How much rates vary
Facilitymedian $1,778 · 10th to 90th $813 to $4,571Professionalmedian $1,820 · 10th to 90th $1,000 to $3,467
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 $812.83 Median $1,000.00 Typical High $1,000.00 | Facility | None | $812.83 | $1,000.00 | $1,000.00 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $602.56 Median $741.31 Typical High $741.31 | Facility | 54 · Surgery only | $602.56 | $741.31 | $741.31 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $120.23 Median $147.91 Typical High $147.91 | Facility | 55 · Aftercare only | $120.23 | $147.91 | $147.91 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $691.83 Typical High $691.83 | Facility | 78 · Unplanned return to OR | $562.34 | $691.83 | $691.83 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $977.24 Typical High $1,174.90 | Professional | None | $812.83 | $977.24 | $1,174.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $660.69 Typical High $741.31 | Professional | 54 · Surgery only | $602.56 | $660.69 | $741.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $131.83 Typical High $147.91 | Professional | 55 · Aftercare only | $120.23 | $131.83 | $147.91 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $616.60 Typical High $691.83 | Professional | 78 · Unplanned return to OR | $562.34 | $616.60 | $691.83 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,949.84 Median $3,311.31 Typical High $6,918.31 | Facility | None | $1,949.84 | $3,311.31 | $6,918.31 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,258.93 Median $1,905.46 Typical High $3,090.30 | Professional | None | $1,258.93 | $1,905.46 | $3,090.30 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,000.00 Median $1,548.82 Typical High $2,511.89 | Professional | 54 · Surgery only | $1,000.00 | $1,548.82 | $2,511.89 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $251.19 Median $380.19 Typical High $602.56 | Professional | 55 · Aftercare only | $251.19 | $380.19 | $602.56 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,047.13 Median $1,621.81 Typical High $2,630.27 | Professional | 78 · Unplanned return to OR | $1,047.13 | $1,621.81 | $2,630.27 |
Cigna Setting Facility Modifier None Typical Low $1,659.59 Median $2,570.40 Typical High $4,897.79 | Facility | None | $1,659.59 | $2,570.40 | $4,897.79 |
Cigna Setting Professional Modifier None Typical Low $1,380.38 Median $2,187.76 Typical High $4,168.69 | Professional | None | $1,380.38 | $2,187.76 | $4,168.69 |
Health Partners Setting Facility Modifier None Typical Low $1,479.11 Median $2,454.71 Typical High $4,168.69 | Facility | None | $1,479.11 | $2,454.71 | $4,168.69 |
Health Partners Setting Professional Modifier None Typical Low $1,348.96 Median $2,137.96 Typical High $3,890.45 | Professional | None | $1,348.96 | $2,137.96 | $3,890.45 |
Medica Setting Facility Modifier None Typical Low $870.96 Median $1,584.89 Typical High $3,981.07 | Facility | None | $870.96 | $1,584.89 | $3,981.07 |
Medica Setting Professional Modifier None Typical Low $1,258.93 Median $2,344.23 Typical High $7,413.10 | Professional | None | $1,258.93 | $2,344.23 | $7,413.10 |
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 $1,000.00 Median $1,621.81 Typical High $3,235.94 | Professional | None | $1,000.00 | $1,621.81 | $3,235.94 |
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 $407.38 Median $501.19 Typical High $501.19 | Facility | 52 · Reduced service | $407.38 | $501.19 | $501.19 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $162.18 Median $199.53 Typical High $199.53 | Facility | 53 · Discontinued | $162.18 | $199.53 | $199.53 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $81.28 Median $100.00 Typical High $100.00 | Facility | 56 · Pre-op care only | $81.28 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $407.38 Median $446.68 Typical High $501.19 | Professional | 52 · Reduced service | $407.38 | $446.68 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $177.83 Typical High $199.53 | Professional | 53 · Discontinued | $162.18 | $177.83 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $89.13 Typical High $100.00 | Professional | 56 · Pre-op care only | $81.28 | $89.13 | $100.00 |
Where Minnesota sits
The same service costs 4.5 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· 3rd of 51
$1,820
AK $3,311TX $741
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.