How much rates vary
Facilitymedian $2,239 · 10th to 90th $1,072 to $9,333Professionalmedian $2,630 · 10th to 90th $1,445 to $5,012
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 $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | None | $1,122.02 | $1,122.02 | $1,122.02 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | 54 · Surgery only | $831.76 | $831.76 | $831.76 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | 55 · Aftercare only | $165.96 | $165.96 | $165.96 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $776.25 Median $776.25 Typical High $776.25 | Facility | 78 · Unplanned return to OR | $776.25 | $776.25 | $776.25 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,380.38 | Professional | None | $1,122.02 | $1,122.02 | $1,380.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $831.76 Median $831.76 Typical High $1,047.13 | Professional | 54 · Surgery only | $831.76 | $831.76 | $1,047.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $165.96 Typical High $208.93 | Professional | 55 · Aftercare only | $165.96 | $165.96 | $208.93 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $776.25 Median $776.25 Typical High $977.24 | Professional | 78 · Unplanned return to OR | $776.25 | $776.25 | $977.24 |
BCBS Minnesota Setting Facility Modifier None Typical Low $6,456.54 Median $10,000.00 Typical High $19,054.61 | Facility | None | $6,456.54 | $10,000.00 | $19,054.61 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,862.09 Median $2,511.89 Typical High $4,365.16 | Professional | None | $1,862.09 | $2,511.89 | $4,365.16 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,479.11 Median $1,995.26 Typical High $3,467.37 | Professional | 54 · Surgery only | $1,479.11 | $1,995.26 | $3,467.37 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $380.19 Median $501.19 Typical High $851.14 | Professional | 55 · Aftercare only | $380.19 | $501.19 | $851.14 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,548.82 Median $2,089.30 Typical High $3,630.78 | Professional | 78 · Unplanned return to OR | $1,548.82 | $2,089.30 | $3,630.78 |
Cigna Setting Facility Modifier None Typical Low $1,949.84 Median $3,019.95 Typical High $5,888.44 | Facility | None | $1,949.84 | $3,019.95 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $2,238.72 Median $3,548.13 Typical High $5,495.41 | Professional | None | $2,238.72 | $3,548.13 | $5,495.41 |
Health Partners Setting Facility Modifier None Typical Low $1,737.80 Median $2,818.38 Typical High $4,897.79 | Facility | None | $1,737.80 | $2,818.38 | $4,897.79 |
Health Partners Setting Professional Modifier None Typical Low $1,995.26 Median $3,162.28 Typical High $4,897.79 | Professional | None | $1,995.26 | $3,162.28 | $4,897.79 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $3,388.44 | Facility | None | $758.58 | $1,445.44 | $3,388.44 |
Medica Setting Professional Modifier None Typical Low $1,445.44 Median $2,754.23 Typical High $9,120.11 | Professional | None | $1,445.44 | $2,754.23 | $9,120.11 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,513.56 Typical High $3,715.35 | Facility | None | $758.58 | $1,513.56 | $3,715.35 |
United Setting Professional Modifier None Typical Low $1,412.54 Median $2,570.40 Typical High $4,786.30 | Professional | None | $1,412.54 | $2,570.40 | $4,786.30 |
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 $562.34 Median $562.34 Typical High $562.34 | Facility | 52 · Reduced service | $562.34 | $562.34 | $562.34 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | 53 · Discontinued | $223.87 | $223.87 | $223.87 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | 56 · Pre-op care only | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $562.34 Median $562.34 Typical High $691.83 | Professional | 52 · Reduced service | $562.34 | $562.34 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $223.87 Typical High $275.42 | Professional | 53 · Discontinued | $223.87 | $223.87 | $275.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $112.20 Typical High $138.04 | Professional | 56 · Pre-op care only | $112.20 | $112.20 | $138.04 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,174.90 Median $1,584.89 Typical High $2,691.53 | Professional | 62 · Two surgeons | $1,174.90 | $1,584.89 | $2,691.53 |
Where Minnesota sits
The same service costs 7.1 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· 6th of 51
$2,570
AK $5,012TX $708
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.