How much rates vary
Facilitymedian $1,950 · 10th to 90th $513 to $6,026Professionalmedian $1,175 · 10th to 90th $631 to $2,239
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 $389.05 Median $389.05 Typical High $389.05 | Facility | 54 · Surgery only | $389.05 | $389.05 | $389.05 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | 55 · Aftercare only | $77.62 | $77.62 | $77.62 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | 78 · Unplanned return to OR | $363.08 | $363.08 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $630.96 | Professional | None | $512.86 | $512.86 | $630.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $389.05 Typical High $478.63 | Professional | 54 · Surgery only | $389.05 | $389.05 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $77.62 Typical High $95.50 | Professional | 55 · Aftercare only | $77.62 | $77.62 | $95.50 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $363.08 Median $363.08 Typical High $446.68 | Professional | 78 · Unplanned return to OR | $363.08 | $363.08 | $446.68 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,884.03 Median $5,754.40 Typical High $12,022.64 | Facility | None | $2,884.03 | $5,754.40 | $12,022.64 |
BCBS Minnesota Setting Professional Modifier None Typical Low $851.14 Median $1,148.15 Typical High $1,949.84 | Professional | None | $851.14 | $1,148.15 | $1,949.84 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $691.83 Median $933.25 Typical High $1,548.82 | Professional | 54 · Surgery only | $691.83 | $933.25 | $1,548.82 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $234.42 Typical High $389.05 | Professional | 55 · Aftercare only | $169.82 | $234.42 | $389.05 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $977.24 Typical High $1,659.59 | Professional | 78 · Unplanned return to OR | $724.44 | $977.24 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $1,412.54 Typical High $2,691.53 | Facility | None | $912.01 | $1,412.54 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,621.81 Typical High $2,570.40 | Professional | None | $1,047.13 | $1,621.81 | $2,570.40 |
Health Partners Setting Facility Modifier None Typical Low $812.83 Median $1,318.26 Typical High $2,290.87 | Facility | None | $812.83 | $1,318.26 | $2,290.87 |
Health Partners Setting Professional Modifier None Typical Low $912.01 Median $1,479.11 Typical High $2,238.72 | Professional | None | $912.01 | $1,479.11 | $2,238.72 |
Medica Setting Facility Modifier None Typical Low $977.24 Median $2,454.71 Typical High $5,495.41 | Facility | None | $977.24 | $2,454.71 | $5,495.41 |
Medica Setting Professional Modifier None Typical Low $630.96 Median $1,202.26 Typical High $7,943.28 | Professional | None | $630.96 | $1,202.26 | $7,943.28 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,019.95 Typical High $6,760.83 | Facility | None | $1,995.26 | $3,019.95 | $6,760.83 |
United Setting Professional Modifier None Typical Low $616.60 Median $1,122.02 Typical High $2,137.96 | Professional | None | $616.60 | $1,122.02 | $2,137.96 |
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 $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 $104.71 Median $104.71 Typical High $104.71 | Facility | 53 · Discontinued | $104.71 | $104.71 | $104.71 |
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 $316.23 | Professional | 52 · Reduced service | $257.04 | $257.04 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $104.71 Typical High $128.82 | Professional | 53 · Discontinued | $104.71 | $104.71 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $51.29 Typical High $63.10 | Professional | 56 · Pre-op care only | $51.29 | $51.29 | $63.10 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $537.03 Median $724.44 Typical High $1,230.27 | Professional | 62 · Two surgeons | $537.03 | $724.44 | $1,230.27 |
Where Minnesota sits
The same service costs 6.0 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
$1,288
AK $2,239UT $372
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.