How much rates vary
Facilitymedian $3,467 · 10th to 90th $1,122 to $9,772Professionalmedian $5,012 · 10th to 90th $2,399 to $9,333
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 $2,238.72 Median $2,238.72 Typical High $2,238.72 | Facility | None | $2,238.72 | $2,238.72 | $2,238.72 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Facility | 54 · Surgery only | $1,698.24 | $1,698.24 | $1,698.24 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | 55 · Aftercare only | $338.84 | $338.84 | $338.84 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | 78 · Unplanned return to OR | $1,584.89 | $1,584.89 | $1,584.89 |
Aetna Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,884.03 | Professional | None | $2,238.72 | $2,238.72 | $2,884.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,698.24 Median $1,698.24 Typical High $2,137.96 | Professional | 54 · Surgery only | $1,698.24 | $1,698.24 | $2,137.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $338.84 Median $338.84 Typical High $426.58 | Professional | 55 · Aftercare only | $338.84 | $338.84 | $426.58 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,584.89 Median $1,584.89 Typical High $1,995.26 | Professional | 78 · Unplanned return to OR | $1,584.89 | $1,584.89 | $1,995.26 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,698.24 Median $4,265.80 Typical High $19,952.62 | Facility | None | $1,698.24 | $4,265.80 | $19,952.62 |
BCBS Minnesota Setting Professional Modifier None Typical Low $3,890.45 Median $5,011.87 Typical High $7,943.28 | Professional | None | $3,890.45 | $5,011.87 | $7,943.28 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $3,090.30 Median $4,073.80 Typical High $6,309.57 | Professional | 54 · Surgery only | $3,090.30 | $4,073.80 | $6,309.57 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $776.25 Median $1,000.00 Typical High $1,584.89 | Professional | 55 · Aftercare only | $776.25 | $1,000.00 | $1,584.89 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $3,235.94 Median $4,265.80 Typical High $6,606.93 | Professional | 78 · Unplanned return to OR | $3,235.94 | $4,265.80 | $6,606.93 |
Cigna Setting Facility Modifier None Typical Low $3,890.45 Median $6,025.60 Typical High $11,481.54 | Facility | None | $3,890.45 | $6,025.60 | $11,481.54 |
Cigna Setting Professional Modifier None Typical Low $3,548.13 Median $5,623.41 Typical High $9,549.93 | Professional | None | $3,548.13 | $5,623.41 | $9,549.93 |
Health Partners Setting Facility Modifier None Typical Low $3,467.37 Median $5,623.41 Typical High $9,772.37 | Facility | None | $3,467.37 | $5,623.41 | $9,772.37 |
Health Partners Setting Professional Modifier None Typical Low $3,890.45 Median $5,128.61 Typical High $8,709.64 | Professional | None | $3,890.45 | $5,128.61 | $8,709.64 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $4,570.88 | Facility | None | $758.58 | $1,445.44 | $4,570.88 |
Medica Setting Professional Modifier None Typical Low $2,818.38 Median $5,623.41 Typical High $18,197.01 | Professional | None | $2,818.38 | $5,623.41 | $18,197.01 |
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 $4,570.88 Typical High $9,120.11 | Professional | None | $2,570.40 | $4,570.88 | $9,120.11 |
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 $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | 52 · Reduced service | $1,122.02 | $1,122.02 | $1,122.02 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | 53 · Discontinued | $457.09 | $457.09 | $457.09 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | 56 · Pre-op care only | $223.87 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,122.02 Median $1,122.02 Typical High $1,412.54 | Professional | 52 · Reduced service | $1,122.02 | $1,122.02 | $1,412.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $457.09 Median $457.09 Typical High $575.44 | Professional | 53 · Discontinued | $457.09 | $457.09 | $575.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $223.87 Median $223.87 Typical High $288.40 | Professional | 56 · Pre-op care only | $223.87 | $223.87 | $288.40 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $2,454.71 Median $3,162.28 Typical High $4,897.79 | Professional | 62 · Two surgeons | $2,454.71 | $3,162.28 | $4,897.79 |
Where Minnesota sits
The same service costs 5.4 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
$4,898
AK $8,710TX $1,622
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.