How much rates vary
Facilitymedian $4,467 · 10th to 90th $1,122 to $16,218Professionalmedian $8,318 · 10th to 90th $3,981 to $15,488
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 $3,801.89 Median $3,801.89 Typical High $3,801.89 | Facility | None | $3,801.89 | $3,801.89 | $3,801.89 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Facility | 54 · Surgery only | $2,818.38 | $2,818.38 | $2,818.38 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | 55 · Aftercare only | $562.34 | $562.34 | $562.34 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Facility | 78 · Unplanned return to OR | $2,630.27 | $2,630.27 | $2,630.27 |
Aetna Setting Professional Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $4,677.35 | Professional | None | $3,801.89 | $3,801.89 | $4,677.35 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,818.38 Median $2,818.38 Typical High $3,548.13 | Professional | 54 · Surgery only | $2,818.38 | $2,818.38 | $3,548.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $562.34 Median $562.34 Typical High $707.95 | Professional | 55 · Aftercare only | $562.34 | $562.34 | $707.95 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,630.27 Median $2,630.27 Typical High $3,311.31 | Professional | 78 · Unplanned return to OR | $2,630.27 | $2,630.27 | $3,311.31 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,862.09 Median $4,265.80 Typical High $33,884.42 | Facility | None | $1,862.09 | $4,265.80 | $33,884.42 |
BCBS Minnesota Setting Professional Modifier None Typical Low $6,456.54 Median $8,317.64 Typical High $13,182.57 | Professional | None | $6,456.54 | $8,317.64 | $13,182.57 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $5,128.61 Median $6,606.93 Typical High $10,715.19 | Professional | 54 · Surgery only | $5,128.61 | $6,606.93 | $10,715.19 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $1,288.25 Median $1,659.59 Typical High $2,630.27 | Professional | 55 · Aftercare only | $1,288.25 | $1,659.59 | $2,630.27 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $5,370.32 Median $7,079.46 Typical High $11,220.18 | Professional | 78 · Unplanned return to OR | $5,370.32 | $7,079.46 | $11,220.18 |
Cigna Setting Facility Modifier None Typical Low $6,456.54 Median $10,000.00 Typical High $19,054.61 | Facility | None | $6,456.54 | $10,000.00 | $19,054.61 |
Cigna Setting Professional Modifier None Typical Low $5,888.44 Median $9,332.54 Typical High $15,848.93 | Professional | None | $5,888.44 | $9,332.54 | $15,848.93 |
Health Partners Setting Facility Modifier None Typical Low $5,754.40 Median $9,332.54 Typical High $16,218.10 | Facility | None | $5,754.40 | $9,332.54 | $16,218.10 |
Health Partners Setting Professional Modifier None Typical Low $6,456.54 Median $8,709.64 Typical High $14,454.40 | Professional | None | $6,456.54 | $8,709.64 | $14,454.40 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $7,413.10 | Facility | None | $758.58 | $1,445.44 | $7,413.10 |
Medica Setting Professional Modifier None Typical Low $4,466.84 Median $9,549.93 Typical High $31,622.78 | Professional | None | $4,466.84 | $9,549.93 | $31,622.78 |
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 $4,265.80 Median $7,079.46 Typical High $15,488.17 | Professional | None | $4,265.80 | $7,079.46 | $15,488.17 |
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 $1,862.09 Median $1,862.09 Typical High $1,862.09 | Facility | 52 · Reduced service | $1,862.09 | $1,862.09 | $1,862.09 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | 53 · Discontinued | $758.58 | $758.58 | $758.58 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | 56 · Pre-op care only | $380.19 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,862.09 Median $1,862.09 Typical High $2,344.23 | Professional | 52 · Reduced service | $1,862.09 | $1,862.09 | $2,344.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $758.58 Median $758.58 Typical High $933.25 | Professional | 53 · Discontinued | $758.58 | $758.58 | $933.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $380.19 Median $380.19 Typical High $467.74 | Professional | 56 · Pre-op care only | $380.19 | $380.19 | $467.74 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $4,073.80 Median $5,248.07 Typical High $8,317.64 | Professional | 62 · Two surgeons | $4,073.80 | $5,248.07 | $8,317.64 |
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
$7,943
AK $14,125TX $646
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.