How much rates vary
Facilitymedian $2,291 · 10th to 90th $1,047 to $6,761Professionalmedian $2,512 · 10th to 90th $1,202 to $4,677
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 $1,202.26 Median $1,202.26 Typical High $1,202.26 | Facility | None | $1,202.26 | $1,202.26 | $1,202.26 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $912.01 Median $912.01 Typical High $912.01 | Facility | 54 · Surgery only | $912.01 | $912.01 | $912.01 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | 55 · Aftercare only | $181.97 | $181.97 | $181.97 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $851.14 Typical High $851.14 | Facility | 78 · Unplanned return to OR | $851.14 | $851.14 | $851.14 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,258.93 | Professional | None | $1,202.26 | $1,202.26 | $1,258.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $912.01 Typical High $954.99 | Professional | 54 · Surgery only | $912.01 | $912.01 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $181.97 Typical High $190.55 | Professional | 55 · Aftercare only | $181.97 | $181.97 | $190.55 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $851.14 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $851.14 | $851.14 | $891.25 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,630.27 Median $6,918.31 Typical High $13,803.84 | Facility | None | $2,630.27 | $6,918.31 | $13,803.84 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,905.46 Median $2,570.40 Typical High $4,073.80 | Professional | None | $1,905.46 | $2,570.40 | $4,073.80 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,548.82 Median $2,041.74 Typical High $3,235.94 | Professional | 54 · Surgery only | $1,548.82 | $2,041.74 | $3,235.94 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $380.19 Median $512.86 Typical High $812.83 | Professional | 55 · Aftercare only | $380.19 | $512.86 | $812.83 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,621.81 Median $2,137.96 Typical High $3,467.37 | Professional | 78 · Unplanned return to OR | $1,621.81 | $2,137.96 | $3,467.37 |
Cigna Setting Facility Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $6,025.60 | Facility | None | $1,995.26 | $3,090.30 | $6,025.60 |
Cigna Setting Professional Modifier None Typical Low $1,905.46 Median $3,235.94 Typical High $5,128.61 | Professional | None | $1,905.46 | $3,235.94 | $5,128.61 |
Health Partners Setting Facility Modifier None Typical Low $1,778.28 Median $2,884.03 Typical High $5,011.87 | Facility | None | $1,778.28 | $2,884.03 | $5,011.87 |
Health Partners Setting Professional Modifier None Typical Low $1,698.24 Median $3,019.95 Typical High $4,897.79 | Professional | None | $1,698.24 | $3,019.95 | $4,897.79 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $3,388.44 | Facility | None | $758.58 | $1,445.44 | $3,388.44 |
Medica Setting Professional Modifier None Typical Low $1,318.26 Median $2,454.71 Typical High $10,715.19 | Professional | None | $1,318.26 | $2,454.71 | $10,715.19 |
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 $1,258.93 Median $2,137.96 Typical High $4,677.35 | Professional | None | $1,258.93 | $2,137.96 | $4,677.35 |
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 $602.56 Median $602.56 Typical High $602.56 | Facility | 52 · Reduced service | $602.56 | $602.56 | $602.56 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | 53 · Discontinued | $239.88 | $239.88 | $239.88 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | 56 · Pre-op care only | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $602.56 Median $602.56 Typical High $630.96 | Professional | 52 · Reduced service | $602.56 | $602.56 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $239.88 Typical High $251.19 | Professional | 53 · Discontinued | $239.88 | $239.88 | $251.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $120.23 Typical High $125.89 | Professional | 56 · Pre-op care only | $120.23 | $120.23 | $125.89 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,202.26 Median $1,584.89 Typical High $2,454.71 | Professional | 62 · Two surgeons | $1,202.26 | $1,584.89 | $2,454.71 |
Where Minnesota sits
The same service costs 6.5 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
$2,512
AK $5,012TX $776
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.