How much rates vary
Facilitymedian $2,818 · 10th to 90th $1,047 to $7,943Professionalmedian $2,188 · 10th to 90th $1,047 to $4,074
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 $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | None | $1,047.13 | $1,047.13 | $1,047.13 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $776.25 Median $776.25 Typical High $776.25 | Facility | 54 · Surgery only | $776.25 | $776.25 | $776.25 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $154.88 Median $154.88 Typical High $154.88 | Facility | 55 · Aftercare only | $154.88 | $154.88 | $154.88 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | 78 · Unplanned return to OR | $724.44 | $724.44 | $724.44 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,258.93 | Professional | None | $1,047.13 | $1,047.13 | $1,258.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $776.25 Typical High $933.25 | Professional | 54 · Surgery only | $776.25 | $776.25 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $154.88 Typical High $186.21 | Professional | 55 · Aftercare only | $154.88 | $154.88 | $186.21 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $724.44 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $724.44 | $724.44 | $870.96 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,630.78 Median $6,760.83 Typical High $12,022.64 | Facility | None | $3,630.78 | $6,760.83 | $12,022.64 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,698.24 Median $2,238.72 Typical High $3,467.37 | Professional | None | $1,698.24 | $2,238.72 | $3,467.37 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,380.38 Median $1,778.28 Typical High $2,754.23 | Professional | 54 · Surgery only | $1,380.38 | $1,778.28 | $2,754.23 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $346.74 Median $446.68 Typical High $691.83 | Professional | 55 · Aftercare only | $346.74 | $446.68 | $691.83 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,445.44 Median $1,862.09 Typical High $2,951.21 | Professional | 78 · Unplanned return to OR | $1,445.44 | $1,862.09 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $2,818.38 Typical High $5,370.32 | Facility | None | $1,778.28 | $2,818.38 | $5,370.32 |
Cigna Setting Professional Modifier None Typical Low $1,621.81 Median $2,570.40 Typical High $4,365.16 | Professional | None | $1,621.81 | $2,570.40 | $4,365.16 |
Health Partners Setting Facility Modifier None Typical Low $1,584.89 Median $2,570.40 Typical High $4,466.84 | Facility | None | $1,584.89 | $2,570.40 | $4,466.84 |
Health Partners Setting Professional Modifier None Typical Low $1,819.70 Median $2,398.83 Typical High $3,981.07 | Professional | None | $1,819.70 | $2,398.83 | $3,981.07 |
Medica Setting Facility Modifier None Typical Low $1,905.46 Median $2,818.38 Typical High $6,918.31 | Facility | None | $1,905.46 | $2,818.38 | $6,918.31 |
Medica Setting Professional Modifier None Typical Low $1,202.26 Median $2,511.89 Typical High $8,128.31 | Professional | None | $1,202.26 | $2,511.89 | $8,128.31 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $7,585.78 | Facility | None | $1,995.26 | $3,090.30 | $7,585.78 |
United Setting Professional Modifier None Typical Low $1,122.02 Median $1,949.84 Typical High $3,981.07 | Professional | None | $1,122.02 | $1,949.84 | $3,981.07 |
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 $524.81 Median $524.81 Typical High $524.81 | Facility | 52 · Reduced service | $524.81 | $524.81 | $524.81 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | 53 · Discontinued | $208.93 | $208.93 | $208.93 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | 56 · Pre-op care only | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $524.81 Median $524.81 Typical High $630.96 | Professional | 52 · Reduced service | $524.81 | $524.81 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $208.93 Typical High $251.19 | Professional | 53 · Discontinued | $208.93 | $208.93 | $251.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $104.71 Typical High $125.89 | Professional | 56 · Pre-op care only | $104.71 | $104.71 | $125.89 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,071.52 Median $1,380.38 Typical High $2,187.76 | Professional | 62 · Two surgeons | $1,071.52 | $1,380.38 | $2,187.76 |
Where Minnesota sits
The same service costs 5.2 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
$2,239
AK $3,981TX $759
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.