.76 Median $2,818.38 Typical High $4,466.84 | Professional | 78 · Unplanned return to OR | $2,187.76 | $2,818.38 | $4,466.84 |
Cigna Setting Facility Modifier None Typical Low $2,630.27 Median $4,073.80 Typical High $7,762.47 | Facility | None | $2,630.27 | $4,073.80 | $7,762.47 |
Cigna Setting Professional Modifier None Typical Low $2,398.83 Median $3,801.89 Typical High $6,456.54 | Professional | None | $2,398.83 | $3,801.89 | $6,456.54 |
Health Partners Setting Facility Modifier None Typical Low $2,344.23 Median $3,801.89 Typical High $6,606.93 | Facility | None | $2,344.23 | $3,801.89 | $6,606.93 |
Health Partners Setting Professional Modifier None Typical Low $2,630.27 Median $3,467.37 Typical High $5,754.40 | Professional | None | $2,630.27 | $3,467.37 | $5,754.40 |
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 $1,862.09 Median $3,801.89 Typical High $12,302.69 | Professional | None | $1,862.09 | $3,801.89 | $12,302.69 |
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 $1,778.28 Median $2,884.03 Typical High $6,309.57 | Professional | None | $1,778.28 | $2,884.03 | $6,309.57 |
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 $758.58 Median $758.58 Typical High $758.58 | Facility | 52 · Reduced service | $758.58 | $758.58 | $758.58 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | 53 · Discontinued | $302.00 | $302.00 | $302.00 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | 56 · Pre-op care only | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $758.58 Median $758.58 Typical High $954.99 | Professional | 52 · Reduced service | $758.58 | $758.58 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $302.00 Typical High $380.19 | Professional | 53 · Discontinued | $302.00 | $302.00 | $380.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $151.36 Median $151.36 Typical High $190.55 | Professional | 56 · Pre-op care only | $151.36 | $151.36 | $190.55 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,621.81 Median $2,089.30 Typical High $3,311.31 | Professional | 62 · Two surgeons | $1,621.81 | $2,089.30 | $3,311.31 |
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
$3,311
AK $5,888TX $1,096
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.