How much rates vary
Facilitymedian $3,090 · 10th to 90th $1,047 to $8,710Professionalmedian $2,630 · 10th to 90th $1,413 to $4,677
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 $1,047.13 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,047.13 | $1,412.54 | $1,412.54 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $154.88 Median $208.93 Typical High $208.93 | Facility | 55 · Aftercare only | $154.88 | $208.93 | $208.93 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $977.24 Typical High $977.24 | Facility | 78 · Unplanned return to OR | $724.44 | $977.24 | $977.24 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,380.38 Typical High $1,412.54 | Professional | None | $1,047.13 | $1,380.38 | $1,412.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $204.17 Typical High $208.93 | Professional | 55 · Aftercare only | $154.88 | $204.17 | $208.93 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $954.99 Typical High $977.24 | Professional | 78 · Unplanned return to OR | $724.44 | $954.99 | $977.24 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,365.16 Median $7,762.47 Typical High $13,489.63 | Facility | None | $4,365.16 | $7,762.47 | $13,489.63 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,659.59 Median $2,630.27 Typical High $4,168.69 | Professional | None | $1,659.59 | $2,630.27 | $4,168.69 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,318.26 Median $2,089.30 Typical High $3,311.31 | Professional | 54 · Surgery only | $1,318.26 | $2,089.30 | $3,311.31 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $331.13 Median $524.81 Typical High $812.83 | Professional | 55 · Aftercare only | $331.13 | $524.81 | $812.83 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,380.38 Median $2,187.76 Typical High $3,467.37 | Professional | 78 · Unplanned return to OR | $1,380.38 | $2,187.76 | $3,467.37 |
Cigna Setting Facility Modifier None Typical Low $2,290.87 Median $3,548.13 Typical High $6,918.31 | Facility | None | $2,290.87 | $3,548.13 | $6,918.31 |
Cigna Setting Professional Modifier None Typical Low $1,737.80 Median $3,090.30 Typical High $5,248.07 | Professional | None | $1,737.80 | $3,090.30 | $5,248.07 |
Health Partners Setting Facility Modifier None Typical Low $2,041.74 Median $3,388.44 Typical High $5,754.40 | Facility | None | $2,041.74 | $3,388.44 | $5,754.40 |
Health Partners Setting Professional Modifier None Typical Low $1,737.80 Median $3,019.95 Typical High $4,677.35 | Professional | None | $1,737.80 | $3,019.95 | $4,677.35 |
Medica Setting Facility Modifier None Typical Low $1,819.70 Median $3,019.95 Typical High $6,918.31 | Facility | None | $1,819.70 | $3,019.95 | $6,918.31 |
Medica Setting Professional Modifier None Typical Low $1,621.81 Median $3,388.44 Typical High $10,232.93 | Professional | None | $1,621.81 | $3,388.44 | $10,232.93 |
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 $1,258.93 Median $2,398.83 Typical High $4,570.88 | Professional | None | $1,258.93 | $2,398.83 | $4,570.88 |
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 $524.81 Median $707.95 Typical High $707.95 | Facility | 52 · Reduced service | $524.81 | $707.95 | $707.95 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $208.93 Median $281.84 Typical High $281.84 | Facility | 53 · Discontinued | $208.93 | $281.84 | $281.84 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $104.71 Median $141.25 Typical High $141.25 | Facility | 56 · Pre-op care only | $104.71 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $524.81 Median $691.83 Typical High $707.95 | Professional | 52 · Reduced service | $524.81 | $691.83 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $275.42 Typical High $281.84 | Professional | 53 · Discontinued | $208.93 | $275.42 | $281.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $138.04 Typical High $141.25 | Professional | 56 · Pre-op care only | $104.71 | $138.04 | $141.25 |
Where Minnesota sits
The same service costs 5.0 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
$2,692
AK $4,169TX $832
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.