How much rates vary
Facilitymedian $2,512 · 10th to 90th $1,072 to $6,310Professionalmedian $3,020 · 10th to 90th $1,445 to $5,623
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 $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | None | $1,380.38 | $1,380.38 | $1,380.38 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | 54 · Surgery only | $1,047.13 | $1,047.13 | $1,047.13 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | 55 · Aftercare only | $208.93 | $208.93 | $208.93 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $977.24 Median $977.24 Typical High $977.24 | Facility | 78 · Unplanned return to OR | $977.24 | $977.24 | $977.24 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,737.80 | Professional | None | $1,380.38 | $1,380.38 | $1,737.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,047.13 Median $1,047.13 Typical High $1,288.25 | Professional | 54 · Surgery only | $1,047.13 | $1,047.13 | $1,288.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $208.93 Typical High $257.04 | Professional | 55 · Aftercare only | $208.93 | $208.93 | $257.04 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $977.24 Median $977.24 Typical High $1,202.26 | Professional | 78 · Unplanned return to OR | $977.24 | $977.24 | $1,202.26 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,584.89 Median $4,265.80 Typical High $12,302.69 | Facility | None | $1,584.89 | $4,265.80 | $12,302.69 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,398.83 Median $3,090.30 Typical High $4,897.79 | Professional | None | $2,398.83 | $3,090.30 | $4,897.79 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,905.46 Median $2,511.89 Typical High $3,890.45 | Professional | 54 · Surgery only | $1,905.46 | $2,511.89 | $3,890.45 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $478.63 Median $616.60 Typical High $977.24 | Professional | 55 · Aftercare only | $478.63 | $616.60 | $977.24 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,995.26 Median $2,630.27 Typical High $4,073.80 | Professional | 78 · Unplanned return to OR | $1,995.26 | $2,630.27 | $4,073.80 |
Cigna Setting Facility Modifier None Typical Low $2,398.83 Median $3,715.35 Typical High $7,079.46 | Facility | None | $2,398.83 | $3,715.35 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $2,137.96 Median $3,388.44 Typical High $5,888.44 | Professional | None | $2,137.96 | $3,388.44 | $5,888.44 |
Health Partners Setting Facility Modifier None Typical Low $2,137.96 Median $3,388.44 Typical High $6,025.60 | Facility | None | $2,137.96 | $3,388.44 | $6,025.60 |
Health Partners Setting Professional Modifier None Typical Low $2,398.83 Median $3,162.28 Typical High $5,248.07 | Professional | None | $2,398.83 | $3,162.28 | $5,248.07 |
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 $1,621.81 Median $3,467.37 Typical High $11,220.18 | Professional | None | $1,621.81 | $3,467.37 | $11,220.18 |
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 $1,548.82 Median $2,570.40 Typical High $5,623.41 | Professional | None | $1,548.82 | $2,570.40 | $5,623.41 |
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 $691.83 Median $691.83 Typical High $691.83 | Facility | 52 · Reduced service | $691.83 | $691.83 | $691.83 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | 53 · Discontinued | $275.42 | $275.42 | $275.42 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | 56 · Pre-op care only | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $691.83 Median $691.83 Typical High $851.14 | Professional | 52 · Reduced service | $691.83 | $691.83 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $275.42 Typical High $338.84 | Professional | 53 · Discontinued | $275.42 | $275.42 | $338.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $138.04 Typical High $169.82 | Professional | 56 · Pre-op care only | $138.04 | $138.04 | $169.82 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,479.11 Median $1,949.84 Typical High $3,019.95 | Professional | 62 · Two surgeons | $1,479.11 | $1,949.84 | $3,019.95 |
Where Minnesota sits
The same service costs 5.1 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
$3,020
AK $5,129TX $1,000
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.