How much rates vary
Facilitymedian $3,311 · 10th to 90th $1,202 to $9,120Professionalmedian $3,020 · 10th to 90th $1,585 to $5,370
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 $1,202.26 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,202.26 | $1,584.89 | $1,584.89 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $181.97 Median $239.88 Typical High $239.88 | Facility | 55 · Aftercare only | $181.97 | $239.88 | $239.88 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $1,122.02 Typical High $1,122.02 | Facility | 78 · Unplanned return to OR | $851.14 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,548.82 Typical High $1,584.89 | Professional | None | $1,202.26 | $1,548.82 | $1,584.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $234.42 Typical High $239.88 | Professional | 55 · Aftercare only | $181.97 | $234.42 | $239.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $1,096.48 Typical High $1,122.02 | Professional | 78 · Unplanned return to OR | $851.14 | $1,096.48 | $1,122.02 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,365.16 Median $8,317.64 Typical High $14,791.08 | Facility | None | $4,365.16 | $8,317.64 | $14,791.08 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,905.46 Median $3,019.95 Typical High $4,677.35 | Professional | None | $1,905.46 | $3,019.95 | $4,677.35 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,513.56 Median $2,398.83 Typical High $3,801.89 | Professional | 54 · Surgery only | $1,513.56 | $2,398.83 | $3,801.89 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $380.19 Median $602.56 Typical High $954.99 | Professional | 55 · Aftercare only | $380.19 | $602.56 | $954.99 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,584.89 Median $2,570.40 Typical High $3,981.07 | Professional | 78 · Unplanned return to OR | $1,584.89 | $2,570.40 | $3,981.07 |
Cigna Setting Facility Modifier None Typical Low $2,630.27 Median $4,073.80 Typical High $7,762.47 | Facility | None | $2,630.27 | $4,073.80 | $7,762.47 |
Cigna Setting Professional Modifier None Typical Low $1,995.26 Median $3,548.13 Typical High $5,888.44 | Professional | None | $1,995.26 | $3,548.13 | $5,888.44 |
Health Partners Setting Facility Modifier None Typical Low $2,344.23 Median $3,801.89 Typical High $6,606.93 | Facility | None | $2,344.23 | $3,801.89 | $6,606.93 |
Health Partners Setting Professional Modifier None Typical Low $1,949.84 Median $3,467.37 Typical High $5,370.32 | Professional | None | $1,949.84 | $3,467.37 | $5,370.32 |
Medica Setting Facility Modifier None Typical Low $2,089.30 Median $3,162.28 Typical High $6,918.31 | Facility | None | $2,089.30 | $3,162.28 | $6,918.31 |
Medica Setting Professional Modifier None Typical Low $1,819.70 Median $3,890.45 Typical High $11,748.98 | Professional | None | $1,819.70 | $3,890.45 | $11,748.98 |
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 $1,445.44 Median $2,754.23 Typical High $5,370.32 | Professional | None | $1,445.44 | $2,754.23 | $5,370.32 |
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 $602.56 Median $794.33 Typical High $794.33 | Facility | 52 · Reduced service | $602.56 | $794.33 | $794.33 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $239.88 Median $323.59 Typical High $323.59 | Facility | 53 · Discontinued | $239.88 | $323.59 | $323.59 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $120.23 Median $158.49 Typical High $158.49 | Facility | 56 · Pre-op care only | $120.23 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $602.56 Median $776.25 Typical High $794.33 | Professional | 52 · Reduced service | $602.56 | $776.25 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $316.23 Typical High $323.59 | Professional | 53 · Discontinued | $239.88 | $316.23 | $323.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $154.88 Typical High $158.49 | Professional | 56 · Pre-op care only | $120.23 | $154.88 | $158.49 |
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
$3,020
AK $4,786TX $933
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.