How much rates vary
Facilitymedian $2,570 · 10th to 90th $1,122 to $8,710Professionalmedian $3,236 · 10th to 90th $1,622 to $5,754
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 $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | None | $1,380.38 | $1,380.38 | $1,380.38 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | 54 · Surgery only | $1,023.29 | $1,023.29 | $1,023.29 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | 55 · Aftercare only | $204.17 | $204.17 | $204.17 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $954.99 Median $954.99 Typical High $954.99 | Facility | 78 · Unplanned return to OR | $954.99 | $954.99 | $954.99 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,548.82 | Professional | None | $1,380.38 | $1,380.38 | $1,548.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,023.29 Median $1,023.29 Typical High $1,047.13 | Professional | 54 · Surgery only | $1,023.29 | $1,023.29 | $1,047.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $204.17 Typical High $208.93 | Professional | 55 · Aftercare only | $204.17 | $204.17 | $208.93 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $954.99 Median $954.99 Typical High $977.24 | Professional | 78 · Unplanned return to OR | $954.99 | $954.99 | $977.24 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,365.16 Median $9,120.11 Typical High $16,218.10 | Facility | None | $4,365.16 | $9,120.11 | $16,218.10 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,511.89 Median $3,235.94 Typical High $5,370.32 | Professional | None | $2,511.89 | $3,235.94 | $5,370.32 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,995.26 Median $2,570.40 Typical High $4,265.80 | Professional | 54 · Surgery only | $1,995.26 | $2,570.40 | $4,265.80 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $501.19 Median $645.65 Typical High $1,047.13 | Professional | 55 · Aftercare only | $501.19 | $645.65 | $1,047.13 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,089.30 Median $2,691.53 Typical High $4,466.84 | Professional | 78 · Unplanned return to OR | $2,089.30 | $2,691.53 | $4,466.84 |
Cigna Setting Facility Modifier None Typical Low $2,290.87 Median $3,548.13 Typical High $6,760.83 | Facility | None | $2,290.87 | $3,548.13 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $2,570.40 Median $4,073.80 Typical High $6,309.57 | Professional | None | $2,570.40 | $4,073.80 | $6,309.57 |
Health Partners Setting Facility Modifier None Typical Low $1,995.26 Median $3,235.94 Typical High $5,623.41 | Facility | None | $1,995.26 | $3,235.94 | $5,623.41 |
Health Partners Setting Professional Modifier None Typical Low $2,290.87 Median $3,630.78 Typical High $5,623.41 | Professional | None | $2,290.87 | $3,630.78 | $5,623.41 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $3,467.37 | Facility | None | $758.58 | $1,445.44 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $1,479.11 Median $3,235.94 Typical High $10,715.19 | Professional | None | $1,479.11 | $3,235.94 | $10,715.19 |
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 $1,479.11 Median $2,884.03 Typical High $6,025.60 | Professional | None | $1,479.11 | $2,884.03 | $6,025.60 |
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 $676.08 Median $676.08 Typical High $676.08 | Facility | 52 · Reduced service | $676.08 | $676.08 | $676.08 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | 53 · Discontinued | $275.42 | $275.42 | $275.42 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | 56 · Pre-op care only | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $676.08 Median $676.08 Typical High $707.95 | Professional | 52 · Reduced service | $676.08 | $676.08 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $275.42 Typical High $281.84 | Professional | 53 · Discontinued | $275.42 | $275.42 | $281.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $138.04 Typical High $141.25 | Professional | 56 · Pre-op care only | $138.04 | $138.04 | $141.25 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,584.89 Median $2,041.74 Typical High $3,311.31 | Professional | 62 · Two surgeons | $1,584.89 | $2,041.74 | $3,311.31 |
Where Minnesota sits
The same service costs 8.5 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
$3,162
AK $6,166TX $724
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.