How much rates vary
Facilitymedian $2,138 · 10th to 90th $1,000 to $5,248Professionalmedian $2,630 · 10th to 90th $1,288 to $4,898
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 $1,202.26 Median $1,202.26 Typical High $1,202.26 | Facility | None | $1,202.26 | $1,202.26 | $1,202.26 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | 54 · Surgery only | $891.25 | $891.25 | $891.25 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | 55 · Aftercare only | $177.83 | $177.83 | $177.83 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | 78 · Unplanned return to OR | $831.76 | $831.76 | $831.76 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,584.89 | Professional | None | $1,202.26 | $1,202.26 | $1,584.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $891.25 Median $891.25 Typical High $1,202.26 | Professional | 54 · Surgery only | $891.25 | $891.25 | $1,202.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $177.83 Typical High $239.88 | Professional | 55 · Aftercare only | $177.83 | $177.83 | $239.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $831.76 Typical High $1,122.02 | Professional | 78 · Unplanned return to OR | $831.76 | $831.76 | $1,122.02 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,000.00 Median $2,570.40 Typical High $10,715.19 | Facility | None | $1,000.00 | $2,570.40 | $10,715.19 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,041.74 Median $2,691.53 Typical High $4,168.69 | Professional | None | $2,041.74 | $2,691.53 | $4,168.69 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,621.81 Median $2,137.96 Typical High $3,388.44 | Professional | 54 · Surgery only | $1,621.81 | $2,137.96 | $3,388.44 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $416.87 Median $537.03 Typical High $831.76 | Professional | 55 · Aftercare only | $416.87 | $537.03 | $831.76 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,698.24 Median $2,238.72 Typical High $3,548.13 | Professional | 78 · Unplanned return to OR | $1,698.24 | $2,238.72 | $3,548.13 |
Cigna Setting Facility Modifier None Typical Low $2,041.74 Median $3,162.28 Typical High $6,165.95 | Facility | None | $2,041.74 | $3,162.28 | $6,165.95 |
Cigna Setting Professional Modifier None Typical Low $1,862.09 Median $2,951.21 Typical High $5,011.87 | Professional | None | $1,862.09 | $2,951.21 | $5,011.87 |
Health Partners Setting Facility Modifier None Typical Low $1,819.70 Median $2,951.21 Typical High $5,128.61 | Facility | None | $1,819.70 | $2,951.21 | $5,128.61 |
Health Partners Setting Professional Modifier None Typical Low $2,089.30 Median $2,754.23 Typical High $4,570.88 | Professional | None | $2,089.30 | $2,754.23 | $4,570.88 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $3,467.37 | Facility | None | $758.58 | $1,445.44 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $1,412.54 Median $3,019.95 Typical High $9,549.93 | Professional | None | $1,412.54 | $3,019.95 | $9,549.93 |
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 $1,380.38 Median $2,238.72 Typical High $4,897.79 | Professional | None | $1,380.38 | $2,238.72 | $4,897.79 |
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 $602.56 Median $602.56 Typical High $602.56 | Facility | 52 · Reduced service | $602.56 | $602.56 | $602.56 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | 53 · Discontinued | $239.88 | $239.88 | $239.88 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | 56 · Pre-op care only | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $602.56 Median $602.56 Typical High $794.33 | Professional | 52 · Reduced service | $602.56 | $602.56 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $239.88 Typical High $316.23 | Professional | 53 · Discontinued | $239.88 | $239.88 | $316.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $120.23 Typical High $158.49 | Professional | 56 · Pre-op care only | $120.23 | $120.23 | $158.49 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,318.26 Median $1,659.59 Typical High $2,630.27 | Professional | 62 · Two surgeons | $1,318.26 | $1,659.59 | $2,630.27 |
Where Minnesota sits
The same service costs 5.0 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
$2,570
AK $4,467TX $891
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.