How much rates vary
Facilitymedian $4,467 · 10th to 90th $1,122 to $14,791Professionalmedian $7,586 · 10th to 90th $3,715 to $14,454
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 $3,467.37 Median $3,467.37 Typical High $3,467.37 | Facility | None | $3,467.37 | $3,467.37 | $3,467.37 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Facility | 54 · Surgery only | $2,630.27 | $2,630.27 | $2,630.27 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | 55 · Aftercare only | $524.81 | $524.81 | $524.81 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | 78 · Unplanned return to OR | $2,454.71 | $2,454.71 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $4,365.16 | Professional | None | $3,467.37 | $3,467.37 | $4,365.16 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,630.27 Median $2,630.27 Typical High $3,235.94 | Professional | 54 · Surgery only | $2,630.27 | $2,630.27 | $3,235.94 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $524.81 Median $524.81 Typical High $645.65 | Professional | 55 · Aftercare only | $524.81 | $524.81 | $645.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,454.71 Median $2,454.71 Typical High $3,019.95 | Professional | 78 · Unplanned return to OR | $2,454.71 | $2,454.71 | $3,019.95 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,862.09 Median $4,265.80 Typical High $31,622.78 | Facility | None | $1,862.09 | $4,265.80 | $31,622.78 |
BCBS Minnesota Setting Professional Modifier None Typical Low $5,888.44 Median $7,762.47 Typical High $12,302.69 | Professional | None | $5,888.44 | $7,762.47 | $12,302.69 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $4,677.35 Median $6,165.95 Typical High $9,772.37 | Professional | 54 · Surgery only | $4,677.35 | $6,165.95 | $9,772.37 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $1,174.90 Median $1,548.82 Typical High $2,454.71 | Professional | 55 · Aftercare only | $1,174.90 | $1,548.82 | $2,454.71 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $5,011.87 Median $6,456.54 Typical High $10,232.93 | Professional | 78 · Unplanned return to OR | $5,011.87 | $6,456.54 | $10,232.93 |
Cigna Setting Facility Modifier None Typical Low $6,025.60 Median $9,332.54 Typical High $17,782.79 | Facility | None | $6,025.60 | $9,332.54 | $17,782.79 |
Cigna Setting Professional Modifier None Typical Low $5,370.32 Median $8,511.38 Typical High $14,454.40 | Professional | None | $5,370.32 | $8,511.38 | $14,454.40 |
Health Partners Setting Facility Modifier None Typical Low $5,370.32 Median $8,511.38 Typical High $14,791.08 | Facility | None | $5,370.32 | $8,511.38 | $14,791.08 |
Health Partners Setting Professional Modifier None Typical Low $6,025.60 Median $7,943.28 Typical High $13,182.57 | Professional | None | $6,025.60 | $7,943.28 | $13,182.57 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $7,244.36 | Facility | None | $758.58 | $1,445.44 | $7,244.36 |
Medica Setting Professional Modifier None Typical Low $4,073.80 Median $8,709.64 Typical High $28,840.32 | Professional | None | $4,073.80 | $8,709.64 | $28,840.32 |
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 $3,981.07 Median $6,309.57 Typical High $14,125.38 | Professional | None | $3,981.07 | $6,309.57 | $14,125.38 |
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 $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | 52 · Reduced service | $1,737.80 | $1,737.80 | $1,737.80 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $691.83 Median $691.83 Typical High $691.83 | Facility | 53 · Discontinued | $691.83 | $691.83 | $691.83 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | 56 · Pre-op care only | $346.74 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,737.80 Median $1,737.80 Typical High $2,137.96 | Professional | 52 · Reduced service | $1,737.80 | $1,737.80 | $2,137.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $691.83 Median $691.83 Typical High $870.96 | Professional | 53 · Discontinued | $691.83 | $691.83 | $870.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $346.74 Median $346.74 Typical High $436.52 | Professional | 56 · Pre-op care only | $346.74 | $346.74 | $436.52 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $3,715.35 Median $4,786.30 Typical High $7,585.78 | Professional | 62 · Two surgeons | $3,715.35 | $4,786.30 | $7,585.78 |
Where Minnesota sits
The same service costs 21.9 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
$7,413
AK $13,183TX $603
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.