How much rates vary
Facilitymedian $3,631 · 10th to 90th $1,380 to $11,749Professionalmedian $2,884 · 10th to 90th $1,413 to $5,370
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 $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | None | $1,380.38 | $1,380.38 | $1,380.38 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | 54 · Surgery only | $1,023.29 | $1,023.29 | $1,023.29 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | 55 · Aftercare only | $204.17 | $204.17 | $204.17 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $954.99 Median $954.99 Typical High $954.99 | Facility | 78 · Unplanned return to OR | $954.99 | $954.99 | $954.99 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,445.44 | Professional | None | $1,380.38 | $1,380.38 | $1,445.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,023.29 Median $1,023.29 Typical High $1,071.52 | Professional | 54 · Surgery only | $1,023.29 | $1,023.29 | $1,071.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $204.17 Typical High $213.80 | Professional | 55 · Aftercare only | $204.17 | $204.17 | $213.80 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $954.99 Median $954.99 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $954.99 | $954.99 | $1,000.00 |
BCBS Minnesota Setting Facility Modifier None Typical Low $7,762.47 Median $12,302.69 Typical High $25,118.86 | Facility | None | $7,762.47 | $12,302.69 | $25,118.86 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,187.76 Median $2,884.03 Typical High $4,677.35 | Professional | None | $2,187.76 | $2,884.03 | $4,677.35 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,737.80 Median $2,290.87 Typical High $3,715.35 | Professional | 54 · Surgery only | $1,737.80 | $2,290.87 | $3,715.35 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $436.52 Median $575.44 Typical High $912.01 | Professional | 55 · Aftercare only | $436.52 | $575.44 | $912.01 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,819.70 Median $2,398.83 Typical High $3,890.45 | Professional | 78 · Unplanned return to OR | $1,819.70 | $2,398.83 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $2,290.87 Median $3,548.13 Typical High $6,760.83 | Facility | None | $2,290.87 | $3,548.13 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $2,187.76 Median $3,715.35 Typical High $5,888.44 | Professional | None | $2,187.76 | $3,715.35 | $5,888.44 |
Health Partners Setting Facility Modifier None Typical Low $2,041.74 Median $3,235.94 Typical High $5,623.41 | Facility | None | $2,041.74 | $3,235.94 | $5,623.41 |
Health Partners Setting Professional Modifier None Typical Low $1,949.84 Median $3,388.44 Typical High $5,495.41 | Professional | None | $1,949.84 | $3,388.44 | $5,495.41 |
Medica Setting Facility Modifier None Typical Low $2,290.87 Median $3,630.78 Typical High $9,772.37 | Facility | None | $2,290.87 | $3,630.78 | $9,772.37 |
Medica Setting Professional Modifier None Typical Low $1,548.82 Median $2,818.38 Typical High $10,964.78 | Professional | None | $1,548.82 | $2,818.38 | $10,964.78 |
United Setting Facility Modifier None Typical Low $2,818.38 Median $4,265.80 Typical High $11,220.18 | Facility | None | $2,818.38 | $4,265.80 | $11,220.18 |
United Setting Professional Modifier None Typical Low $1,445.44 Median $2,511.89 Typical High $5,248.07 | Professional | None | $1,445.44 | $2,511.89 | $5,248.07 |
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 $691.83 Median $691.83 Typical High $691.83 | Facility | 52 · Reduced service | $691.83 | $691.83 | $691.83 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | 53 · Discontinued | $275.42 | $275.42 | $275.42 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | 56 · Pre-op care only | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $691.83 Median $691.83 Typical High $707.95 | Professional | 52 · Reduced service | $691.83 | $691.83 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $275.42 Typical High $281.84 | Professional | 53 · Discontinued | $275.42 | $275.42 | $281.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $138.04 Typical High $141.25 | Professional | 56 · Pre-op care only | $138.04 | $138.04 | $141.25 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,380.38 Median $1,819.70 Typical High $2,818.38 | Professional | 62 · Two surgeons | $1,380.38 | $1,819.70 | $2,818.38 |
Where Minnesota sits
The same service costs 24.5 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· 6th of 51
$2,951
AK $5,754TX $234
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.