How much rates vary
Facilitymedian $1,778 · 10th to 90th $955 to $4,365Professionalmedian $2,089 · 10th to 90th $1,023 to $3,890
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 $954.99 Median $954.99 Typical High $954.99 | Facility | None | $954.99 | $954.99 | $954.99 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | 54 · Surgery only | $724.44 | $724.44 | $724.44 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | 55 · Aftercare only | $144.54 | $144.54 | $144.54 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $676.08 Typical High $676.08 | Facility | 78 · Unplanned return to OR | $676.08 | $676.08 | $676.08 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,230.27 | Professional | None | $954.99 | $954.99 | $1,230.27 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $724.44 Typical High $933.25 | Professional | 54 · Surgery only | $724.44 | $724.44 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $144.54 Typical High $186.21 | Professional | 55 · Aftercare only | $144.54 | $144.54 | $186.21 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $676.08 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $676.08 | $676.08 | $870.96 |
BCBS Minnesota Setting Facility Modifier None Typical Low $933.25 Median $2,570.40 Typical High $8,511.38 | Facility | None | $933.25 | $2,570.40 | $8,511.38 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,659.59 Median $2,137.96 Typical High $3,311.31 | Professional | None | $1,659.59 | $2,137.96 | $3,311.31 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,318.26 Median $1,698.24 Typical High $2,691.53 | Professional | 54 · Surgery only | $1,318.26 | $1,698.24 | $2,691.53 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $331.13 Median $426.58 Typical High $676.08 | Professional | 55 · Aftercare only | $331.13 | $426.58 | $676.08 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,380.38 Median $1,819.70 Typical High $2,818.38 | Professional | 78 · Unplanned return to OR | $1,380.38 | $1,819.70 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $1,659.59 Median $2,570.40 Typical High $4,897.79 | Facility | None | $1,659.59 | $2,570.40 | $4,897.79 |
Cigna Setting Professional Modifier None Typical Low $1,479.11 Median $2,344.23 Typical High $4,073.80 | Professional | None | $1,479.11 | $2,344.23 | $4,073.80 |
Health Partners Setting Facility Modifier None Typical Low $1,479.11 Median $2,344.23 Typical High $4,168.69 | Facility | None | $1,479.11 | $2,344.23 | $4,168.69 |
Health Partners Setting Professional Modifier None Typical Low $1,659.59 Median $2,187.76 Typical High $3,630.78 | Professional | None | $1,659.59 | $2,187.76 | $3,630.78 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,412.54 Typical High $3,019.95 | Facility | None | $758.58 | $1,412.54 | $3,019.95 |
Medica Setting Professional Modifier None Typical Low $1,122.02 Median $2,398.83 Typical High $7,762.47 | Professional | None | $1,122.02 | $2,398.83 | $7,762.47 |
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 $1,096.48 Median $1,778.28 Typical High $3,890.45 | Professional | None | $1,096.48 | $1,778.28 | $3,890.45 |
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 $478.63 Median $478.63 Typical High $478.63 | Facility | 52 · Reduced service | $478.63 | $478.63 | $478.63 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | 53 · Discontinued | $190.55 | $190.55 | $190.55 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | 56 · Pre-op care only | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $478.63 Median $478.63 Typical High $616.60 | Professional | 52 · Reduced service | $478.63 | $478.63 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $190.55 Typical High $245.47 | Professional | 53 · Discontinued | $190.55 | $190.55 | $245.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $95.50 Typical High $123.03 | Professional | 56 · Pre-op care only | $95.50 | $95.50 | $123.03 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,047.13 Median $1,348.96 Typical High $2,089.30 | Professional | 62 · Two surgeons | $1,047.13 | $1,348.96 | $2,089.30 |
Where Minnesota sits
The same service costs 24.5 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
$2,089
AK $4,266TX $174
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.