How much rates vary
Facilitymedian $3,631 · 10th to 90th $1,288 to $11,749Professionalmedian $3,020 · 10th to 90th $1,622 to $5,495
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 $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | None | $1,288.25 | $1,288.25 | $1,288.25 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $977.24 Median $977.24 Typical High $977.24 | Facility | 54 · Surgery only | $977.24 | $977.24 | $977.24 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | 55 · Aftercare only | $194.98 | $194.98 | $194.98 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $912.01 Median $912.01 Typical High $912.01 | Facility | 78 · Unplanned return to OR | $912.01 | $912.01 | $912.01 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,819.70 | Professional | None | $1,288.25 | $1,288.25 | $1,819.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $977.24 Median $977.24 Typical High $1,230.27 | Professional | 54 · Surgery only | $977.24 | $977.24 | $1,230.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $194.98 Typical High $245.47 | Professional | 55 · Aftercare only | $194.98 | $194.98 | $245.47 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $912.01 Median $912.01 Typical High $1,148.15 | Professional | 78 · Unplanned return to OR | $912.01 | $912.01 | $1,148.15 |
BCBS Minnesota Setting Facility Modifier None Typical Low $6,760.83 Median $11,748.98 Typical High $22,387.21 | Facility | None | $6,760.83 | $11,748.98 | $22,387.21 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,137.96 Median $2,884.03 Typical High $4,897.79 | Professional | None | $2,137.96 | $2,884.03 | $4,897.79 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,698.24 Median $2,344.23 Typical High $3,890.45 | Professional | 54 · Surgery only | $1,698.24 | $2,344.23 | $3,890.45 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $426.58 Median $575.44 Typical High $977.24 | Professional | 55 · Aftercare only | $426.58 | $575.44 | $977.24 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,778.28 Median $2,454.71 Typical High $4,073.80 | Professional | 78 · Unplanned return to OR | $1,778.28 | $2,454.71 | $4,073.80 |
Cigna Setting Facility Modifier None Typical Low $2,290.87 Median $3,548.13 Typical High $6,760.83 | Facility | None | $2,290.87 | $3,548.13 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $2,570.40 Median $4,073.80 Typical High $6,456.54 | Professional | None | $2,570.40 | $4,073.80 | $6,456.54 |
Health Partners Setting Facility Modifier None Typical Low $1,995.26 Median $3,235.94 Typical High $5,623.41 | Facility | None | $1,995.26 | $3,235.94 | $5,623.41 |
Health Partners Setting Professional Modifier None Typical Low $2,290.87 Median $3,630.78 Typical High $5,623.41 | Professional | None | $2,290.87 | $3,630.78 | $5,623.41 |
Medica Setting Facility Modifier None Typical Low $2,137.96 Median $3,801.89 Typical High $9,772.37 | Facility | None | $2,137.96 | $3,801.89 | $9,772.37 |
Medica Setting Professional Modifier None Typical Low $1,698.24 Median $3,162.28 Typical High $11,481.54 | Professional | None | $1,698.24 | $3,162.28 | $11,481.54 |
United Setting Facility Modifier None Typical Low $2,818.38 Median $4,265.80 Typical High $11,220.18 | Facility | None | $2,818.38 | $4,265.80 | $11,220.18 |
United Setting Professional Modifier None Typical Low $1,584.89 Median $2,951.21 Typical High $5,495.41 | Professional | None | $1,584.89 | $2,951.21 | $5,495.41 |
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 $645.65 Median $645.65 Typical High $645.65 | Facility | 52 · Reduced service | $645.65 | $645.65 | $645.65 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | 53 · Discontinued | $257.04 | $257.04 | $257.04 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | 56 · Pre-op care only | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $645.65 Median $645.65 Typical High $812.83 | Professional | 52 · Reduced service | $645.65 | $645.65 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $257.04 Typical High $331.13 | Professional | 53 · Discontinued | $257.04 | $257.04 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $128.82 Typical High $165.96 | Professional | 56 · Pre-op care only | $128.82 | $128.82 | $165.96 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,348.96 Median $1,819.70 Typical High $3,090.30 | Professional | 62 · Two surgeons | $1,348.96 | $1,819.70 | $3,090.30 |
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· 6th of 51
$3,090
AK $5,623UT $977
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.