How much rates vary
Facilitymedian $2,239 · 10th to 90th $912 to $7,244Professionalmedian $1,778 · 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 $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $676.08 Median $676.08 Typical High $676.08 | Facility | 54 · Surgery only | $676.08 | $676.08 | $676.08 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | 55 · Aftercare only | $134.90 | $134.90 | $134.90 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | 78 · Unplanned return to OR | $630.96 | $630.96 | $630.96 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,000.00 | Professional | None | $912.01 | $912.01 | $1,000.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | 54 · Surgery only | $676.08 | $676.08 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | 55 · Aftercare only | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $630.96 | $630.96 | $630.96 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,801.89 Median $6,760.83 Typical High $11,220.18 | Facility | None | $3,801.89 | $6,760.83 | $11,220.18 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,445.44 Median $1,819.70 Typical High $3,162.28 | Professional | None | $1,445.44 | $1,819.70 | $3,162.28 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,148.15 Median $1,445.44 Typical High $2,511.89 | Professional | 54 · Surgery only | $1,148.15 | $1,445.44 | $2,511.89 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $288.40 Median $354.81 Typical High $616.60 | Professional | 55 · Aftercare only | $288.40 | $354.81 | $616.60 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,202.26 Median $1,513.56 Typical High $2,630.27 | Professional | 78 · Unplanned return to OR | $1,202.26 | $1,513.56 | $2,630.27 |
Cigna Setting Facility Modifier None Typical Low $1,513.56 Median $2,344.23 Typical High $4,466.84 | Facility | None | $1,513.56 | $2,344.23 | $4,466.84 |
Cigna Setting Professional Modifier None Typical Low $1,548.82 Median $2,187.76 Typical High $3,981.07 | Professional | None | $1,548.82 | $2,187.76 | $3,981.07 |
Health Partners Setting Facility Modifier None Typical Low $1,348.96 Median $2,187.76 Typical High $3,801.89 | Facility | None | $1,348.96 | $2,187.76 | $3,801.89 |
Health Partners Setting Professional Modifier None Typical Low $1,513.56 Median $2,137.96 Typical High $3,630.78 | Professional | None | $1,513.56 | $2,137.96 | $3,630.78 |
Medica Setting Facility Modifier None Typical Low $1,513.56 Median $2,187.76 Typical High $6,760.83 | Facility | None | $1,513.56 | $2,187.76 | $6,760.83 |
Medica Setting Professional Modifier None Typical Low $1,071.52 Median $1,737.80 Typical High $6,918.31 | Professional | None | $1,071.52 | $1,737.80 | $6,918.31 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $7,585.78 | Facility | None | $1,513.56 | $2,511.89 | $7,585.78 |
United Setting Professional Modifier None Typical Low $1,047.13 Median $1,621.81 Typical High $3,388.44 | Professional | None | $1,047.13 | $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 $457.09 Median $457.09 Typical High $457.09 | Facility | 52 · Reduced service | $457.09 | $457.09 | $457.09 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | 53 · Discontinued | $181.97 | $181.97 | $181.97 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | 56 · Pre-op care only | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | 52 · Reduced service | $457.09 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | 53 · Discontinued | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 56 · Pre-op care only | $91.20 | $91.20 | $91.20 |
Where Minnesota sits
The same service costs 7.1 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· 5th of 51
$1,950
AK $3,802TX $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.