How much rates vary
Facilitymedian $1,995 · 10th to 90th $832 to $5,012Professionalmedian $1,862 · 10th to 90th $1,000 to $3,548
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 $831.76 Median $1,000.00 Typical High $2,818.38 | Facility | None | $831.76 | $1,000.00 | $2,818.38 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $630.96 Median $741.31 Typical High $741.31 | Facility | 54 · Surgery only | $630.96 | $741.31 | $741.31 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $125.89 Median $151.36 Typical High $151.36 | Facility | 55 · Aftercare only | $125.89 | $151.36 | $151.36 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $588.84 Median $691.83 Typical High $691.83 | Facility | 78 · Unplanned return to OR | $588.84 | $691.83 | $691.83 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $1,000.00 Typical High $1,202.26 | Professional | None | $831.76 | $1,000.00 | $1,202.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $630.96 Median $676.08 Typical High $741.31 | Professional | 54 · Surgery only | $630.96 | $676.08 | $741.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $134.90 Typical High $151.36 | Professional | 55 · Aftercare only | $125.89 | $134.90 | $151.36 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $588.84 Median $630.96 Typical High $691.83 | Professional | 78 · Unplanned return to OR | $588.84 | $630.96 | $691.83 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,454.71 Median $5,128.61 Typical High $9,332.54 | Facility | None | $2,454.71 | $5,128.61 | $9,332.54 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,288.25 Median $1,949.84 Typical High $3,162.28 | Professional | None | $1,288.25 | $1,949.84 | $3,162.28 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,023.29 Median $1,548.82 Typical High $2,511.89 | Professional | 54 · Surgery only | $1,023.29 | $1,548.82 | $2,511.89 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $263.03 Median $380.19 Typical High $602.56 | Professional | 55 · Aftercare only | $263.03 | $380.19 | $602.56 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,071.52 Median $1,621.81 Typical High $2,630.27 | Professional | 78 · Unplanned return to OR | $1,071.52 | $1,621.81 | $2,630.27 |
Cigna Setting Facility Modifier None Typical Low $1,659.59 Median $2,570.40 Typical High $5,011.87 | Facility | None | $1,659.59 | $2,570.40 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $1,412.54 Median $2,238.72 Typical High $4,265.80 | Professional | None | $1,412.54 | $2,238.72 | $4,265.80 |
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 $1,412.54 Median $2,238.72 Typical High $3,890.45 | Professional | None | $1,412.54 | $2,238.72 | $3,890.45 |
Medica Setting Facility Modifier None Typical Low $870.96 Median $1,659.59 Typical High $4,365.16 | Facility | None | $870.96 | $1,659.59 | $4,365.16 |
Medica Setting Professional Modifier None Typical Low $1,230.27 Median $2,398.83 Typical High $7,413.10 | Professional | None | $1,230.27 | $2,398.83 | $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 $3,388.44 | Professional | None | $1,000.00 | $1,621.81 | $3,388.44 |
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 $416.87 Median $501.19 Typical High $501.19 | Facility | 52 · Reduced service | $416.87 | $501.19 | $501.19 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $165.96 Median $199.53 Typical High $199.53 | Facility | 53 · Discontinued | $165.96 | $199.53 | $199.53 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $83.18 Median $100.00 Typical High $100.00 | Facility | 56 · Pre-op care only | $83.18 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $416.87 Median $457.09 Typical High $501.19 | Professional | 52 · Reduced service | $416.87 | $457.09 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $181.97 Typical High $199.53 | Professional | 53 · Discontinued | $165.96 | $181.97 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $91.20 Typical High $100.00 | Professional | 56 · Pre-op care only | $83.18 | $91.20 | $100.00 |
Where Minnesota sits
The same service costs 4.4 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· 4th of 51
$1,905
AK $3,311TX $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.