How much rates vary
Facilitymedian $1,514 · 10th to 90th $646 to $3,981Professionalmedian $1,445 · 10th to 90th $776 to $2,754
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 $645.65 Median $776.25 Typical High $776.25 | Facility | None | $645.65 | $776.25 | $776.25 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $478.63 Median $588.84 Typical High $588.84 | Facility | 54 · Surgery only | $478.63 | $588.84 | $588.84 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $95.50 Median $117.49 Typical High $117.49 | Facility | 55 · Aftercare only | $95.50 | $117.49 | $117.49 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $549.54 Typical High $549.54 | Facility | 78 · Unplanned return to OR | $446.68 | $549.54 | $549.54 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $724.44 Typical High $794.33 | Professional | None | $645.65 | $724.44 | $794.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $524.81 Typical High $588.84 | Professional | 54 · Surgery only | $478.63 | $524.81 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $104.71 Typical High $117.49 | Professional | 55 · Aftercare only | $95.50 | $104.71 | $117.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $489.78 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $446.68 | $489.78 | $549.54 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,584.89 Median $3,162.28 Typical High $6,918.31 | Facility | None | $1,584.89 | $3,162.28 | $6,918.31 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,000.00 Median $1,513.56 Typical High $2,454.71 | Professional | None | $1,000.00 | $1,513.56 | $2,454.71 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $794.33 Median $1,230.27 Typical High $1,949.84 | Professional | 54 · Surgery only | $794.33 | $1,230.27 | $1,949.84 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $302.00 Typical High $478.63 | Professional | 55 · Aftercare only | $204.17 | $302.00 | $478.63 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $1,288.25 Typical High $2,041.74 | Professional | 78 · Unplanned return to OR | $831.76 | $1,288.25 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $2,041.74 Typical High $3,890.45 | Facility | None | $1,318.26 | $2,041.74 | $3,890.45 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,737.80 Typical High $3,311.31 | Professional | None | $1,096.48 | $1,737.80 | $3,311.31 |
Health Partners Setting Facility Modifier None Typical Low $1,148.15 Median $1,905.46 Typical High $3,235.94 | Facility | None | $1,148.15 | $1,905.46 | $3,235.94 |
Health Partners Setting Professional Modifier None Typical Low $1,071.52 Median $1,737.80 Typical High $3,019.95 | Professional | None | $1,071.52 | $1,737.80 | $3,019.95 |
Medica Setting Facility Modifier None Typical Low $794.33 Median $1,318.26 Typical High $3,467.37 | Facility | None | $794.33 | $1,318.26 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $1,000.00 Median $1,905.46 Typical High $5,888.44 | Professional | None | $1,000.00 | $1,905.46 | $5,888.44 |
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 $1,288.25 Typical High $2,630.27 | Professional | None | $794.33 | $1,288.25 | $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 $323.59 Median $389.05 Typical High $389.05 | Facility | 52 · Reduced service | $323.59 | $389.05 | $389.05 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $128.82 Median $154.88 Typical High $154.88 | Facility | 53 · Discontinued | $128.82 | $154.88 | $154.88 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $64.57 Median $77.62 Typical High $77.62 | Facility | 56 · Pre-op care only | $64.57 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $323.59 Median $354.81 Typical High $389.05 | Professional | 52 · Reduced service | $323.59 | $354.81 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $141.25 Typical High $154.88 | Professional | 53 · Discontinued | $128.82 | $141.25 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $70.79 Typical High $77.62 | Professional | 56 · Pre-op care only | $64.57 | $70.79 | $77.62 |
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· 4th of 51
$1,479
AK $2,630TX $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.