How much rates vary
Facilitymedian $3,548 · 10th to 90th $1,122 to $10,233Professionalmedian $4,898 · 10th to 90th $2,570 to $8,710
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 $2,041.74 Median $2,041.74 Typical High $2,041.74 | Facility | None | $2,041.74 | $2,041.74 | $2,041.74 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | 54 · Surgery only | $1,513.56 | $1,513.56 | $1,513.56 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | 55 · Aftercare only | $302.00 | $302.00 | $302.00 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | 78 · Unplanned return to OR | $1,412.54 | $1,412.54 | $1,412.54 |
Aetna Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,344.23 | Professional | None | $2,041.74 | $2,041.74 | $2,344.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,513.56 Median $1,513.56 Typical High $1,737.80 | Professional | 54 · Surgery only | $1,513.56 | $1,513.56 | $1,737.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $302.00 Median $302.00 Typical High $346.74 | Professional | 55 · Aftercare only | $302.00 | $302.00 | $346.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,412.54 Median $1,412.54 Typical High $1,621.81 | Professional | 78 · Unplanned return to OR | $1,412.54 | $1,412.54 | $1,621.81 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,365.16 Median $11,481.54 Typical High $22,908.68 | Facility | None | $4,365.16 | $11,481.54 | $22,908.68 |
BCBS Minnesota Setting Professional Modifier None Typical Low $3,715.35 Median $4,897.79 Typical High $7,943.28 | Professional | None | $3,715.35 | $4,897.79 | $7,943.28 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $2,951.21 Median $3,890.45 Typical High $6,309.57 | Professional | 54 · Surgery only | $2,951.21 | $3,890.45 | $6,309.57 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $741.31 Median $977.24 Typical High $1,584.89 | Professional | 55 · Aftercare only | $741.31 | $977.24 | $1,584.89 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $3,090.30 Median $4,073.80 Typical High $6,760.83 | Professional | 78 · Unplanned return to OR | $3,090.30 | $4,073.80 | $6,760.83 |
Cigna Setting Facility Modifier None Typical Low $3,388.44 Median $5,248.07 Typical High $10,000.00 | Facility | None | $3,388.44 | $5,248.07 | $10,000.00 |
Cigna Setting Professional Modifier None Typical Low $3,890.45 Median $6,025.60 Typical High $9,549.93 | Professional | None | $3,890.45 | $6,025.60 | $9,549.93 |
Health Partners Setting Facility Modifier None Typical Low $2,951.21 Median $4,786.30 Typical High $8,317.64 | Facility | None | $2,951.21 | $4,786.30 | $8,317.64 |
Health Partners Setting Professional Modifier None Typical Low $3,388.44 Median $5,370.32 Typical High $8,317.64 | Professional | None | $3,388.44 | $5,370.32 | $8,317.64 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $4,073.80 | Facility | None | $758.58 | $1,445.44 | $4,073.80 |
Medica Setting Professional Modifier None Typical Low $2,570.40 Median $4,897.79 Typical High $16,218.10 | Professional | None | $2,570.40 | $4,897.79 | $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 $2,511.89 Median $4,365.16 Typical High $8,912.51 | Professional | None | $2,511.89 | $4,365.16 | $8,912.51 |
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 $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | 52 · Reduced service | $1,023.29 | $1,023.29 | $1,023.29 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | 53 · Discontinued | $407.38 | $407.38 | $407.38 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | 56 · Pre-op care only | $204.17 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,023.29 Median $1,023.29 Typical High $1,148.15 | Professional | 52 · Reduced service | $1,023.29 | $1,023.29 | $1,148.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $407.38 Median $407.38 Typical High $457.09 | Professional | 53 · Discontinued | $407.38 | $407.38 | $457.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $204.17 Median $204.17 Typical High $229.09 | Professional | 56 · Pre-op care only | $204.17 | $204.17 | $229.09 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $2,290.87 Median $3,019.95 Typical High $4,897.79 | Professional | 62 · Two surgeons | $2,290.87 | $3,019.95 | $4,897.79 |
Where Minnesota sits
The same service costs 14.5 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· 5th of 51
$4,571
AK $9,120TX $631
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.