How much rates vary
Facilitymedian $2,951 · 10th to 90th $513 to $9,550Professionalmedian $1,479 · 10th to 90th $316 to $4,365
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 $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | 54 · Surgery only | $380.19 | $380.19 | $380.19 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | 78 · Unplanned return to OR | $354.81 | $354.81 | $354.81 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $707.95 | Professional | None | $512.86 | $512.86 | $707.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $380.19 Median $380.19 Typical High $467.74 | Professional | 54 · Surgery only | $380.19 | $380.19 | $467.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $354.81 Median $354.81 Typical High $436.52 | Professional | 78 · Unplanned return to OR | $354.81 | $354.81 | $436.52 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,570.88 Median $9,120.11 Typical High $20,892.96 | Facility | None | $4,570.88 | $9,120.11 | $20,892.96 |
BCBS Minnesota Setting Professional Modifier None Typical Low $316.23 Median $354.81 Typical High $398.11 | Professional | None | $316.23 | $354.81 | $398.11 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $251.19 Median $288.40 Typical High $316.23 | Professional | 54 · Surgery only | $251.19 | $288.40 | $316.23 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $263.03 Median $302.00 Typical High $331.13 | Professional | 78 · Unplanned return to OR | $263.03 | $302.00 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $1,995.26 Median $3,162.28 Typical High $6,025.60 | Facility | None | $1,995.26 | $3,162.28 | $6,025.60 |
Cigna Setting Professional Modifier None Typical Low $2,187.76 Median $3,630.78 Typical High $5,623.41 | Professional | None | $2,187.76 | $3,630.78 | $5,623.41 |
Health Partners Setting Facility Modifier None Typical Low $1,778.28 Median $2,884.03 Typical High $5,011.87 | Facility | None | $1,778.28 | $2,884.03 | $5,011.87 |
Health Partners Setting Professional Modifier None Typical Low $2,041.74 Median $3,235.94 Typical High $5,011.87 | Professional | None | $2,041.74 | $3,235.94 | $5,011.87 |
Medica Setting Facility Modifier None Typical Low $1,698.24 Median $2,818.38 Typical High $7,762.47 | Facility | None | $1,698.24 | $2,818.38 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $1,122.02 Median $2,089.30 Typical High $6,025.60 | Professional | None | $1,122.02 | $2,089.30 | $6,025.60 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $9,120.11 | Facility | None | $1,995.26 | $3,090.30 | $9,120.11 |
United Setting Professional Modifier None Typical Low $851.14 Median $1,995.26 Typical High $3,715.35 | Professional | None | $851.14 | $1,995.26 | $3,715.35 |
10 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 $257.04 Median $257.04 Typical High $257.04 | Facility | 52 · Reduced service | $257.04 | $257.04 | $257.04 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | 53 · Discontinued | $102.33 | $102.33 | $102.33 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | 55 · Aftercare only | $75.86 | $75.86 | $75.86 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | 56 · Pre-op care only | $51.29 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $257.04 Median $257.04 Typical High $309.03 | Professional | 52 · Reduced service | $257.04 | $257.04 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $102.33 Typical High $125.89 | Professional | 53 · Discontinued | $102.33 | $102.33 | $125.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $75.86 Typical High $93.33 | Professional | 55 · Aftercare only | $75.86 | $75.86 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $51.29 Typical High $61.66 | Professional | 56 · Pre-op care only | $51.29 | $51.29 | $61.66 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $75.86 Typical High $79.43 | Professional | 55 · Aftercare only | $63.10 | $75.86 | $79.43 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $199.53 Median $223.87 Typical High $245.47 | Professional | 62 · Two surgeons | $199.53 | $223.87 | $245.47 |
Where Minnesota sits
The same service costs 7.4 times more in Oklahoma than in New York. 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
$2,089
OK $3,802NY $513
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.