How much rates vary
Facilitymedian $3,981 · 10th to 90th $1,122 to $14,454Professionalmedian $4,786 · 10th to 90th $2,344 to $9,120
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 $2,187.76 Median $2,187.76 Typical High $2,187.76 | Facility | None | $2,187.76 | $2,187.76 | $2,187.76 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | 54 · Surgery only | $1,659.59 | $1,659.59 | $1,659.59 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | 55 · Aftercare only | $331.13 | $331.13 | $331.13 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | 78 · Unplanned return to OR | $1,548.82 | $1,548.82 | $1,548.82 |
Aetna Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,951.21 | Professional | None | $2,187.76 | $2,187.76 | $2,951.21 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,659.59 Median $1,659.59 Typical High $2,187.76 | Professional | 54 · Surgery only | $1,659.59 | $1,659.59 | $2,187.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $331.13 Median $331.13 Typical High $436.52 | Professional | 55 · Aftercare only | $331.13 | $331.13 | $436.52 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,548.82 Median $1,548.82 Typical High $2,041.74 | Professional | 78 · Unplanned return to OR | $1,548.82 | $1,548.82 | $2,041.74 |
BCBS Minnesota Setting Facility Modifier None Typical Low $7,762.47 Median $14,791.08 Typical High $26,915.35 | Facility | None | $7,762.47 | $14,791.08 | $26,915.35 |
BCBS Minnesota Setting Professional Modifier None Typical Low $3,715.35 Median $4,897.79 Typical High $7,762.47 | Professional | None | $3,715.35 | $4,897.79 | $7,762.47 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $2,951.21 Median $3,890.45 Typical High $6,165.95 | Professional | 54 · Surgery only | $2,951.21 | $3,890.45 | $6,165.95 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $758.58 Median $977.24 Typical High $1,548.82 | Professional | 55 · Aftercare only | $758.58 | $977.24 | $1,548.82 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $3,090.30 Median $4,073.80 Typical High $6,456.54 | Professional | 78 · Unplanned return to OR | $3,090.30 | $4,073.80 | $6,456.54 |
Cigna Setting Facility Modifier None Typical Low $3,801.89 Median $5,888.44 Typical High $11,220.18 | Facility | None | $3,801.89 | $5,888.44 | $11,220.18 |
Cigna Setting Professional Modifier None Typical Low $3,467.37 Median $5,495.41 Typical High $9,332.54 | Professional | None | $3,467.37 | $5,495.41 | $9,332.54 |
Health Partners Setting Facility Modifier None Typical Low $3,388.44 Median $5,370.32 Typical High $9,549.93 | Facility | None | $3,388.44 | $5,370.32 | $9,549.93 |
Health Partners Setting Professional Modifier None Typical Low $3,801.89 Median $5,011.87 Typical High $8,317.64 | Professional | None | $3,801.89 | $5,011.87 | $8,317.64 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $4,466.84 | Facility | None | $758.58 | $1,445.44 | $4,466.84 |
Medica Setting Professional Modifier None Typical Low $2,630.27 Median $5,495.41 Typical High $17,782.79 | Professional | None | $2,630.27 | $5,495.41 | $17,782.79 |
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 $2,570.40 Median $4,168.69 Typical High $8,912.51 | Professional | None | $2,570.40 | $4,168.69 | $8,912.51 |
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 $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | 52 · Reduced service | $1,096.48 | $1,096.48 | $1,096.48 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | 53 · Discontinued | $436.52 | $436.52 | $436.52 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | 56 · Pre-op care only | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,096.48 Median $1,096.48 Typical High $1,479.11 | Professional | 52 · Reduced service | $1,096.48 | $1,096.48 | $1,479.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $436.52 Median $436.52 Typical High $588.84 | Professional | 53 · Discontinued | $436.52 | $436.52 | $588.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $218.78 Median $218.78 Typical High $295.12 | Professional | 56 · Pre-op care only | $218.78 | $218.78 | $295.12 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $2,344.23 Median $3,019.95 Typical High $4,786.30 | Professional | 62 · Two surgeons | $2,344.23 | $3,019.95 | $4,786.30 |
Where Minnesota sits
The same service costs 21.4 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
$4,786
AK $8,318TX $389
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.