How much rates vary
Facilitymedian $2,344 · 10th to 90th $871 to $10,715Professionalmedian $1,862 · 10th to 90th $1,000 to $3,548
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 $870.96 Median $870.96 Typical High $870.96 | Facility | None | $870.96 | $870.96 | $870.96 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | 54 · Surgery only | $645.65 | $645.65 | $645.65 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | 55 · Aftercare only | $128.82 | $128.82 | $128.82 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | 78 · Unplanned return to OR | $602.56 | $602.56 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $1,071.52 | Professional | None | $870.96 | $870.96 | $1,071.52 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $645.65 Typical High $741.31 | Professional | 54 · Surgery only | $645.65 | $645.65 | $741.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $128.82 Typical High $147.91 | Professional | 55 · Aftercare only | $128.82 | $128.82 | $147.91 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $602.56 Typical High $691.83 | Professional | 78 · Unplanned return to OR | $602.56 | $602.56 | $691.83 |
BCBS Minnesota Setting Facility Modifier None Typical Low $6,760.83 Median $12,589.25 Typical High $25,118.86 | Facility | None | $6,760.83 | $12,589.25 | $25,118.86 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,348.96 Median $1,819.70 Typical High $3,019.95 | Professional | None | $1,348.96 | $1,819.70 | $3,019.95 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,071.52 Median $1,445.44 Typical High $2,454.71 | Professional | 54 · Surgery only | $1,071.52 | $1,445.44 | $2,454.71 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $269.15 Median $363.08 Typical High $602.56 | Professional | 55 · Aftercare only | $269.15 | $363.08 | $602.56 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,122.02 Median $1,513.56 Typical High $2,570.40 | Professional | 78 · Unplanned return to OR | $1,122.02 | $1,513.56 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $1,412.54 Median $2,187.76 Typical High $4,168.69 | Facility | None | $1,412.54 | $2,187.76 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $1,621.81 Median $2,511.89 Typical High $3,981.07 | Professional | None | $1,621.81 | $2,511.89 | $3,981.07 |
Health Partners Setting Facility Modifier None Typical Low $1,258.93 Median $2,041.74 Typical High $3,548.13 | Facility | None | $1,258.93 | $2,041.74 | $3,548.13 |
Health Partners Setting Professional Modifier None Typical Low $1,412.54 Median $2,290.87 Typical High $3,467.37 | Professional | None | $1,412.54 | $2,290.87 | $3,467.37 |
Medica Setting Facility Modifier None Typical Low $1,513.56 Median $2,818.38 Typical High $9,332.54 | Facility | None | $1,513.56 | $2,818.38 | $9,332.54 |
Medica Setting Professional Modifier None Typical Low $1,047.13 Median $1,949.84 Typical High $6,456.54 | Professional | None | $1,047.13 | $1,949.84 | $6,456.54 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $10,000.00 | Facility | None | $1,995.26 | $3,090.30 | $10,000.00 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,819.70 Typical High $3,548.13 | Professional | None | $977.24 | $1,819.70 | $3,548.13 |
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 $426.58 Median $426.58 Typical High $426.58 | Facility | 52 · Reduced service | $426.58 | $426.58 | $426.58 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | 53 · Discontinued | $173.78 | $173.78 | $173.78 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | 56 · Pre-op care only | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $426.58 Median $426.58 Typical High $501.19 | Professional | 52 · Reduced service | $426.58 | $426.58 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $173.78 Typical High $199.53 | Professional | 53 · Discontinued | $173.78 | $173.78 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $87.10 Typical High $100.00 | Professional | 56 · Pre-op care only | $87.10 | $87.10 | $100.00 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $831.76 Median $1,122.02 Typical High $1,905.46 | Professional | 62 · Two surgeons | $831.76 | $1,122.02 | $1,905.46 |
Where Minnesota sits
The same service costs 5.6 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· 6th of 51
$1,995
AK $3,548UT $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.