How much rates vary
Facilitymedian $4,074 · 10th to 90th $1,122 to $11,749Professionalmedian $5,754 · 10th to 90th $3,020 to $10,233
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 $2,398.83 Median $2,398.83 Typical High $2,398.83 | Facility | None | $2,398.83 | $2,398.83 | $2,398.83 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | 54 · Surgery only | $1,778.28 | $1,778.28 | $1,778.28 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | 55 · Aftercare only | $354.81 | $354.81 | $354.81 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | 78 · Unplanned return to OR | $1,659.59 | $1,659.59 | $1,659.59 |
Aetna Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,754.23 | Professional | None | $2,398.83 | $2,398.83 | $2,754.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,778.28 Median $1,778.28 Typical High $2,041.74 | Professional | 54 · Surgery only | $1,778.28 | $1,778.28 | $2,041.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $354.81 Median $354.81 Typical High $407.38 | Professional | 55 · Aftercare only | $354.81 | $354.81 | $407.38 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,659.59 Median $1,659.59 Typical High $1,905.46 | Professional | 78 · Unplanned return to OR | $1,659.59 | $1,659.59 | $1,905.46 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,365.16 Median $11,748.98 Typical High $23,988.33 | Facility | None | $4,365.16 | $11,748.98 | $23,988.33 |
BCBS Minnesota Setting Professional Modifier None Typical Low $4,365.16 Median $5,754.40 Typical High $9,332.54 | Professional | None | $4,365.16 | $5,754.40 | $9,332.54 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $3,467.37 Median $4,570.88 Typical High $7,585.78 | Professional | 54 · Surgery only | $3,467.37 | $4,570.88 | $7,585.78 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $870.96 Median $1,148.15 Typical High $1,862.09 | Professional | 55 · Aftercare only | $870.96 | $1,148.15 | $1,862.09 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $3,630.78 Median $4,786.30 Typical High $7,943.28 | Professional | 78 · Unplanned return to OR | $3,630.78 | $4,786.30 | $7,943.28 |
Cigna Setting Facility Modifier None Typical Low $3,981.07 Median $6,165.95 Typical High $11,748.98 | Facility | None | $3,981.07 | $6,165.95 | $11,748.98 |
Cigna Setting Professional Modifier None Typical Low $4,570.88 Median $7,079.46 Typical High $11,220.18 | Professional | None | $4,570.88 | $7,079.46 | $11,220.18 |
Health Partners Setting Facility Modifier None Typical Low $3,548.13 Median $5,623.41 Typical High $9,772.37 | Facility | None | $3,548.13 | $5,623.41 | $9,772.37 |
Health Partners Setting Professional Modifier None Typical Low $3,981.07 Median $6,456.54 Typical High $9,772.37 | Professional | None | $3,981.07 | $6,456.54 | $9,772.37 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $4,570.88 | Facility | None | $758.58 | $1,445.44 | $4,570.88 |
Medica Setting Professional Modifier None Typical Low $3,090.30 Median $5,754.40 Typical High $18,620.87 | Professional | None | $3,090.30 | $5,754.40 | $18,620.87 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,513.56 Typical High $3,630.78 | Facility | None | $758.58 | $1,513.56 | $3,630.78 |
United Setting Professional Modifier None Typical Low $2,754.23 Median $5,128.61 Typical High $10,715.19 | Professional | None | $2,754.23 | $5,128.61 | $10,715.19 |
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 $1,202.26 Median $1,202.26 Typical High $1,202.26 | Facility | 52 · Reduced service | $1,202.26 | $1,202.26 | $1,202.26 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | 53 · Discontinued | $478.63 | $478.63 | $478.63 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | 56 · Pre-op care only | $239.88 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,202.26 Median $1,202.26 Typical High $1,380.38 | Professional | 52 · Reduced service | $1,202.26 | $1,202.26 | $1,380.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $478.63 Median $478.63 Typical High $549.54 | Professional | 53 · Discontinued | $478.63 | $478.63 | $549.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $239.88 Median $239.88 Typical High $275.42 | Professional | 56 · Pre-op care only | $239.88 | $239.88 | $275.42 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $2,691.53 Median $3,548.13 Typical High $5,888.44 | Professional | 62 · Two surgeons | $2,691.53 | $3,548.13 | $5,888.44 |
Where Minnesota sits
The same service costs 17.0 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· 4th of 51
$5,370
AK $10,965TX $646
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.