How much rates vary
Facilitymedian $3,388 · 10th to 90th $1,122 to $8,913Professionalmedian $4,571 · 10th to 90th $2,138 to $8,511
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 $2,089.30 Median $2,089.30 Typical High $2,089.30 | Facility | None | $2,089.30 | $2,089.30 | $2,089.30 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | 54 · Surgery only | $1,548.82 | $1,548.82 | $1,548.82 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $309.03 Median $309.03 Typical High $309.03 | Facility | 55 · Aftercare only | $309.03 | $309.03 | $309.03 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | 78 · Unplanned return to OR | $1,445.44 | $1,445.44 | $1,445.44 |
Aetna Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,511.89 | Professional | None | $2,089.30 | $2,089.30 | $2,511.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,548.82 Median $1,548.82 Typical High $1,905.46 | Professional | 54 · Surgery only | $1,548.82 | $1,548.82 | $1,905.46 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $309.03 Median $309.03 Typical High $380.19 | Professional | 55 · Aftercare only | $309.03 | $309.03 | $380.19 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,445.44 Median $1,445.44 Typical High $1,778.28 | Professional | 78 · Unplanned return to OR | $1,445.44 | $1,445.44 | $1,778.28 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,698.24 Median $4,265.80 Typical High $18,197.01 | Facility | None | $1,698.24 | $4,265.80 | $18,197.01 |
BCBS Minnesota Setting Professional Modifier None Typical Low $3,548.13 Median $4,677.35 Typical High $7,244.36 | Professional | None | $3,548.13 | $4,677.35 | $7,244.36 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $2,818.38 Median $3,715.35 Typical High $5,754.40 | Professional | 54 · Surgery only | $2,818.38 | $3,715.35 | $5,754.40 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $707.95 Median $933.25 Typical High $1,445.44 | Professional | 55 · Aftercare only | $707.95 | $933.25 | $1,445.44 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,951.21 Median $3,890.45 Typical High $6,025.60 | Professional | 78 · Unplanned return to OR | $2,951.21 | $3,890.45 | $6,025.60 |
Cigna Setting Facility Modifier None Typical Low $3,548.13 Median $5,495.41 Typical High $10,471.29 | Facility | None | $3,548.13 | $5,495.41 | $10,471.29 |
Cigna Setting Professional Modifier None Typical Low $3,235.94 Median $5,128.61 Typical High $8,709.64 | Professional | None | $3,235.94 | $5,128.61 | $8,709.64 |
Health Partners Setting Facility Modifier None Typical Low $3,162.28 Median $5,128.61 Typical High $8,912.51 | Facility | None | $3,162.28 | $5,128.61 | $8,912.51 |
Health Partners Setting Professional Modifier None Typical Low $3,548.13 Median $4,786.30 Typical High $7,943.28 | Professional | None | $3,548.13 | $4,786.30 | $7,943.28 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $4,073.80 | Facility | None | $758.58 | $1,445.44 | $4,073.80 |
Medica Setting Professional Modifier None Typical Low $2,398.83 Median $5,128.61 Typical High $16,595.87 | Professional | None | $2,398.83 | $5,128.61 | $16,595.87 |
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 $2,290.87 Median $3,715.35 Typical High $8,317.64 | Professional | None | $2,290.87 | $3,715.35 | $8,317.64 |
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 $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | 52 · Reduced service | $1,023.29 | $1,023.29 | $1,023.29 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | 53 · Discontinued | $416.87 | $416.87 | $416.87 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | 56 · Pre-op care only | $208.93 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,023.29 Median $1,023.29 Typical High $1,258.93 | Professional | 52 · Reduced service | $1,023.29 | $1,023.29 | $1,258.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $416.87 Typical High $501.19 | Professional | 53 · Discontinued | $416.87 | $416.87 | $501.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $208.93 Median $208.93 Typical High $251.19 | Professional | 56 · Pre-op care only | $208.93 | $208.93 | $251.19 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $2,238.72 Median $2,884.03 Typical High $4,466.84 | Professional | 62 · Two surgeons | $2,238.72 | $2,884.03 | $4,466.84 |
Where Minnesota sits
The same service costs 20.9 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
$4,467
AK $7,586TX $363
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.