How much rates vary
Facilitymedian $3,020 · 10th to 90th $1,072 to $10,965Professionalmedian $2,188 · 10th to 90th $1,072 to $4,074
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 $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,071.52 | $1,071.52 | $1,071.52 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $794.33 Median $794.33 Typical High $794.33 | Facility | 54 · Surgery only | $794.33 | $794.33 | $794.33 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | 55 · Aftercare only | $158.49 | $158.49 | $158.49 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $741.31 Typical High $741.31 | Facility | 78 · Unplanned return to OR | $741.31 | $741.31 | $741.31 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,096.48 | Professional | None | $1,071.52 | $1,071.52 | $1,096.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $794.33 Median $794.33 Typical High $812.83 | Professional | 54 · Surgery only | $794.33 | $794.33 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $158.49 Typical High $162.18 | Professional | 55 · Aftercare only | $158.49 | $158.49 | $162.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $741.31 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $741.31 | $741.31 | $758.58 |
BCBS Minnesota Setting Facility Modifier None Typical Low $5,888.44 Median $11,748.98 Typical High $23,988.33 | Facility | None | $5,888.44 | $11,748.98 | $23,988.33 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,621.81 Median $2,137.96 Typical High $3,548.13 | Professional | None | $1,621.81 | $2,137.96 | $3,548.13 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,288.25 Median $1,698.24 Typical High $2,818.38 | Professional | 54 · Surgery only | $1,288.25 | $1,698.24 | $2,818.38 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $323.59 Median $426.58 Typical High $707.95 | Professional | 55 · Aftercare only | $323.59 | $426.58 | $707.95 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,348.96 Median $1,778.28 Typical High $3,019.95 | Professional | 78 · Unplanned return to OR | $1,348.96 | $1,778.28 | $3,019.95 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $2,754.23 Typical High $5,248.07 | Facility | None | $1,778.28 | $2,754.23 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $1,659.59 Median $2,884.03 Typical High $4,466.84 | Professional | None | $1,659.59 | $2,884.03 | $4,466.84 |
Health Partners Setting Facility Modifier None Typical Low $1,548.82 Median $2,511.89 Typical High $4,365.16 | Facility | None | $1,548.82 | $2,511.89 | $4,365.16 |
Health Partners Setting Professional Modifier None Typical Low $1,479.11 Median $2,630.27 Typical High $4,265.80 | Professional | None | $1,479.11 | $2,630.27 | $4,265.80 |
Medica Setting Facility Modifier None Typical Low $1,819.70 Median $3,467.37 Typical High $9,772.37 | Facility | None | $1,819.70 | $3,467.37 | $9,772.37 |
Medica Setting Professional Modifier None Typical Low $1,202.26 Median $2,187.76 Typical High $8,128.31 | Professional | None | $1,202.26 | $2,187.76 | $8,128.31 |
United Setting Facility Modifier None Typical Low $2,818.38 Median $4,265.80 Typical High $9,772.37 | Facility | None | $2,818.38 | $4,265.80 | $9,772.37 |
United Setting Professional Modifier None Typical Low $1,122.02 Median $1,995.26 Typical High $3,981.07 | Professional | None | $1,122.02 | $1,995.26 | $3,981.07 |
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 $524.81 Median $524.81 Typical High $524.81 | Facility | 52 · Reduced service | $524.81 | $524.81 | $524.81 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | 53 · Discontinued | $213.80 | $213.80 | $213.80 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | 56 · Pre-op care only | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $524.81 Median $524.81 Typical High $549.54 | Professional | 52 · Reduced service | $524.81 | $524.81 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $213.80 Typical High $218.78 | Professional | 53 · Discontinued | $213.80 | $213.80 | $218.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $107.15 Typical High $109.65 | Professional | 56 · Pre-op care only | $107.15 | $107.15 | $109.65 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,000.00 Median $1,348.96 Typical High $2,137.96 | Professional | 62 · Two surgeons | $1,000.00 | $1,348.96 | $2,137.96 |
Where Minnesota sits
The same service costs 6.3 times more in Alaska than in Utah. 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
$2,291
AK $4,365UT $692
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.