How much rates vary
Facilitymedian $2,138 · 10th to 90th $676 to $9,120Professionalmedian $1,622 · 10th to 90th $813 to $2,818
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 $676.08 Median $812.83 Typical High $812.83 | Facility | None | $676.08 | $812.83 | $812.83 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $512.86 Median $616.60 Typical High $616.60 | Facility | 54 · Surgery only | $512.86 | $616.60 | $616.60 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $102.33 Median $123.03 Typical High $123.03 | Facility | 55 · Aftercare only | $102.33 | $123.03 | $123.03 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $575.44 Typical High $575.44 | Facility | 78 · Unplanned return to OR | $478.63 | $575.44 | $575.44 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $812.83 Typical High $851.14 | Professional | None | $676.08 | $812.83 | $851.14 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $602.56 Typical High $616.60 | Professional | 54 · Surgery only | $512.86 | $602.56 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $120.23 Typical High $123.03 | Professional | 55 · Aftercare only | $102.33 | $120.23 | $123.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $562.34 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $478.63 | $562.34 | $575.44 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,981.07 Median $10,232.93 Typical High $22,387.21 | Facility | None | $3,981.07 | $10,232.93 | $22,387.21 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,071.52 Median $1,659.59 Typical High $2,511.89 | Professional | None | $1,071.52 | $1,659.59 | $2,511.89 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $851.14 Median $1,318.26 Typical High $1,949.84 | Professional | 54 · Surgery only | $851.14 | $1,318.26 | $1,949.84 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $331.13 Typical High $489.78 | Professional | 55 · Aftercare only | $223.87 | $331.13 | $489.78 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $891.25 Median $1,380.38 Typical High $2,089.30 | Professional | 78 · Unplanned return to OR | $891.25 | $1,380.38 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $1,348.96 Median $2,089.30 Typical High $3,981.07 | Facility | None | $1,348.96 | $2,089.30 | $3,981.07 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,949.84 Typical High $3,090.30 | Professional | None | $1,071.52 | $1,949.84 | $3,090.30 |
Health Partners Setting Facility Modifier None Typical Low $1,202.26 Median $1,949.84 Typical High $3,388.44 | Facility | None | $1,202.26 | $1,949.84 | $3,388.44 |
Health Partners Setting Professional Modifier None Typical Low $1,000.00 Median $1,819.70 Typical High $2,818.38 | Professional | None | $1,000.00 | $1,819.70 | $2,818.38 |
Medica Setting Facility Modifier None Typical Low $1,122.02 Median $2,884.03 Typical High $7,943.28 | Facility | None | $1,122.02 | $2,884.03 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $933.25 Median $1,905.46 Typical High $5,888.44 | Professional | None | $933.25 | $1,905.46 | $5,888.44 |
United Setting Facility Modifier None Typical Low $2,818.38 Median $4,265.80 Typical High $11,220.18 | Facility | None | $2,818.38 | $4,265.80 | $11,220.18 |
United Setting Professional Modifier None Typical Low $776.25 Median $1,445.44 Typical High $2,884.03 | Professional | None | $776.25 | $1,445.44 | $2,884.03 |
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 $338.84 Median $407.38 Typical High $407.38 | Facility | 52 · Reduced service | $338.84 | $407.38 | $407.38 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $134.90 Median $162.18 Typical High $162.18 | Facility | 53 · Discontinued | $134.90 | $162.18 | $162.18 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $67.61 Median $81.28 Typical High $81.28 | Facility | 56 · Pre-op care only | $67.61 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $338.84 Median $398.11 Typical High $407.38 | Professional | 52 · Reduced service | $338.84 | $398.11 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $158.49 Typical High $162.18 | Professional | 53 · Discontinued | $134.90 | $158.49 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $79.43 Typical High $81.28 | Professional | 56 · Pre-op care only | $67.61 | $79.43 | $81.28 |
Where Minnesota sits
The same service costs 5.8 times more in Alaska than in Utah. 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
$1,622
AK $3,236UT $562
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.