How much rates vary
Facilitymedian $1,445 · 10th to 90th $562 to $4,266Professionalmedian $1,288 · 10th to 90th $708 to $2,455
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 $562.34 Median $707.95 Typical High $707.95 | Facility | None | $562.34 | $707.95 | $707.95 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $416.87 Median $524.81 Typical High $524.81 | Facility | 54 · Surgery only | $416.87 | $524.81 | $524.81 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $85.11 Median $104.71 Typical High $104.71 | Facility | 55 · Aftercare only | $85.11 | $104.71 | $104.71 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $489.78 Typical High $489.78 | Facility | 78 · Unplanned return to OR | $398.11 | $489.78 | $489.78 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $645.65 Typical High $707.95 | Professional | None | $562.34 | $645.65 | $707.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $457.09 Typical High $524.81 | Professional | 54 · Surgery only | $416.87 | $457.09 | $524.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $91.20 Typical High $104.71 | Professional | 55 · Aftercare only | $85.11 | $91.20 | $104.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $426.58 Typical High $489.78 | Professional | 78 · Unplanned return to OR | $398.11 | $426.58 | $489.78 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,398.83 Median $3,981.07 Typical High $6,918.31 | Facility | None | $2,398.83 | $3,981.07 | $6,918.31 |
BCBS Minnesota Setting Professional Modifier None Typical Low $891.25 Median $1,380.38 Typical High $2,187.76 | Professional | None | $891.25 | $1,380.38 | $2,187.76 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $1,096.48 Typical High $1,778.28 | Professional | 54 · Surgery only | $707.95 | $1,096.48 | $1,778.28 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $275.42 Typical High $426.58 | Professional | 55 · Aftercare only | $181.97 | $275.42 | $426.58 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $1,148.15 Typical High $1,862.09 | Professional | 78 · Unplanned return to OR | $758.58 | $1,148.15 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $1,819.70 Typical High $3,467.37 | Facility | None | $1,174.90 | $1,819.70 | $3,467.37 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $1,548.82 Typical High $2,884.03 | Professional | None | $954.99 | $1,548.82 | $2,884.03 |
Health Partners Setting Facility Modifier None Typical Low $1,047.13 Median $1,737.80 Typical High $2,951.21 | Facility | None | $1,047.13 | $1,737.80 | $2,951.21 |
Health Partners Setting Professional Modifier None Typical Low $954.99 Median $1,513.56 Typical High $2,754.23 | Professional | None | $954.99 | $1,513.56 | $2,754.23 |
Medica Setting Facility Modifier None Typical Low $776.25 Median $1,258.93 Typical High $3,981.07 | Facility | None | $776.25 | $1,258.93 | $3,981.07 |
Medica Setting Professional Modifier None Typical Low $851.14 Median $1,621.81 Typical High $5,248.07 | Professional | None | $851.14 | $1,621.81 | $5,248.07 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,659.59 Typical High $4,897.79 | Facility | None | $776.25 | $1,659.59 | $4,897.79 |
United Setting Professional Modifier None Typical Low $676.08 Median $1,096.48 Typical High $2,238.72 | Professional | None | $676.08 | $1,096.48 | $2,238.72 |
6 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 $281.84 Median $354.81 Typical High $354.81 | Facility | 52 · Reduced service | $281.84 | $354.81 | $354.81 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $112.20 Median $141.25 Typical High $141.25 | Facility | 53 · Discontinued | $112.20 | $141.25 | $141.25 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $56.23 Median $70.79 Typical High $70.79 | Facility | 56 · Pre-op care only | $56.23 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $281.84 Median $302.00 Typical High $354.81 | Professional | 52 · Reduced service | $281.84 | $302.00 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $123.03 Typical High $141.25 | Professional | 53 · Discontinued | $112.20 | $123.03 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $61.66 Typical High $70.79 | Professional | 56 · Pre-op care only | $56.23 | $61.66 | $70.79 |
Where Minnesota sits
The same service costs 4.3 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· 3rd of 51
$1,318
AK $2,291TX $537
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.