How much rates vary
Facilitymedian $3,715 · 10th to 90th $1,122 to $10,715Professionalmedian $5,129 · 10th to 90th $2,692 to $9,120
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 $2,137.96 Median $2,137.96 Typical High $2,137.96 | Facility | None | $2,137.96 | $2,137.96 | $2,137.96 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | 54 · Surgery only | $1,584.89 | $1,584.89 | $1,584.89 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $323.59 Median $323.59 Typical High $323.59 | Facility | 55 · Aftercare only | $323.59 | $323.59 | $323.59 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Facility | 78 · Unplanned return to OR | $1,479.11 | $1,479.11 | $1,479.11 |
Aetna Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,454.71 | Professional | None | $2,137.96 | $2,137.96 | $2,454.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,584.89 Median $1,584.89 Typical High $1,819.70 | Professional | 54 · Surgery only | $1,584.89 | $1,584.89 | $1,819.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $323.59 Median $323.59 Typical High $363.08 | Professional | 55 · Aftercare only | $323.59 | $323.59 | $363.08 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,479.11 Median $1,479.11 Typical High $1,698.24 | Professional | 78 · Unplanned return to OR | $1,479.11 | $1,479.11 | $1,698.24 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,365.16 Median $11,481.54 Typical High $23,988.33 | Facility | None | $4,365.16 | $11,481.54 | $23,988.33 |
BCBS Minnesota Setting Professional Modifier None Typical Low $3,890.45 Median $5,128.61 Typical High $8,317.64 | Professional | None | $3,890.45 | $5,128.61 | $8,317.64 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $3,090.30 Median $4,073.80 Typical High $6,760.83 | Professional | 54 · Surgery only | $3,090.30 | $4,073.80 | $6,760.83 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $776.25 Median $1,023.29 Typical High $1,659.59 | Professional | 55 · Aftercare only | $776.25 | $1,023.29 | $1,659.59 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $3,235.94 Median $4,265.80 Typical High $7,079.46 | Professional | 78 · Unplanned return to OR | $3,235.94 | $4,265.80 | $7,079.46 |
Cigna Setting Facility Modifier None Typical Low $3,548.13 Median $5,495.41 Typical High $10,471.29 | Facility | None | $3,548.13 | $5,495.41 | $10,471.29 |
Cigna Setting Professional Modifier None Typical Low $4,073.80 Median $6,309.57 Typical High $10,000.00 | Professional | None | $4,073.80 | $6,309.57 | $10,000.00 |
Health Partners Setting Facility Modifier None Typical Low $3,162.28 Median $5,128.61 Typical High $8,912.51 | Facility | None | $3,162.28 | $5,128.61 | $8,912.51 |
Health Partners Setting Professional Modifier None Typical Low $3,548.13 Median $5,754.40 Typical High $8,709.64 | Professional | None | $3,548.13 | $5,754.40 | $8,709.64 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $4,265.80 | Facility | None | $758.58 | $1,445.44 | $4,265.80 |
Medica Setting Professional Modifier None Typical Low $2,691.53 Median $5,128.61 Typical High $16,595.87 | Professional | None | $2,691.53 | $5,128.61 | $16,595.87 |
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 $2,630.27 Median $4,570.88 Typical High $9,332.54 | Professional | None | $2,630.27 | $4,570.88 | $9,332.54 |
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 $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | 52 · Reduced service | $1,071.52 | $1,071.52 | $1,071.52 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | 53 · Discontinued | $426.58 | $426.58 | $426.58 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | 56 · Pre-op care only | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,071.52 Median $1,071.52 Typical High $1,202.26 | Professional | 52 · Reduced service | $1,071.52 | $1,071.52 | $1,202.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $426.58 Median $426.58 Typical High $489.78 | Professional | 53 · Discontinued | $426.58 | $426.58 | $489.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $213.80 Median $213.80 Typical High $239.88 | Professional | 56 · Pre-op care only | $213.80 | $213.80 | $239.88 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $2,398.83 Median $3,162.28 Typical High $5,248.07 | Professional | 62 · Two surgeons | $2,398.83 | $3,162.28 | $5,248.07 |
Where Minnesota sits
The same service costs 14.1 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· 4th of 51
$4,898
AK $9,772TX $692
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.