How much rates vary
Facilitymedian $2,630 · 10th to 90th $1,122 to $12,882Professionalmedian $3,388 · 10th to 90th $1,778 to $6,026
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 $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | 54 · Surgery only | $1,071.52 | $1,071.52 | $1,071.52 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | 55 · Aftercare only | $213.80 | $213.80 | $213.80 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | 78 · Unplanned return to OR | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,621.81 | Professional | None | $1,412.54 | $1,412.54 | $1,621.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,071.52 Median $1,071.52 Typical High $1,202.26 | Professional | 54 · Surgery only | $1,071.52 | $1,071.52 | $1,202.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $213.80 Typical High $239.88 | Professional | 55 · Aftercare only | $213.80 | $213.80 | $239.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,000.00 Median $1,000.00 Typical High $1,122.02 | Professional | 78 · Unplanned return to OR | $1,000.00 | $1,000.00 | $1,122.02 |
BCBS Minnesota Setting Facility Modifier None Typical Low $8,709.64 Median $21,379.62 Typical High $46,773.51 | Facility | None | $8,709.64 | $21,379.62 | $46,773.51 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,630.27 Median $3,388.44 Typical High $5,623.41 | Professional | None | $2,630.27 | $3,388.44 | $5,623.41 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $2,089.30 Median $2,691.53 Typical High $4,466.84 | Professional | 54 · Surgery only | $2,089.30 | $2,691.53 | $4,466.84 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $524.81 Median $676.08 Typical High $1,096.48 | Professional | 55 · Aftercare only | $524.81 | $676.08 | $1,096.48 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,187.76 Median $2,818.38 Typical High $4,677.35 | Professional | 78 · Unplanned return to OR | $2,187.76 | $2,818.38 | $4,677.35 |
Cigna Setting Facility Modifier None Typical Low $2,344.23 Median $3,630.78 Typical High $7,079.46 | Facility | None | $2,344.23 | $3,630.78 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $2,754.23 Median $4,265.80 Typical High $6,606.93 | Professional | None | $2,754.23 | $4,265.80 | $6,606.93 |
Health Partners Setting Facility Modifier None Typical Low $2,089.30 Median $3,388.44 Typical High $5,888.44 | Facility | None | $2,089.30 | $3,388.44 | $5,888.44 |
Health Partners Setting Professional Modifier None Typical Low $2,398.83 Median $3,801.89 Typical High $5,888.44 | Professional | None | $2,398.83 | $3,801.89 | $5,888.44 |
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 $1,778.28 Median $3,388.44 Typical High $10,964.78 | Professional | None | $1,778.28 | $3,388.44 | $10,964.78 |
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 $1,737.80 Median $3,019.95 Typical High $6,309.57 | Professional | None | $1,737.80 | $3,019.95 | $6,309.57 |
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 $707.95 Median $707.95 Typical High $707.95 | Facility | 52 · Reduced service | $707.95 | $707.95 | $707.95 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | 53 · Discontinued | $281.84 | $281.84 | $281.84 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | 56 · Pre-op care only | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $707.95 Median $707.95 Typical High $812.83 | Professional | 52 · Reduced service | $707.95 | $707.95 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $281.84 Typical High $323.59 | Professional | 53 · Discontinued | $281.84 | $281.84 | $323.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $141.25 Typical High $162.18 | Professional | 56 · Pre-op care only | $141.25 | $141.25 | $162.18 |
Where Minnesota sits
The same service costs 7.2 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
$3,236
AK $6,457TX $891
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.