How much rates vary
Facilitymedian $3,388 · 10th to 90th $1,288 to $11,220Professionalmedian $3,090 · 10th to 90th $1,622 to $5,495
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 $1,288.25 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,288.25 | $1,621.81 | $1,621.81 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $194.98 Median $239.88 Typical High $239.88 | Facility | 55 · Aftercare only | $194.98 | $239.88 | $239.88 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $912.01 Median $1,122.02 Typical High $1,122.02 | Facility | 78 · Unplanned return to OR | $912.01 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,288.25 | $1,621.81 | $1,621.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $239.88 Typical High $239.88 | Professional | 55 · Aftercare only | $194.98 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $912.01 Median $1,122.02 Typical High $1,122.02 | Professional | 78 · Unplanned return to OR | $912.01 | $1,122.02 | $1,122.02 |
BCBS Minnesota Setting Facility Modifier None Typical Low $7,762.47 Median $12,022.64 Typical High $22,387.21 | Facility | None | $7,762.47 | $12,022.64 | $22,387.21 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,041.74 Median $3,162.28 Typical High $4,786.30 | Professional | None | $2,041.74 | $3,162.28 | $4,786.30 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,621.81 Median $2,570.40 Typical High $3,890.45 | Professional | 54 · Surgery only | $1,621.81 | $2,570.40 | $3,890.45 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $407.38 Median $630.96 Typical High $954.99 | Professional | 55 · Aftercare only | $407.38 | $630.96 | $954.99 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,698.24 Median $2,691.53 Typical High $4,073.80 | Professional | 78 · Unplanned return to OR | $1,698.24 | $2,691.53 | $4,073.80 |
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 $3,715.35 Typical High $6,025.60 | Professional | None | $1,995.26 | $3,715.35 | $6,025.60 |
Health Partners Setting Facility Modifier None Typical Low $2,344.23 Median $3,890.45 Typical High $6,606.93 | Facility | None | $2,344.23 | $3,890.45 | $6,606.93 |
Health Partners Setting Professional Modifier None Typical Low $1,995.26 Median $3,548.13 Typical High $5,370.32 | Professional | None | $1,995.26 | $3,548.13 | $5,370.32 |
Medica Setting Facility Modifier None Typical Low $2,187.76 Median $3,235.94 Typical High $6,918.31 | Facility | None | $2,187.76 | $3,235.94 | $6,918.31 |
Medica Setting Professional Modifier None Typical Low $1,905.46 Median $3,981.07 Typical High $11,748.98 | Professional | None | $1,905.46 | $3,981.07 | $11,748.98 |
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 $1,548.82 Median $2,884.03 Typical High $5,623.41 | Professional | None | $1,548.82 | $2,884.03 | $5,623.41 |
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 $645.65 Median $812.83 Typical High $812.83 | Facility | 52 · Reduced service | $645.65 | $812.83 | $812.83 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $257.04 Median $323.59 Typical High $323.59 | Facility | 53 · Discontinued | $257.04 | $323.59 | $323.59 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $128.82 Median $162.18 Typical High $162.18 | Facility | 56 · Pre-op care only | $128.82 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $645.65 Median $794.33 Typical High $812.83 | Professional | 52 · Reduced service | $645.65 | $794.33 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $323.59 Typical High $323.59 | Professional | 53 · Discontinued | $257.04 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $162.18 Typical High $162.18 | Professional | 56 · Pre-op care only | $128.82 | $162.18 | $162.18 |
Where Minnesota sits
The same service costs 5.5 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
$3,162
AK $5,129TX $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.