How much rates vary
Facilitymedian $2,344 · 10th to 90th $1,072 to $9,772Professionalmedian $2,692 · 10th to 90th $1,288 to $5,012
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 $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $912.01 Median $912.01 Typical High $912.01 | Facility | 54 · Surgery only | $912.01 | $912.01 | $912.01 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | 55 · Aftercare only | $181.97 | $181.97 | $181.97 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $851.14 Typical High $851.14 | Facility | 78 · Unplanned return to OR | $851.14 | $851.14 | $851.14 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,621.81 | Professional | None | $1,230.27 | $1,230.27 | $1,621.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $912.01 Typical High $1,202.26 | Professional | 54 · Surgery only | $912.01 | $912.01 | $1,202.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $181.97 Typical High $239.88 | Professional | 55 · Aftercare only | $181.97 | $181.97 | $239.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $851.14 Typical High $1,122.02 | Professional | 78 · Unplanned return to OR | $851.14 | $851.14 | $1,122.02 |
BCBS Minnesota Setting Facility Modifier None Typical Low $7,413.10 Median $11,481.54 Typical High $22,387.21 | Facility | None | $7,413.10 | $11,481.54 | $22,387.21 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,089.30 Median $2,691.53 Typical High $4,265.80 | Professional | None | $2,089.30 | $2,691.53 | $4,265.80 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,659.59 Median $2,187.76 Typical High $3,388.44 | Professional | 54 · Surgery only | $1,659.59 | $2,187.76 | $3,388.44 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $416.87 Median $537.03 Typical High $851.14 | Professional | 55 · Aftercare only | $416.87 | $537.03 | $851.14 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,737.80 Median $2,290.87 Typical High $3,548.13 | Professional | 78 · Unplanned return to OR | $1,737.80 | $2,290.87 | $3,548.13 |
Cigna Setting Facility Modifier None Typical Low $2,089.30 Median $3,235.94 Typical High $6,165.95 | Facility | None | $2,089.30 | $3,235.94 | $6,165.95 |
Cigna Setting Professional Modifier None Typical Low $1,905.46 Median $3,019.95 Typical High $5,128.61 | Professional | None | $1,905.46 | $3,019.95 | $5,128.61 |
Health Partners Setting Facility Modifier None Typical Low $1,862.09 Median $3,019.95 Typical High $5,248.07 | Facility | None | $1,862.09 | $3,019.95 | $5,248.07 |
Health Partners Setting Professional Modifier None Typical Low $2,089.30 Median $2,818.38 Typical High $4,677.35 | Professional | None | $2,089.30 | $2,818.38 | $4,677.35 |
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 $1,445.44 Median $3,090.30 Typical High $9,772.37 | Professional | None | $1,445.44 | $3,090.30 | $9,772.37 |
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 $1,412.54 Median $2,290.87 Typical High $4,897.79 | Professional | None | $1,412.54 | $2,290.87 | $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 $245.47 Median $245.47 Typical High $245.47 | Facility | 53 · Discontinued | $245.47 | $245.47 | $245.47 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | 56 · Pre-op care only | $123.03 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $602.56 Median $602.56 Typical High $812.83 | Professional | 52 · Reduced service | $602.56 | $602.56 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $245.47 Typical High $323.59 | Professional | 53 · Discontinued | $245.47 | $245.47 | $323.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $123.03 Typical High $162.18 | Professional | 56 · Pre-op care only | $123.03 | $123.03 | $162.18 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,288.25 Median $1,698.24 Typical High $2,691.53 | Professional | 62 · Two surgeons | $1,288.25 | $1,698.24 | $2,691.53 |
Where Minnesota sits
The same service costs 5.4 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
$2,630
AK $4,677TX $871
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.