How much rates vary
Facilitymedian $2,884 · 10th to 90th $1,122 to $9,333Professionalmedian $3,631 · 10th to 90th $1,950 to $6,607
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 $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | None | $1,548.82 | $1,548.82 | $1,548.82 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Facility | 54 · Surgery only | $1,148.15 | $1,148.15 | $1,148.15 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | 55 · Aftercare only | $234.42 | $234.42 | $234.42 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | 78 · Unplanned return to OR | $1,071.52 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,778.28 | Professional | None | $1,548.82 | $1,548.82 | $1,778.28 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,148.15 Median $1,148.15 Typical High $1,288.25 | Professional | 54 · Surgery only | $1,148.15 | $1,148.15 | $1,288.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $234.42 Median $234.42 Typical High $263.03 | Professional | 55 · Aftercare only | $234.42 | $234.42 | $263.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,071.52 Median $1,071.52 Typical High $1,202.26 | Professional | 78 · Unplanned return to OR | $1,071.52 | $1,071.52 | $1,202.26 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,365.16 Median $10,000.00 Typical High $18,620.87 | Facility | None | $4,365.16 | $10,000.00 | $18,620.87 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,818.38 Median $3,630.78 Typical High $6,025.60 | Professional | None | $2,818.38 | $3,630.78 | $6,025.60 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $2,290.87 Median $2,951.21 Typical High $4,786.30 | Professional | 54 · Surgery only | $2,290.87 | $2,951.21 | $4,786.30 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $562.34 Median $741.31 Typical High $1,202.26 | Professional | 55 · Aftercare only | $562.34 | $741.31 | $1,202.26 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,398.83 Median $3,090.30 Typical High $5,011.87 | Professional | 78 · Unplanned return to OR | $2,398.83 | $3,090.30 | $5,011.87 |
Cigna Setting Facility Modifier None Typical Low $2,570.40 Median $3,981.07 Typical High $7,585.78 | Facility | None | $2,570.40 | $3,981.07 | $7,585.78 |
Cigna Setting Professional Modifier None Typical Low $2,951.21 Median $4,570.88 Typical High $7,244.36 | Professional | None | $2,951.21 | $4,570.88 | $7,244.36 |
Health Partners Setting Facility Modifier None Typical Low $2,290.87 Median $3,715.35 Typical High $6,456.54 | Facility | None | $2,290.87 | $3,715.35 | $6,456.54 |
Health Partners Setting Professional Modifier None Typical Low $2,570.40 Median $4,168.69 Typical High $6,309.57 | Professional | None | $2,570.40 | $4,168.69 | $6,309.57 |
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 $1,905.46 Median $3,630.78 Typical High $14,125.38 | Professional | None | $1,905.46 | $3,630.78 | $14,125.38 |
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 $1,905.46 Median $3,235.94 Typical High $6,760.83 | Professional | None | $1,905.46 | $3,235.94 | $6,760.83 |
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 $776.25 Median $776.25 Typical High $776.25 | Facility | 52 · Reduced service | $776.25 | $776.25 | $776.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $309.03 Median $309.03 Typical High $309.03 | Facility | 53 · Discontinued | $309.03 | $309.03 | $309.03 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $154.88 Median $154.88 Typical High $154.88 | Facility | 56 · Pre-op care only | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $776.25 Median $776.25 Typical High $870.96 | Professional | 52 · Reduced service | $776.25 | $776.25 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $309.03 Median $309.03 Typical High $346.74 | Professional | 53 · Discontinued | $309.03 | $309.03 | $346.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $154.88 Median $154.88 Typical High $173.78 | Professional | 56 · Pre-op care only | $154.88 | $154.88 | $173.78 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,778.28 Median $2,290.87 Typical High $3,715.35 | Professional | 62 · Two surgeons | $1,778.28 | $2,290.87 | $3,715.35 |
Where Minnesota sits
The same service costs 5.9 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
$3,548
AK $6,918TX $1,175
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.