How much rates vary
Facilitymedian $1,862 · 10th to 90th $661 to $8,511Professionalmedian $1,445 · 10th to 90th $759 to $2,692
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 $660.69 Median $758.58 Typical High $12,589.25 | Facility | None | $660.69 | $758.58 | $12,589.25 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $489.78 Median $575.44 Typical High $575.44 | Facility | 54 · Surgery only | $489.78 | $575.44 | $575.44 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $97.72 Median $114.82 Typical High $114.82 | Facility | 55 · Aftercare only | $97.72 | $114.82 | $114.82 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $537.03 Typical High $537.03 | Facility | 78 · Unplanned return to OR | $457.09 | $537.03 | $537.03 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $758.58 Typical High $977.24 | Professional | None | $660.69 | $758.58 | $977.24 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $524.81 Typical High $575.44 | Professional | 54 · Surgery only | $489.78 | $524.81 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $104.71 Typical High $114.82 | Professional | 55 · Aftercare only | $97.72 | $104.71 | $114.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $489.78 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $457.09 | $489.78 | $537.03 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,454.71 Median $5,370.32 Typical High $8,912.51 | Facility | None | $2,454.71 | $5,370.32 | $8,912.51 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,000.00 Median $1,513.56 Typical High $2,398.83 | Professional | None | $1,000.00 | $1,513.56 | $2,398.83 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $812.83 Median $1,202.26 Typical High $1,949.84 | Professional | 54 · Surgery only | $812.83 | $1,202.26 | $1,949.84 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $295.12 Typical High $478.63 | Professional | 55 · Aftercare only | $208.93 | $295.12 | $478.63 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $1,258.93 Typical High $2,041.74 | Professional | 78 · Unplanned return to OR | $851.14 | $1,258.93 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $1,995.26 Typical High $3,801.89 | Facility | None | $1,288.25 | $1,995.26 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,698.24 Typical High $3,235.94 | Professional | None | $1,122.02 | $1,698.24 | $3,235.94 |
Health Partners Setting Facility Modifier None Typical Low $1,148.15 Median $1,862.09 Typical High $3,235.94 | Facility | None | $1,148.15 | $1,862.09 | $3,235.94 |
Health Partners Setting Professional Modifier None Typical Low $1,096.48 Median $1,659.59 Typical High $3,019.95 | Professional | None | $1,096.48 | $1,659.59 | $3,019.95 |
Medica Setting Facility Modifier None Typical Low $831.76 Median $1,348.96 Typical High $3,981.07 | Facility | None | $831.76 | $1,348.96 | $3,981.07 |
Medica Setting Professional Modifier None Typical Low $933.25 Median $1,513.56 Typical High $7,079.46 | Professional | None | $933.25 | $1,513.56 | $7,079.46 |
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 $794.33 Median $1,258.93 Typical High $2,630.27 | Professional | None | $794.33 | $1,258.93 | $2,630.27 |
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 $331.13 Median $380.19 Typical High $380.19 | Facility | 52 · Reduced service | $331.13 | $380.19 | $380.19 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $131.83 Median $154.88 Typical High $154.88 | Facility | 53 · Discontinued | $131.83 | $154.88 | $154.88 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $66.07 Median $75.86 Typical High $75.86 | Facility | 56 · Pre-op care only | $66.07 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $331.13 Median $346.74 Typical High $380.19 | Professional | 52 · Reduced service | $331.13 | $346.74 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $138.04 Typical High $154.88 | Professional | 53 · Discontinued | $131.83 | $138.04 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $69.18 Typical High $75.86 | Professional | 56 · Pre-op care only | $66.07 | $69.18 | $75.86 |
Where Minnesota sits
The same service costs 4.6 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
$1,479
AK $2,692TX $589
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.