How much rates vary
Facilitymedian $3,388 · 10th to 90th $1,122 to $9,772Professionalmedian $4,677 · 10th to 90th $2,455 to $8,318
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 $1,949.84 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,949.84 | $1,949.84 | $1,949.84 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | 54 · Surgery only | $1,445.44 | $1,445.44 | $1,445.44 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $288.40 Median $288.40 Typical High $288.40 | Facility | 55 · Aftercare only | $288.40 | $288.40 | $288.40 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Facility | 78 · Unplanned return to OR | $1,348.96 | $1,348.96 | $1,348.96 |
Aetna Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $2,187.76 | Professional | None | $1,949.84 | $1,949.84 | $2,187.76 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,445.44 Median $1,445.44 Typical High $1,513.56 | Professional | 54 · Surgery only | $1,445.44 | $1,445.44 | $1,513.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $288.40 Median $288.40 Typical High $302.00 | Professional | 55 · Aftercare only | $288.40 | $288.40 | $302.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,348.96 Median $1,348.96 Typical High $1,412.54 | Professional | 78 · Unplanned return to OR | $1,348.96 | $1,348.96 | $1,412.54 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,168.69 Median $11,220.18 Typical High $22,387.21 | Facility | None | $4,168.69 | $11,220.18 | $22,387.21 |
BCBS Minnesota Setting Professional Modifier None Typical Low $3,548.13 Median $4,677.35 Typical High $7,585.78 | Professional | None | $3,548.13 | $4,677.35 | $7,585.78 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $2,818.38 Median $3,715.35 Typical High $6,165.95 | Professional | 54 · Surgery only | $2,818.38 | $3,715.35 | $6,165.95 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $707.95 Median $933.25 Typical High $1,513.56 | Professional | 55 · Aftercare only | $707.95 | $933.25 | $1,513.56 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,951.21 Median $3,890.45 Typical High $6,456.54 | Professional | 78 · Unplanned return to OR | $2,951.21 | $3,890.45 | $6,456.54 |
Cigna Setting Facility Modifier None Typical Low $3,235.94 Median $5,011.87 Typical High $9,549.93 | Facility | None | $3,235.94 | $5,011.87 | $9,549.93 |
Cigna Setting Professional Modifier None Typical Low $3,715.35 Median $5,754.40 Typical High $9,120.11 | Professional | None | $3,715.35 | $5,754.40 | $9,120.11 |
Health Partners Setting Facility Modifier None Typical Low $2,884.03 Median $4,570.88 Typical High $7,943.28 | Facility | None | $2,884.03 | $4,570.88 | $7,943.28 |
Health Partners Setting Professional Modifier None Typical Low $3,235.94 Median $5,248.07 Typical High $7,943.28 | Professional | None | $3,235.94 | $5,248.07 | $7,943.28 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $3,890.45 | Facility | None | $758.58 | $1,445.44 | $3,890.45 |
Medica Setting Professional Modifier None Typical Low $2,454.71 Median $4,677.35 Typical High $15,135.61 | Professional | None | $2,454.71 | $4,677.35 | $15,135.61 |
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 $2,290.87 Median $4,168.69 Typical High $8,511.38 | Professional | None | $2,290.87 | $4,168.69 | $8,511.38 |
6 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 $977.24 Median $977.24 Typical High $977.24 | Facility | 52 · Reduced service | $977.24 | $977.24 | $977.24 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | 53 · Discontinued | $389.05 | $389.05 | $389.05 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | 56 · Pre-op care only | $194.98 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $977.24 Median $977.24 Typical High $1,023.29 | Professional | 52 · Reduced service | $977.24 | $977.24 | $1,023.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $389.05 Median $389.05 Typical High $407.38 | Professional | 53 · Discontinued | $389.05 | $389.05 | $407.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $194.98 Median $194.98 Typical High $204.17 | Professional | 56 · Pre-op care only | $194.98 | $194.98 | $204.17 |
Where Minnesota sits
The same service costs 8.1 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
$4,365
AK $8,913TX $1,096
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.