How much rates vary
Facilitymedian $1,820 · 10th to 90th $912 to $4,169Professionalmedian $2,042 · 10th to 90th $955 to $3,715
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 $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $691.83 Median $691.83 Typical High $691.83 | Facility | 54 · Surgery only | $691.83 | $691.83 | $691.83 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | 55 · Aftercare only | $138.04 | $138.04 | $138.04 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | 78 · Unplanned return to OR | $645.65 | $645.65 | $645.65 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,174.90 | Professional | None | $912.01 | $912.01 | $1,174.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $691.83 Median $691.83 Typical High $891.25 | Professional | 54 · Surgery only | $691.83 | $691.83 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $138.04 Typical High $177.83 | Professional | 55 · Aftercare only | $138.04 | $138.04 | $177.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $645.65 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $645.65 | $645.65 | $831.76 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,258.93 Median $3,388.44 Typical High $8,128.31 | Facility | None | $1,258.93 | $3,388.44 | $8,128.31 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,584.89 Median $2,089.30 Typical High $3,162.28 | Professional | None | $1,584.89 | $2,089.30 | $3,162.28 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,288.25 Median $1,659.59 Typical High $2,511.89 | Professional | 54 · Surgery only | $1,288.25 | $1,659.59 | $2,511.89 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $323.59 Median $416.87 Typical High $630.96 | Professional | 55 · Aftercare only | $323.59 | $416.87 | $630.96 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,348.96 Median $1,737.80 Typical High $2,630.27 | Professional | 78 · Unplanned return to OR | $1,348.96 | $1,737.80 | $2,630.27 |
Cigna Setting Facility Modifier None Typical Low $1,584.89 Median $2,454.71 Typical High $4,677.35 | Facility | None | $1,584.89 | $2,454.71 | $4,677.35 |
Cigna Setting Professional Modifier None Typical Low $1,445.44 Median $2,290.87 Typical High $3,890.45 | Professional | None | $1,445.44 | $2,290.87 | $3,890.45 |
Health Partners Setting Facility Modifier None Typical Low $1,412.54 Median $2,290.87 Typical High $3,981.07 | Facility | None | $1,412.54 | $2,290.87 | $3,981.07 |
Health Partners Setting Professional Modifier None Typical Low $1,584.89 Median $2,137.96 Typical High $3,548.13 | Professional | None | $1,584.89 | $2,137.96 | $3,548.13 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,412.54 Typical High $3,019.95 | Facility | None | $758.58 | $1,412.54 | $3,019.95 |
Medica Setting Professional Modifier None Typical Low $1,071.52 Median $2,238.72 Typical High $7,244.36 | Professional | None | $1,071.52 | $2,238.72 | $7,244.36 |
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 $1,047.13 Median $1,737.80 Typical High $3,630.78 | Professional | None | $1,047.13 | $1,737.80 | $3,630.78 |
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 $457.09 Median $457.09 Typical High $457.09 | Facility | 52 · Reduced service | $457.09 | $457.09 | $457.09 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | 53 · Discontinued | $186.21 | $186.21 | $186.21 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | 56 · Pre-op care only | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $457.09 Median $457.09 Typical High $588.84 | Professional | 52 · Reduced service | $457.09 | $457.09 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $186.21 Typical High $234.42 | Professional | 53 · Discontinued | $186.21 | $186.21 | $234.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $91.20 Typical High $117.49 | Professional | 56 · Pre-op care only | $91.20 | $91.20 | $117.49 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,000.00 Median $1,318.26 Typical High $1,995.26 | Professional | 62 · Two surgeons | $1,000.00 | $1,318.26 | $1,995.26 |
Where Minnesota sits
The same service costs 4.9 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
$1,995
AK $3,548TX $724
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.