How much rates vary
Facilitymedian $1,950 · 10th to 90th $741 to $8,913Professionalmedian $1,549 · 10th to 90th $741 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 $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | 54 · Surgery only | $562.34 | $562.34 | $562.34 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | 55 · Aftercare only | $112.20 | $112.20 | $112.20 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | 78 · Unplanned return to OR | $524.81 | $524.81 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $794.33 | Professional | None | $741.31 | $741.31 | $794.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $562.34 Typical High $575.44 | Professional | 54 · Surgery only | $562.34 | $562.34 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $112.20 Typical High $114.82 | Professional | 55 · Aftercare only | $112.20 | $112.20 | $114.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $524.81 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $524.81 | $524.81 | $537.03 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,168.69 Median $10,232.93 Typical High $22,387.21 | Facility | None | $4,168.69 | $10,232.93 | $22,387.21 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,202.26 Median $1,548.82 Typical High $2,454.71 | Professional | None | $1,202.26 | $1,548.82 | $2,454.71 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $954.99 Median $1,258.93 Typical High $1,949.84 | Professional | 54 · Surgery only | $954.99 | $1,258.93 | $1,949.84 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $239.88 Median $316.23 Typical High $489.78 | Professional | 55 · Aftercare only | $239.88 | $316.23 | $489.78 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,000.00 Median $1,318.26 Typical High $2,089.30 | Professional | 78 · Unplanned return to OR | $1,000.00 | $1,318.26 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $1,905.46 Typical High $3,630.78 | Facility | None | $1,230.27 | $1,905.46 | $3,630.78 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,995.26 Typical High $3,162.28 | Professional | None | $1,174.90 | $1,995.26 | $3,162.28 |
Health Partners Setting Facility Modifier None Typical Low $1,096.48 Median $1,778.28 Typical High $3,090.30 | Facility | None | $1,096.48 | $1,778.28 | $3,090.30 |
Health Partners Setting Professional Modifier None Typical Low $1,047.13 Median $1,819.70 Typical High $2,951.21 | Professional | None | $1,047.13 | $1,819.70 | $2,951.21 |
Medica Setting Facility Modifier None Typical Low $1,288.25 Median $2,187.76 Typical High $7,762.47 | Facility | None | $1,288.25 | $2,187.76 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $794.33 Median $1,412.54 Typical High $7,585.78 | Professional | None | $794.33 | $1,412.54 | $7,585.78 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $8,317.64 | Facility | None | $1,513.56 | $2,511.89 | $8,317.64 |
United Setting Professional Modifier None Typical Low $724.44 Median $1,258.93 Typical High $2,818.38 | Professional | None | $724.44 | $1,258.93 | $2,818.38 |
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 $371.54 Median $371.54 Typical High $371.54 | Facility | 52 · Reduced service | $371.54 | $371.54 | $371.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | 53 · Discontinued | $147.91 | $147.91 | $147.91 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $74.13 Median $74.13 Typical High $74.13 | Facility | 56 · Pre-op care only | $74.13 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $371.54 Median $371.54 Typical High $389.05 | Professional | 52 · Reduced service | $371.54 | $371.54 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $147.91 Typical High $154.88 | Professional | 53 · Discontinued | $147.91 | $147.91 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $74.13 Typical High $77.62 | Professional | 56 · Pre-op care only | $74.13 | $74.13 | $77.62 |
Where Minnesota sits
The same service costs 17.4 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· 5th of 51
$1,585
AK $3,020TX $174
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.