How much rates vary
Facilitymedian $2,239 · 10th to 90th $1,148 to $9,120Professionalmedian $1,778 · 10th to 90th $1,288 to $3,631
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 $1,023.29 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,023.29 | $1,318.26 | $1,318.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $1,000.00 Typical High $1,000.00 | Professional | 54 · Surgery only | $776.25 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $199.53 Typical High $199.53 | Professional | 55 · Aftercare only | $154.88 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $933.25 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $724.44 | $933.25 | $933.25 |
BCBS Minnesota Setting Facility Modifier None Typical Low $5,370.32 Median $10,471.29 Typical High $21,877.62 | Facility | None | $5,370.32 | $10,471.29 | $21,877.62 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,698.24 Median $2,290.87 Typical High $3,630.78 | Professional | None | $1,698.24 | $2,290.87 | $3,630.78 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,380.38 Median $1,819.70 Typical High $2,951.21 | Professional | 54 · Surgery only | $1,380.38 | $1,819.70 | $2,951.21 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $338.84 Median $467.74 Typical High $741.31 | Professional | 55 · Aftercare only | $338.84 | $467.74 | $741.31 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,445.44 Median $1,905.46 Typical High $3,090.30 | Professional | 78 · Unplanned return to OR | $1,445.44 | $1,905.46 | $3,090.30 |
Cigna Setting Facility Modifier None Typical Low $1,905.46 Median $2,951.21 Typical High $5,623.41 | Facility | None | $1,905.46 | $2,951.21 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,318.26 Typical High $1,621.81 | Professional | None | $1,288.25 | $1,318.26 | $1,621.81 |
Health Partners Setting Facility Modifier None Typical Low $1,698.24 Median $2,754.23 Typical High $4,786.30 | Facility | None | $1,698.24 | $2,754.23 | $4,786.30 |
Health Partners Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,288.25 | $1,288.25 | $1,288.25 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,479.11 Typical High $3,388.44 | Facility | None | $758.58 | $1,479.11 | $3,388.44 |
Medica Setting Professional Modifier None Typical Low $1,258.93 Median $2,454.71 Typical High $7,762.47 | Professional | None | $1,258.93 | $2,454.71 | $7,762.47 |
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 $1,174.90 Median $2,089.30 Typical High $4,073.80 | Professional | None | $1,174.90 | $2,089.30 | $4,073.80 |
3 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 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 56 · Pre-op care only Typical Low $102.33 Median $131.83 Typical High $131.83 | Professional | 56 · Pre-op care only | $102.33 | $131.83 | $131.83 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,071.52 Median $1,412.54 Typical High $2,290.87 | Professional | 62 · Two surgeons | $1,071.52 | $1,412.54 | $2,290.87 |
Where Minnesota sits
The same service costs 16.2 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· 11th of 51
$1,820
AK $3,090TX $191
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.