How much rates vary
Facilitymedian $2,239 · 10th to 90th $832 to $10,715Professionalmedian $1,778 · 10th to 90th $955 to $3,467
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 $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $616.60 Median $616.60 Typical High $616.60 | Facility | 54 · Surgery only | $616.60 | $616.60 | $616.60 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | 55 · Aftercare only | $123.03 | $123.03 | $123.03 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $575.44 Typical High $575.44 | Facility | 78 · Unplanned return to OR | $575.44 | $575.44 | $575.44 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $954.99 | Professional | None | $831.76 | $831.76 | $954.99 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $616.60 Typical High $724.44 | Professional | 54 · Surgery only | $616.60 | $616.60 | $724.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $123.03 Typical High $144.54 | Professional | 55 · Aftercare only | $123.03 | $123.03 | $144.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $575.44 Typical High $676.08 | Professional | 78 · Unplanned return to OR | $575.44 | $575.44 | $676.08 |
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 $1,288.25 Median $1,737.80 Typical High $2,951.21 | Professional | None | $1,288.25 | $1,737.80 | $2,951.21 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,023.29 Median $1,380.38 Typical High $2,344.23 | Professional | 54 · Surgery only | $1,023.29 | $1,380.38 | $2,344.23 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $257.04 Median $346.74 Typical High $575.44 | Professional | 55 · Aftercare only | $257.04 | $346.74 | $575.44 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $812.83 Median $1,096.48 Typical High $1,778.28 | Professional | 62 · Two surgeons | $812.83 | $1,096.48 | $1,778.28 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,071.52 Median $1,479.11 Typical High $2,454.71 | Professional | 78 · Unplanned return to OR | $1,071.52 | $1,479.11 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $1,348.96 Median $2,089.30 Typical High $4,073.80 | Facility | None | $1,348.96 | $2,089.30 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $1,548.82 Median $2,454.71 Typical High $3,801.89 | Professional | None | $1,548.82 | $2,454.71 | $3,801.89 |
Health Partners Setting Facility Modifier None Typical Low $1,202.26 Median $1,949.84 Typical High $3,388.44 | Facility | None | $1,202.26 | $1,949.84 | $3,388.44 |
Health Partners Setting Professional Modifier None Typical Low $1,380.38 Median $2,187.76 Typical High $3,388.44 | Professional | None | $1,380.38 | $2,187.76 | $3,388.44 |
Medica Setting Facility Modifier None Typical Low $1,445.44 Median $2,754.23 Typical High $7,762.47 | Facility | None | $1,445.44 | $2,754.23 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $1,000.00 Median $1,862.09 Typical High $7,762.47 | Professional | None | $1,000.00 | $1,862.09 | $7,762.47 |
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 $954.99 Median $1,737.80 Typical High $3,467.37 | Professional | None | $954.99 | $1,737.80 | $3,467.37 |
6 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 $416.87 Median $416.87 Typical High $416.87 | Facility | 52 · Reduced service | $416.87 | $416.87 | $416.87 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | 53 · Discontinued | $165.96 | $165.96 | $165.96 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | 56 · Pre-op care only | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $416.87 Median $416.87 Typical High $478.63 | Professional | 52 · Reduced service | $416.87 | $416.87 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $165.96 Typical High $190.55 | Professional | 53 · Discontinued | $165.96 | $165.96 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $83.18 Typical High $95.50 | Professional | 56 · Pre-op care only | $83.18 | $83.18 | $95.50 |
Where Minnesota sits
The same service costs 5.9 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· 5th of 51
$1,905
AK $3,467TX $589
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.