How much rates vary
Facilitymedian $1,820 · 10th to 90th $891 to $5,370Professionalmedian $1,905 · 10th to 90th $1,023 to $3,715
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 $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | 54 · Surgery only | $660.69 | $660.69 | $660.69 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | 55 · Aftercare only | $131.83 | $131.83 | $131.83 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $616.60 Typical High $616.60 | Facility | 78 · Unplanned return to OR | $616.60 | $616.60 | $616.60 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,023.29 | Professional | None | $891.25 | $891.25 | $1,023.29 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $660.69 Median $660.69 Typical High $776.25 | Professional | 54 · Surgery only | $660.69 | $660.69 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $131.83 Typical High $154.88 | Professional | 55 · Aftercare only | $131.83 | $131.83 | $154.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $616.60 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $616.60 | $616.60 | $724.44 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,754.23 Median $5,495.41 Typical High $9,772.37 | Facility | None | $2,754.23 | $5,495.41 | $9,772.37 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,380.38 Median $1,862.09 Typical High $3,162.28 | Professional | None | $1,380.38 | $1,862.09 | $3,162.28 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,096.48 Median $1,479.11 Typical High $2,511.89 | Professional | 54 · Surgery only | $1,096.48 | $1,479.11 | $2,511.89 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $275.42 Median $371.54 Typical High $616.60 | Professional | 55 · Aftercare only | $275.42 | $371.54 | $616.60 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,148.15 Median $1,548.82 Typical High $2,630.27 | Professional | 78 · Unplanned return to OR | $1,148.15 | $1,548.82 | $2,630.27 |
Cigna Setting Facility Modifier None Typical Low $1,445.44 Median $2,238.72 Typical High $4,365.16 | Facility | None | $1,445.44 | $2,238.72 | $4,365.16 |
Cigna Setting Professional Modifier None Typical Low $1,659.59 Median $2,630.27 Typical High $4,073.80 | Professional | None | $1,659.59 | $2,630.27 | $4,073.80 |
Health Partners Setting Facility Modifier None Typical Low $1,288.25 Median $2,089.30 Typical High $3,630.78 | Facility | None | $1,288.25 | $2,089.30 | $3,630.78 |
Health Partners Setting Professional Modifier None Typical Low $1,479.11 Median $2,344.23 Typical High $3,630.78 | Professional | None | $1,479.11 | $2,344.23 | $3,630.78 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,412.54 Typical High $3,019.95 | Facility | None | $758.58 | $1,412.54 | $3,019.95 |
Medica Setting Professional Modifier None Typical Low $1,071.52 Median $1,995.26 Typical High $6,760.83 | Professional | None | $1,071.52 | $1,995.26 | $6,760.83 |
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 $1,023.29 Median $1,862.09 Typical High $3,715.35 | Professional | None | $1,023.29 | $1,862.09 | $3,715.35 |
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 $446.68 Median $446.68 Typical High $446.68 | Facility | 52 · Reduced service | $446.68 | $446.68 | $446.68 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | 53 · Discontinued | $177.83 | $177.83 | $177.83 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | 56 · Pre-op care only | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $446.68 Median $446.68 Typical High $512.86 | Professional | 52 · Reduced service | $446.68 | $446.68 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $177.83 Typical High $204.17 | Professional | 53 · Discontinued | $177.83 | $177.83 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $89.13 Typical High $102.33 | Professional | 56 · Pre-op care only | $89.13 | $89.13 | $102.33 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $851.14 Median $1,174.90 Typical High $1,949.84 | Professional | 62 · Two surgeons | $851.14 | $1,174.90 | $1,949.84 |
Where Minnesota sits
The same service costs 5.8 times more in Alaska than in Utah. 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· 5th of 51
$1,905
AK $3,631UT $631
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.