How much rates vary
Facilitymedian $3,548 · 10th to 90th $1,122 to $9,333Professionalmedian $5,370 · 10th to 90th $2,884 to $9,550
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 $2,238.72 Median $2,238.72 Typical High $2,238.72 | Facility | None | $2,238.72 | $2,238.72 | $2,238.72 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Facility | 54 · Surgery only | $1,698.24 | $1,698.24 | $1,698.24 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | 55 · Aftercare only | $338.84 | $338.84 | $338.84 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | 78 · Unplanned return to OR | $1,584.89 | $1,584.89 | $1,584.89 |
Aetna Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,570.40 | Professional | None | $2,238.72 | $2,238.72 | $2,570.40 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,698.24 Median $1,698.24 Typical High $1,949.84 | Professional | 54 · Surgery only | $1,698.24 | $1,698.24 | $1,949.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $338.84 Median $338.84 Typical High $389.05 | Professional | 55 · Aftercare only | $338.84 | $338.84 | $389.05 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,584.89 Median $1,584.89 Typical High $1,819.70 | Professional | 78 · Unplanned return to OR | $1,584.89 | $1,584.89 | $1,819.70 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,238.72 Median $6,025.60 Typical High $20,417.38 | Facility | None | $2,238.72 | $6,025.60 | $20,417.38 |
BCBS Minnesota Setting Professional Modifier None Typical Low $4,073.80 Median $5,370.32 Typical High $8,912.51 | Professional | None | $4,073.80 | $5,370.32 | $8,912.51 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $3,311.31 Median $4,365.16 Typical High $7,079.46 | Professional | 54 · Surgery only | $3,311.31 | $4,365.16 | $7,079.46 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $812.83 Median $1,071.52 Typical High $1,778.28 | Professional | 55 · Aftercare only | $812.83 | $1,071.52 | $1,778.28 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $3,467.37 Median $4,570.88 Typical High $7,413.10 | Professional | 78 · Unplanned return to OR | $3,467.37 | $4,570.88 | $7,413.10 |
Cigna Setting Facility Modifier None Typical Low $3,715.35 Median $5,754.40 Typical High $11,220.18 | Facility | None | $3,715.35 | $5,754.40 | $11,220.18 |
Cigna Setting Professional Modifier None Typical Low $4,365.16 Median $6,760.83 Typical High $10,471.29 | Professional | None | $4,365.16 | $6,760.83 | $10,471.29 |
Health Partners Setting Facility Modifier None Typical Low $3,311.31 Median $5,370.32 Typical High $9,332.54 | Facility | None | $3,311.31 | $5,370.32 | $9,332.54 |
Health Partners Setting Professional Modifier None Typical Low $3,801.89 Median $6,025.60 Typical High $9,332.54 | Professional | None | $3,801.89 | $6,025.60 | $9,332.54 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $4,570.88 | Facility | None | $758.58 | $1,445.44 | $4,570.88 |
Medica Setting Professional Modifier None Typical Low $2,884.03 Median $5,495.41 Typical High $17,782.79 | Professional | None | $2,884.03 | $5,495.41 | $17,782.79 |
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 $2,630.27 Median $4,786.30 Typical High $10,000.00 | Professional | None | $2,630.27 | $4,786.30 | $10,000.00 |
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 $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | 52 · Reduced service | $1,122.02 | $1,122.02 | $1,122.02 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | 53 · Discontinued | $457.09 | $457.09 | $457.09 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | 56 · Pre-op care only | $223.87 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,122.02 Median $1,122.02 Typical High $1,288.25 | Professional | 52 · Reduced service | $1,122.02 | $1,122.02 | $1,288.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $457.09 Median $457.09 Typical High $512.86 | Professional | 53 · Discontinued | $457.09 | $457.09 | $512.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $223.87 Median $223.87 Typical High $257.04 | Professional | 56 · Pre-op care only | $223.87 | $223.87 | $257.04 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $2,570.40 Median $3,388.44 Typical High $5,495.41 | Professional | 62 · Two surgeons | $2,570.40 | $3,388.44 | $5,495.41 |
Where Minnesota sits
The same service costs 10.0 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
$5,129
AK $10,233TX $1,023
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.