How much rates vary
Facilitymedian $3,162 · 10th to 90th $1,175 to $8,913Professionalmedian $2,884 · 10th to 90th $1,514 to $5,129
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 $1,174.90 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,174.90 | $1,513.56 | $1,513.56 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $177.83 Median $223.87 Typical High $223.87 | Facility | 55 · Aftercare only | $177.83 | $223.87 | $223.87 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $1,047.13 Typical High $1,047.13 | Facility | 78 · Unplanned return to OR | $831.76 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,479.11 Typical High $1,513.56 | Professional | None | $1,174.90 | $1,479.11 | $1,513.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $223.87 Typical High $223.87 | Professional | 55 · Aftercare only | $177.83 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $1,023.29 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $831.76 | $1,023.29 | $1,047.13 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,365.16 Median $8,128.31 Typical High $14,791.08 | Facility | None | $4,365.16 | $8,128.31 | $14,791.08 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,862.09 Median $2,951.21 Typical High $4,466.84 | Professional | None | $1,862.09 | $2,951.21 | $4,466.84 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,479.11 Median $2,344.23 Typical High $3,548.13 | Professional | 54 · Surgery only | $1,479.11 | $2,344.23 | $3,548.13 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $371.54 Median $588.84 Typical High $891.25 | Professional | 55 · Aftercare only | $371.54 | $588.84 | $891.25 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,548.82 Median $2,454.71 Typical High $3,715.35 | Professional | 78 · Unplanned return to OR | $1,548.82 | $2,454.71 | $3,715.35 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $3,801.89 Typical High $7,244.36 | Facility | None | $2,454.71 | $3,801.89 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $1,862.09 Median $3,388.44 Typical High $5,495.41 | Professional | None | $1,862.09 | $3,388.44 | $5,495.41 |
Health Partners Setting Facility Modifier None Typical Low $2,187.76 Median $3,630.78 Typical High $6,165.95 | Facility | None | $2,187.76 | $3,630.78 | $6,165.95 |
Health Partners Setting Professional Modifier None Typical Low $1,862.09 Median $3,311.31 Typical High $5,011.87 | Professional | None | $1,862.09 | $3,311.31 | $5,011.87 |
Medica Setting Facility Modifier None Typical Low $2,041.74 Median $3,162.28 Typical High $6,918.31 | Facility | None | $2,041.74 | $3,162.28 | $6,918.31 |
Medica Setting Professional Modifier None Typical Low $1,737.80 Median $3,630.78 Typical High $10,964.78 | Professional | None | $1,737.80 | $3,630.78 | $10,964.78 |
United Setting Facility Modifier None Typical Low $2,818.38 Median $4,265.80 Typical High $9,772.37 | Facility | None | $2,818.38 | $4,265.80 | $9,772.37 |
United Setting Professional Modifier None Typical Low $1,412.54 Median $2,691.53 Typical High $5,128.61 | Professional | None | $1,412.54 | $2,691.53 | $5,128.61 |
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 $588.84 Median $741.31 Typical High $741.31 | Facility | 52 · Reduced service | $588.84 | $741.31 | $741.31 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $234.42 Median $302.00 Typical High $302.00 | Facility | 53 · Discontinued | $234.42 | $302.00 | $302.00 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $117.49 Median $151.36 Typical High $151.36 | Facility | 56 · Pre-op care only | $117.49 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $588.84 Median $741.31 Typical High $741.31 | Professional | 52 · Reduced service | $588.84 | $741.31 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $295.12 Typical High $302.00 | Professional | 53 · Discontinued | $234.42 | $295.12 | $302.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $147.91 Typical High $151.36 | Professional | 56 · Pre-op care only | $117.49 | $147.91 | $151.36 |
Where Minnesota sits
The same service costs 5.1 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· 3rd of 51
$2,951
AK $4,677TX $912
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.