How much rates vary
Facilitymedian $3,631 · 10th to 90th $1,122 to $10,471Professionalmedian $5,012 · 10th to 90th $2,630 to $8,913
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 $2,089.30 Median $2,089.30 Typical High $2,089.30 | Facility | None | $2,089.30 | $2,089.30 | $2,089.30 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | 54 · Surgery only | $1,548.82 | $1,548.82 | $1,548.82 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | 55 · Aftercare only | $316.23 | $316.23 | $316.23 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | 78 · Unplanned return to OR | $1,445.44 | $1,445.44 | $1,445.44 |
Aetna Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,398.83 | Professional | None | $2,089.30 | $2,089.30 | $2,398.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,548.82 Median $1,548.82 Typical High $1,778.28 | Professional | 54 · Surgery only | $1,548.82 | $1,548.82 | $1,778.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $316.23 Median $316.23 Typical High $354.81 | Professional | 55 · Aftercare only | $316.23 | $316.23 | $354.81 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,445.44 Median $1,445.44 Typical High $1,659.59 | Professional | 78 · Unplanned return to OR | $1,445.44 | $1,445.44 | $1,659.59 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,365.16 Median $11,481.54 Typical High $23,442.29 | Facility | None | $4,365.16 | $11,481.54 | $23,442.29 |
BCBS Minnesota Setting Professional Modifier None Typical Low $3,801.89 Median $5,011.87 Typical High $8,128.31 | Professional | None | $3,801.89 | $5,011.87 | $8,128.31 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $3,019.95 Median $3,981.07 Typical High $6,606.93 | Professional | 54 · Surgery only | $3,019.95 | $3,981.07 | $6,606.93 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $758.58 Median $1,000.00 Typical High $1,659.59 | Professional | 55 · Aftercare only | $758.58 | $1,000.00 | $1,659.59 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $3,162.28 Median $4,168.69 Typical High $6,918.31 | Professional | 78 · Unplanned return to OR | $3,162.28 | $4,168.69 | $6,918.31 |
Cigna Setting Facility Modifier None Typical Low $3,467.37 Median $5,370.32 Typical High $10,232.93 | Facility | None | $3,467.37 | $5,370.32 | $10,232.93 |
Cigna Setting Professional Modifier None Typical Low $3,981.07 Median $6,165.95 Typical High $9,772.37 | Professional | None | $3,981.07 | $6,165.95 | $9,772.37 |
Health Partners Setting Facility Modifier None Typical Low $3,090.30 Median $5,011.87 Typical High $8,709.64 | Facility | None | $3,090.30 | $5,011.87 | $8,709.64 |
Health Partners Setting Professional Modifier None Typical Low $3,467.37 Median $5,623.41 Typical High $8,511.38 | Professional | None | $3,467.37 | $5,623.41 | $8,511.38 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $4,168.69 | Facility | None | $758.58 | $1,445.44 | $4,168.69 |
Medica Setting Professional Modifier None Typical Low $2,630.27 Median $5,011.87 Typical High $16,218.10 | Professional | None | $2,630.27 | $5,011.87 | $16,218.10 |
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 $2,570.40 Median $4,466.84 Typical High $9,332.54 | Professional | None | $2,570.40 | $4,466.84 | $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 $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | 52 · Reduced service | $1,047.13 | $1,047.13 | $1,047.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | 53 · Discontinued | $416.87 | $416.87 | $416.87 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | 56 · Pre-op care only | $208.93 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,047.13 Median $1,047.13 Typical High $1,174.90 | Professional | 52 · Reduced service | $1,047.13 | $1,047.13 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $416.87 Typical High $478.63 | Professional | 53 · Discontinued | $416.87 | $416.87 | $478.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $208.93 Median $208.93 Typical High $239.88 | Professional | 56 · Pre-op care only | $208.93 | $208.93 | $239.88 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $2,344.23 Median $3,090.30 Typical High $5,011.87 | Professional | 62 · Two surgeons | $2,344.23 | $3,090.30 | $5,011.87 |
Where Minnesota sits
The same service costs 7.6 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
$4,786
AK $9,550TX $1,259
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.