How much rates vary
Facilitymedian $2,291 · 10th to 90th $1,047 to $5,754Professionalmedian $2,754 · 10th to 90th $1,380 to $5,248
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 $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | None | $1,258.93 | $1,258.93 | $1,258.93 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $954.99 Median $954.99 Typical High $954.99 | Facility | 54 · Surgery only | $954.99 | $954.99 | $954.99 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | 55 · Aftercare only | $190.55 | $190.55 | $190.55 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | 78 · Unplanned return to OR | $891.25 | $891.25 | $891.25 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,698.24 | Professional | None | $1,258.93 | $1,258.93 | $1,698.24 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $954.99 Median $954.99 Typical High $1,258.93 | Professional | 54 · Surgery only | $954.99 | $954.99 | $1,258.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $190.55 Typical High $251.19 | Professional | 55 · Aftercare only | $190.55 | $190.55 | $251.19 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $891.25 Median $891.25 Typical High $1,174.90 | Professional | 78 · Unplanned return to OR | $891.25 | $891.25 | $1,174.90 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,258.93 Median $3,388.44 Typical High $11,481.54 | Facility | None | $1,258.93 | $3,388.44 | $11,481.54 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,137.96 Median $2,818.38 Typical High $4,466.84 | Professional | None | $2,137.96 | $2,818.38 | $4,466.84 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,737.80 Median $2,238.72 Typical High $3,548.13 | Professional | 54 · Surgery only | $1,737.80 | $2,238.72 | $3,548.13 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $436.52 Median $562.34 Typical High $891.25 | Professional | 55 · Aftercare only | $436.52 | $562.34 | $891.25 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,819.70 Median $2,344.23 Typical High $3,715.35 | Professional | 78 · Unplanned return to OR | $1,819.70 | $2,344.23 | $3,715.35 |
Cigna Setting Facility Modifier None Typical Low $2,187.76 Median $3,388.44 Typical High $6,456.54 | Facility | None | $2,187.76 | $3,388.44 | $6,456.54 |
Cigna Setting Professional Modifier None Typical Low $1,995.26 Median $3,162.28 Typical High $5,370.32 | Professional | None | $1,995.26 | $3,162.28 | $5,370.32 |
Health Partners Setting Facility Modifier None Typical Low $1,949.84 Median $3,162.28 Typical High $5,495.41 | Facility | None | $1,949.84 | $3,162.28 | $5,495.41 |
Health Partners Setting Professional Modifier None Typical Low $2,187.76 Median $2,884.03 Typical High $4,786.30 | Professional | None | $2,187.76 | $2,884.03 | $4,786.30 |
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 $1,513.56 Median $3,162.28 Typical High $12,022.64 | Professional | None | $1,513.56 | $3,162.28 | $12,022.64 |
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 $1,479.11 Median $2,398.83 Typical High $5,128.61 | Professional | None | $1,479.11 | $2,398.83 | $5,128.61 |
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 $630.96 Median $630.96 Typical High $630.96 | Facility | 52 · Reduced service | $630.96 | $630.96 | $630.96 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | 53 · Discontinued | $251.19 | $251.19 | $251.19 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | 56 · Pre-op care only | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $630.96 Median $630.96 Typical High $851.14 | Professional | 52 · Reduced service | $630.96 | $630.96 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $251.19 Typical High $338.84 | Professional | 53 · Discontinued | $251.19 | $251.19 | $338.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $125.89 Typical High $169.82 | Professional | 56 · Pre-op care only | $125.89 | $125.89 | $169.82 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,348.96 Median $1,778.28 Typical High $2,754.23 | Professional | 62 · Two surgeons | $1,348.96 | $1,778.28 | $2,754.23 |
Where Minnesota sits
The same service costs 5.2 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
$2,754
AK $4,898TX $933
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.