How much rates vary
Facilitymedian $2,138 · 10th to 90th $1,023 to $8,128Professionalmedian $2,239 · 10th to 90th $1,096 to $4,169
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 $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | None | $1,023.29 | $1,023.29 | $1,023.29 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | 54 · Surgery only | $758.58 | $758.58 | $758.58 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | 55 · Aftercare only | $151.36 | $151.36 | $151.36 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | 78 · Unplanned return to OR | $707.95 | $707.95 | $707.95 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,348.96 | Professional | None | $1,023.29 | $1,023.29 | $1,348.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $758.58 Median $758.58 Typical High $1,000.00 | Professional | 54 · Surgery only | $758.58 | $758.58 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $151.36 Typical High $199.53 | Professional | 55 · Aftercare only | $151.36 | $151.36 | $199.53 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $707.95 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $707.95 | $707.95 | $933.25 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,677.35 Median $8,317.64 Typical High $13,803.84 | Facility | None | $4,677.35 | $8,317.64 | $13,803.84 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,737.80 Median $2,238.72 Typical High $3,548.13 | Professional | None | $1,737.80 | $2,238.72 | $3,548.13 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,380.38 Median $1,819.70 Typical High $2,884.03 | Professional | 54 · Surgery only | $1,380.38 | $1,819.70 | $2,884.03 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $354.81 Median $446.68 Typical High $724.44 | Professional | 55 · Aftercare only | $354.81 | $446.68 | $724.44 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,445.44 Median $1,905.46 Typical High $3,019.95 | Professional | 78 · Unplanned return to OR | $1,445.44 | $1,905.46 | $3,019.95 |
Cigna Setting Facility Modifier None Typical Low $1,737.80 Median $2,754.23 Typical High $5,248.07 | Facility | None | $1,737.80 | $2,754.23 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $1,584.89 Median $2,511.89 Typical High $4,265.80 | Professional | None | $1,584.89 | $2,511.89 | $4,265.80 |
Health Partners Setting Facility Modifier None Typical Low $1,548.82 Median $2,511.89 Typical High $4,365.16 | Facility | None | $1,548.82 | $2,511.89 | $4,365.16 |
Health Partners Setting Professional Modifier None Typical Low $1,778.28 Median $2,344.23 Typical High $3,890.45 | Professional | None | $1,778.28 | $2,344.23 | $3,890.45 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $3,235.94 | Facility | None | $758.58 | $1,445.44 | $3,235.94 |
Medica Setting Professional Modifier None Typical Low $1,230.27 Median $2,570.40 Typical High $8,128.31 | Professional | None | $1,230.27 | $2,570.40 | $8,128.31 |
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 $1,174.90 Median $1,949.84 Typical High $4,168.69 | Professional | None | $1,174.90 | $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 $512.86 Median $512.86 Typical High $512.86 | Facility | 52 · Reduced service | $512.86 | $512.86 | $512.86 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | 53 · Discontinued | $204.17 | $204.17 | $204.17 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | 56 · Pre-op care only | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $512.86 Median $512.86 Typical High $660.69 | Professional | 52 · Reduced service | $512.86 | $512.86 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $204.17 Typical High $263.03 | Professional | 53 · Discontinued | $204.17 | $204.17 | $263.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $102.33 Typical High $131.83 | Professional | 56 · Pre-op care only | $102.33 | $102.33 | $131.83 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,071.52 Median $1,412.54 Typical High $2,238.72 | Professional | 62 · Two surgeons | $1,071.52 | $1,412.54 | $2,238.72 |
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
$2,239
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.