How much rates vary
Facilitymedian $1,950 · 10th to 90th $1,000 to $4,786Professionalmedian $2,344 · 10th to 90th $1,122 to $4,365
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 $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,071.52 | $1,071.52 | $1,071.52 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $794.33 Median $794.33 Typical High $794.33 | Facility | 54 · Surgery only | $794.33 | $794.33 | $794.33 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | 55 · Aftercare only | $158.49 | $158.49 | $158.49 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $741.31 Typical High $741.31 | Facility | 78 · Unplanned return to OR | $741.31 | $741.31 | $741.31 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,380.38 | Professional | None | $1,071.52 | $1,071.52 | $1,380.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $794.33 Median $794.33 Typical High $1,047.13 | Professional | 54 · Surgery only | $794.33 | $794.33 | $1,047.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $158.49 Typical High $208.93 | Professional | 55 · Aftercare only | $158.49 | $158.49 | $208.93 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $741.31 Typical High $977.24 | Professional | 78 · Unplanned return to OR | $741.31 | $741.31 | $977.24 |
BCBS Minnesota Setting Facility Modifier None Typical Low $933.25 Median $2,570.40 Typical High $9,549.93 | Facility | None | $933.25 | $2,570.40 | $9,549.93 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,819.70 Median $2,344.23 Typical High $3,715.35 | Professional | None | $1,819.70 | $2,344.23 | $3,715.35 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,445.44 Median $1,905.46 Typical High $2,951.21 | Professional | 54 · Surgery only | $1,445.44 | $1,905.46 | $2,951.21 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $371.54 Median $478.63 Typical High $741.31 | Professional | 55 · Aftercare only | $371.54 | $478.63 | $741.31 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,513.56 Median $1,995.26 Typical High $3,162.28 | Professional | 78 · Unplanned return to OR | $1,513.56 | $1,995.26 | $3,162.28 |
Cigna Setting Facility Modifier None Typical Low $1,819.70 Median $2,818.38 Typical High $5,495.41 | Facility | None | $1,819.70 | $2,818.38 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $1,659.59 Median $2,630.27 Typical High $4,466.84 | Professional | None | $1,659.59 | $2,630.27 | $4,466.84 |
Health Partners Setting Facility Modifier None Typical Low $1,621.81 Median $2,630.27 Typical High $4,570.88 | Facility | None | $1,621.81 | $2,630.27 | $4,570.88 |
Health Partners Setting Professional Modifier None Typical Low $1,862.09 Median $2,454.71 Typical High $4,073.80 | Professional | None | $1,862.09 | $2,454.71 | $4,073.80 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,412.54 Typical High $3,388.44 | Facility | None | $758.58 | $1,412.54 | $3,388.44 |
Medica Setting Professional Modifier None Typical Low $1,258.93 Median $2,630.27 Typical High $8,511.38 | Professional | None | $1,258.93 | $2,630.27 | $8,511.38 |
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 $1,230.27 Median $1,995.26 Typical High $4,265.80 | Professional | None | $1,230.27 | $1,995.26 | $4,265.80 |
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 $537.03 Median $537.03 Typical High $537.03 | Facility | 52 · Reduced service | $537.03 | $537.03 | $537.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | 53 · Discontinued | $213.80 | $213.80 | $213.80 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | 56 · Pre-op care only | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $537.03 Median $537.03 Typical High $691.83 | Professional | 52 · Reduced service | $537.03 | $537.03 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $213.80 Typical High $275.42 | Professional | 53 · Discontinued | $213.80 | $213.80 | $275.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $107.15 Typical High $138.04 | Professional | 56 · Pre-op care only | $107.15 | $107.15 | $138.04 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,122.02 Median $1,479.11 Typical High $2,344.23 | Professional | 62 · Two surgeons | $1,122.02 | $1,479.11 | $2,344.23 |
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
$2,291
AK $4,266TX $794
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.