How much rates vary
Facilitymedian $6,607 · 10th to 90th $1,122 to $18,621Professionalmedian $8,318 · 10th to 90th $4,074 to $15,849
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 $2,884.03 Median $2,884.03 Typical High $2,884.03 | Facility | 54 · Surgery only | $2,884.03 | $2,884.03 | $2,884.03 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $575.44 Median $575.44 Typical High $575.44 | Facility | 55 · Aftercare only | $575.44 | $575.44 | $575.44 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Facility | 78 · Unplanned return to OR | $2,691.53 | $2,691.53 | $2,691.53 |
Aetna Setting Professional Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $5,128.61 | Professional | None | $3,801.89 | $3,801.89 | $5,128.61 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,884.03 Median $2,884.03 Typical High $3,801.89 | Professional | 54 · Surgery only | $2,884.03 | $2,884.03 | $3,801.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $575.44 Median $575.44 Typical High $758.58 | Professional | 55 · Aftercare only | $575.44 | $575.44 | $758.58 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,691.53 Median $2,691.53 Typical High $3,548.13 | Professional | 78 · Unplanned return to OR | $2,691.53 | $2,691.53 | $3,548.13 |
BCBS Minnesota Setting Facility Modifier None Typical Low $8,709.64 Median $18,197.01 Typical High $43,651.58 | Facility | None | $8,709.64 | $18,197.01 | $43,651.58 |
BCBS Minnesota Setting Professional Modifier None Typical Low $6,456.54 Median $8,511.38 Typical High $13,489.63 | Professional | None | $6,456.54 | $8,511.38 | $13,489.63 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $5,248.07 Median $6,760.83 Typical High $10,715.19 | Professional | 54 · Surgery only | $5,248.07 | $6,760.83 | $10,715.19 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $1,318.26 Median $1,698.24 Typical High $2,691.53 | Professional | 55 · Aftercare only | $1,318.26 | $1,698.24 | $2,691.53 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $5,495.41 Median $7,079.46 Typical High $11,220.18 | Professional | 78 · Unplanned return to OR | $5,495.41 | $7,079.46 | $11,220.18 |
Cigna Setting Facility Modifier None Typical Low $6,606.93 Median $10,232.93 Typical High $19,498.45 | Facility | None | $6,606.93 | $10,232.93 | $19,498.45 |
Cigna Setting Professional Modifier None Typical Low $5,888.44 Median $9,549.93 Typical High $16,218.10 | Professional | None | $5,888.44 | $9,549.93 | $16,218.10 |
Health Partners Setting Facility Modifier None Typical Low $5,888.44 Median $9,332.54 Typical High $16,595.87 | Facility | None | $5,888.44 | $9,332.54 | $16,595.87 |
Health Partners Setting Professional Modifier None Typical Low $6,606.93 Median $8,709.64 Typical High $14,454.40 | Professional | None | $6,606.93 | $8,709.64 | $14,454.40 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $7,943.28 | Facility | None | $758.58 | $1,445.44 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $4,466.84 Median $9,549.93 Typical High $30,902.95 | Professional | None | $4,466.84 | $9,549.93 | $30,902.95 |
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 $4,365.16 Median $7,244.36 Typical High $15,488.17 | Professional | None | $4,365.16 | $7,244.36 | $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 $1,905.46 Median $1,905.46 Typical High $1,905.46 | Facility | 52 · Reduced service | $1,905.46 | $1,905.46 | $1,905.46 |
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 $1,905.46 Median $1,905.46 Typical High $2,570.40 | Professional | 52 · Reduced service | $1,905.46 | $1,905.46 | $2,570.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $758.58 Median $758.58 Typical High $1,023.29 | Professional | 53 · Discontinued | $758.58 | $758.58 | $1,023.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $380.19 Median $380.19 Typical High $512.86 | Professional | 56 · Pre-op care only | $380.19 | $380.19 | $512.86 |
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 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· 6th of 51
$8,318
AK $14,125TX $676
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.