How much rates vary
Facilitymedian $3,236 · 10th to 90th $1,000 to $12,882Professionalmedian $2,399 · 10th to 90th $1,288 to $4,467
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 $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | 54 · Surgery only | $758.58 | $758.58 | $758.58 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | 55 · Aftercare only | $151.36 | $151.36 | $151.36 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | 78 · Unplanned return to OR | $707.95 | $707.95 | $707.95 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,258.93 | Professional | None | $1,000.00 | $1,000.00 | $1,258.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $758.58 Median $758.58 Typical High $933.25 | Professional | 54 · Surgery only | $758.58 | $758.58 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $151.36 Typical High $186.21 | Professional | 55 · Aftercare only | $151.36 | $151.36 | $186.21 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $707.95 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $707.95 | $707.95 | $870.96 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,630.27 Median $16,595.87 Typical High $39,810.72 | Facility | None | $2,630.27 | $16,595.87 | $39,810.72 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,659.59 Median $2,290.87 Typical High $3,890.45 | Professional | None | $1,659.59 | $2,290.87 | $3,890.45 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,348.96 Median $1,819.70 Typical High $3,162.28 | Professional | 54 · Surgery only | $1,348.96 | $1,819.70 | $3,162.28 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $331.13 Median $457.09 Typical High $776.25 | Professional | 55 · Aftercare only | $331.13 | $457.09 | $776.25 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,412.54 Median $1,905.46 Typical High $3,311.31 | Professional | 78 · Unplanned return to OR | $1,412.54 | $1,905.46 | $3,311.31 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $2,754.23 Typical High $5,248.07 | Facility | None | $1,778.28 | $2,754.23 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $2,041.74 Median $3,162.28 Typical High $5,011.87 | Professional | None | $2,041.74 | $3,162.28 | $5,011.87 |
Health Partners Setting Facility Modifier None Typical Low $1,584.89 Median $2,570.40 Typical High $4,466.84 | Facility | None | $1,584.89 | $2,570.40 | $4,466.84 |
Health Partners Setting Professional Modifier None Typical Low $1,778.28 Median $2,884.03 Typical High $4,365.16 | Professional | None | $1,778.28 | $2,884.03 | $4,365.16 |
Medica Setting Facility Modifier None Typical Low $1,905.46 Median $4,897.79 Typical High $10,715.19 | Facility | None | $1,905.46 | $4,897.79 | $10,715.19 |
Medica Setting Professional Modifier None Typical Low $1,318.26 Median $2,454.71 Typical High $8,912.51 | Professional | None | $1,318.26 | $2,454.71 | $8,912.51 |
United Setting Facility Modifier None Typical Low $3,235.94 Median $5,370.32 Typical High $12,882.50 | Facility | None | $3,235.94 | $5,370.32 | $12,882.50 |
United Setting Professional Modifier None Typical Low $1,288.25 Median $2,290.87 Typical High $4,265.80 | Professional | None | $1,288.25 | $2,290.87 | $4,265.80 |
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 $501.19 Median $501.19 Typical High $501.19 | Facility | 52 · Reduced service | $501.19 | $501.19 | $501.19 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | 53 · Discontinued | $204.17 | $204.17 | $204.17 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | 56 · Pre-op care only | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $501.19 Median $501.19 Typical High $630.96 | Professional | 52 · Reduced service | $501.19 | $501.19 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $204.17 Typical High $251.19 | Professional | 53 · Discontinued | $204.17 | $204.17 | $251.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $100.00 Typical High $125.89 | Professional | 56 · Pre-op care only | $100.00 | $100.00 | $125.89 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,047.13 Median $1,412.54 Typical High $2,398.83 | Professional | 62 · Two surgeons | $1,047.13 | $1,412.54 | $2,398.83 |
Where Minnesota sits
The same service costs 8.7 times more in Oklahoma 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· 7th of 51
$2,512
OK $6,166TX $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.