How much rates vary
Facilitymedian $2,138 · 10th to 90th $1,072 to $7,586Professionalmedian $2,630 · 10th to 90th $1,349 to $4,677
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 $1,071.52 Median $1,122.02 Typical High $1,318.26 | Professional | None | $1,071.52 | $1,122.02 | $1,318.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $831.76 Median $831.76 Typical High $851.14 | Professional | 54 · Surgery only | $831.76 | $831.76 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $165.96 Typical High $169.82 | Professional | 55 · Aftercare only | $165.96 | $165.96 | $169.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $776.25 Median $776.25 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $776.25 | $776.25 | $794.33 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,365.16 Median $7,585.78 Typical High $12,882.50 | Facility | None | $4,365.16 | $7,585.78 | $12,882.50 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,089.30 Median $2,630.27 Typical High $4,265.80 | Professional | None | $2,089.30 | $2,630.27 | $4,265.80 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,659.59 Median $2,089.30 Typical High $3,467.37 | Professional | 54 · Surgery only | $1,659.59 | $2,089.30 | $3,467.37 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $416.87 Median $524.81 Typical High $851.14 | Professional | 55 · Aftercare only | $416.87 | $524.81 | $851.14 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,737.80 Median $2,187.76 Typical High $3,630.78 | Professional | 78 · Unplanned return to OR | $1,737.80 | $2,187.76 | $3,630.78 |
Cigna Setting Facility Modifier None Typical Low $1,862.09 Median $2,884.03 Typical High $5,495.41 | Facility | None | $1,862.09 | $2,884.03 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $3,311.31 Typical High $5,248.07 | Professional | None | $2,089.30 | $3,311.31 | $5,248.07 |
Health Partners Setting Facility Modifier None Typical Low $1,659.59 Median $2,630.27 Typical High $4,570.88 | Facility | None | $1,659.59 | $2,630.27 | $4,570.88 |
Health Partners Setting Professional Modifier None Typical Low $1,862.09 Median $3,019.95 Typical High $4,570.88 | Professional | None | $1,862.09 | $3,019.95 | $4,570.88 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,412.54 Typical High $3,388.44 | Facility | None | $758.58 | $1,412.54 | $3,388.44 |
Medica Setting Professional Modifier None Typical Low $1,348.96 Median $2,570.40 Typical High $8,912.51 | Professional | None | $1,348.96 | $2,570.40 | $8,912.51 |
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 $1,258.93 Median $2,290.87 Typical High $4,786.30 | Professional | None | $1,258.93 | $2,290.87 | $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 $562.34 | Professional | 52 · Reduced service | $562.34 | $562.34 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | 53 · Discontinued | $223.87 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 56 · Pre-op care only | $112.20 | $112.20 | $112.20 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,288.25 Median $1,621.81 Typical High $2,630.27 | Professional | 62 · Two surgeons | $1,288.25 | $1,621.81 | $2,630.27 |
Where Minnesota sits
The same service costs 5.6 times more in Alaska than in Utah. 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
$2,570
AK $5,012UT $891
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.