How much rates vary
Facilitymedian $3,467 · 10th to 90th $1,318 to $11,749Professionalmedian $2,754 · 10th to 90th $1,349 to $5,129
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 $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,318.26 | $1,318.26 | $1,318.26 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | 54 · Surgery only | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | 55 · Aftercare only | $199.53 | $199.53 | $199.53 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | 78 · Unplanned return to OR | $933.25 | $933.25 | $933.25 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,479.11 | Professional | None | $1,318.26 | $1,318.26 | $1,479.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,000.00 Median $1,000.00 Typical High $1,047.13 | Professional | 54 · Surgery only | $1,000.00 | $1,000.00 | $1,047.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $199.53 Typical High $208.93 | Professional | 55 · Aftercare only | $199.53 | $199.53 | $208.93 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $933.25 Typical High $977.24 | Professional | 78 · Unplanned return to OR | $933.25 | $933.25 | $977.24 |
BCBS Minnesota Setting Facility Modifier None Typical Low $7,413.10 Median $12,302.69 Typical High $25,118.86 | Facility | None | $7,413.10 | $12,302.69 | $25,118.86 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,089.30 Median $2,754.23 Typical High $4,466.84 | Professional | None | $2,089.30 | $2,754.23 | $4,466.84 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,698.24 Median $2,187.76 Typical High $3,548.13 | Professional | 54 · Surgery only | $1,698.24 | $2,187.76 | $3,548.13 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $416.87 Median $549.54 Typical High $870.96 | Professional | 55 · Aftercare only | $416.87 | $549.54 | $870.96 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,778.28 Median $2,344.23 Typical High $3,715.35 | Professional | 78 · Unplanned return to OR | $1,778.28 | $2,344.23 | $3,715.35 |
Cigna Setting Facility Modifier None Typical Low $2,187.76 Median $3,388.44 Typical High $6,456.54 | Facility | None | $2,187.76 | $3,388.44 | $6,456.54 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $3,548.13 Typical High $5,623.41 | Professional | None | $2,089.30 | $3,548.13 | $5,623.41 |
Health Partners Setting Facility Modifier None Typical Low $1,949.84 Median $3,162.28 Typical High $5,495.41 | Facility | None | $1,949.84 | $3,162.28 | $5,495.41 |
Health Partners Setting Professional Modifier None Typical Low $1,862.09 Median $3,311.31 Typical High $5,248.07 | Professional | None | $1,862.09 | $3,311.31 | $5,248.07 |
Medica Setting Facility Modifier None Typical Low $2,238.72 Median $3,801.89 Typical High $10,471.29 | Facility | None | $2,238.72 | $3,801.89 | $10,471.29 |
Medica Setting Professional Modifier None Typical Low $1,513.56 Median $2,754.23 Typical High $10,715.19 | Professional | None | $1,513.56 | $2,754.23 | $10,715.19 |
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 $1,380.38 Median $2,511.89 Typical High $5,011.87 | Professional | None | $1,380.38 | $2,511.89 | $5,011.87 |
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 $660.69 Median $660.69 Typical High $660.69 | Facility | 52 · Reduced service | $660.69 | $660.69 | $660.69 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | 53 · Discontinued | $263.03 | $263.03 | $263.03 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | 56 · Pre-op care only | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $660.69 Median $660.69 Typical High $691.83 | Professional | 52 · Reduced service | $660.69 | $660.69 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $263.03 Typical High $275.42 | Professional | 53 · Discontinued | $263.03 | $263.03 | $275.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $131.83 Typical High $138.04 | Professional | 56 · Pre-op care only | $131.83 | $131.83 | $138.04 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,318.26 Median $1,737.80 Typical High $2,691.53 | Professional | 62 · Two surgeons | $1,318.26 | $1,737.80 | $2,691.53 |
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· 6th of 51
$2,818
AK $5,495TX $759
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.