How much rates vary
Facilitymedian $3,236 · 10th to 90th $1,148 to $16,596Professionalmedian $3,981 · 10th to 90th $1,778 to $6,918
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 $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | 54 · Surgery only | $1,318.26 | $1,318.26 | $1,318.26 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | 55 · Aftercare only | $263.03 | $263.03 | $263.03 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | 78 · Unplanned return to OR | $1,230.27 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,949.84 | Professional | None | $1,737.80 | $1,737.80 | $1,949.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,318.26 Median $1,318.26 Typical High $1,445.44 | Professional | 54 · Surgery only | $1,318.26 | $1,318.26 | $1,445.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $263.03 Median $263.03 Typical High $288.40 | Professional | 55 · Aftercare only | $263.03 | $263.03 | $288.40 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,230.27 Median $1,230.27 Typical High $1,348.96 | Professional | 78 · Unplanned return to OR | $1,230.27 | $1,230.27 | $1,348.96 |
BCBS Minnesota Setting Facility Modifier None Typical Low $10,471.29 Median $31,622.78 Typical High $69,183.10 | Facility | None | $10,471.29 | $31,622.78 | $69,183.10 |
BCBS Minnesota Setting Professional Modifier None Typical Low $3,162.28 Median $4,073.80 Typical High $6,309.57 | Professional | None | $3,162.28 | $4,073.80 | $6,309.57 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $2,570.40 Median $3,311.31 Typical High $5,011.87 | Professional | 54 · Surgery only | $2,570.40 | $3,311.31 | $5,011.87 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $630.96 Median $831.76 Typical High $1,230.27 | Professional | 55 · Aftercare only | $630.96 | $831.76 | $1,230.27 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,691.53 Median $3,467.37 Typical High $5,248.07 | Professional | 78 · Unplanned return to OR | $2,691.53 | $3,467.37 | $5,248.07 |
Cigna Setting Facility Modifier None Typical Low $2,884.03 Median $4,466.84 Typical High $8,511.38 | Facility | None | $2,884.03 | $4,466.84 | $8,511.38 |
Cigna Setting Professional Modifier None Typical Low $2,754.23 Median $4,677.35 Typical High $7,413.10 | Professional | None | $2,754.23 | $4,677.35 | $7,413.10 |
Health Partners Setting Facility Modifier None Typical Low $2,570.40 Median $4,168.69 Typical High $7,244.36 | Facility | None | $2,570.40 | $4,168.69 | $7,244.36 |
Health Partners Setting Professional Modifier None Typical Low $2,454.71 Median $4,365.16 Typical High $6,918.31 | Professional | None | $2,454.71 | $4,365.16 | $6,918.31 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,513.56 Typical High $3,715.35 | Facility | None | $758.58 | $1,513.56 | $3,715.35 |
Medica Setting Professional Modifier None Typical Low $2,041.74 Median $3,630.78 Typical High $13,489.63 | Professional | None | $2,041.74 | $3,630.78 | $13,489.63 |
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 $3,311.31 Typical High $6,918.31 | Professional | None | $1,905.46 | $3,311.31 | $6,918.31 |
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 $870.96 Median $870.96 Typical High $870.96 | Facility | 52 · Reduced service | $870.96 | $870.96 | $870.96 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | 53 · Discontinued | $346.74 | $346.74 | $346.74 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | 56 · Pre-op care only | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $870.96 Median $870.96 Typical High $954.99 | Professional | 52 · Reduced service | $870.96 | $870.96 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $346.74 Median $346.74 Typical High $389.05 | Professional | 53 · Discontinued | $346.74 | $346.74 | $389.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $173.78 Median $173.78 Typical High $190.55 | Professional | 56 · Pre-op care only | $173.78 | $173.78 | $190.55 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,995.26 Median $2,570.40 Typical High $3,981.07 | Professional | 62 · Two surgeons | $1,995.26 | $2,570.40 | $3,981.07 |
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
$3,890
AK $7,762TX $1,318
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.