How much rates vary
Facilitymedian $2,138 · 10th to 90th $1,047 to $8,913Professionalmedian $2,291 · 10th to 90th $1,122 to $4,266
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 $1,380.38 | Professional | None | $1,047.13 | $1,047.13 | $1,380.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $776.25 Typical High $1,023.29 | Professional | 54 · Surgery only | $776.25 | $776.25 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $154.88 Typical High $204.17 | Professional | 55 · Aftercare only | $154.88 | $154.88 | $204.17 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $724.44 Typical High $954.99 | Professional | 78 · Unplanned return to OR | $724.44 | $724.44 | $954.99 |
BCBS Minnesota Setting Facility Modifier None Typical Low $6,309.57 Median $11,220.18 Typical High $22,387.21 | Facility | None | $6,309.57 | $11,220.18 | $22,387.21 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,778.28 Median $2,344.23 Typical High $3,630.78 | Professional | None | $1,778.28 | $2,344.23 | $3,630.78 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,412.54 Median $1,862.09 Typical High $2,951.21 | Professional | 54 · Surgery only | $1,412.54 | $1,862.09 | $2,951.21 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $363.08 Median $467.74 Typical High $724.44 | Professional | 55 · Aftercare only | $363.08 | $467.74 | $724.44 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,513.56 Median $1,949.84 Typical High $3,090.30 | Professional | 78 · Unplanned return to OR | $1,513.56 | $1,949.84 | $3,090.30 |
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 $758.58 Median $1,412.54 Typical High $3,311.31 | Facility | None | $758.58 | $1,412.54 | $3,311.31 |
Medica Setting Professional Modifier None Typical Low $1,230.27 Median $2,570.40 Typical High $8,317.64 | Professional | None | $1,230.27 | $2,570.40 | $8,317.64 |
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 $1,202.26 Median $1,949.84 Typical High $4,168.69 | Professional | None | $1,202.26 | $1,949.84 | $4,168.69 |
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 $676.08 | Professional | 52 · Reduced service | $524.81 | $524.81 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $208.93 Typical High $275.42 | Professional | 53 · Discontinued | $208.93 | $208.93 | $275.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $104.71 Typical High $138.04 | Professional | 56 · Pre-op care only | $104.71 | $104.71 | $138.04 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,122.02 Median $1,445.44 Typical High $2,290.87 | Professional | 62 · Two surgeons | $1,122.02 | $1,445.44 | $2,290.87 |
Where Minnesota sits
The same service costs 5.6 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
$2,291
AK $4,266TX $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.