How much rates vary
Facilitymedian $1,950 · 10th to 90th $741 to $8,710Professionalmedian $1,514 · 10th to 90th $741 to $2,754
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 $549.54 Median $549.54 Typical High $549.54 | Facility | 54 · Surgery only | $549.54 | $549.54 | $549.54 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | 55 · Aftercare only | $109.65 | $109.65 | $109.65 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | 78 · Unplanned return to OR | $512.86 | $512.86 | $512.86 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $776.25 | Professional | None | $741.31 | $741.31 | $776.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $549.54 Typical High $562.34 | Professional | 54 · Surgery only | $549.54 | $549.54 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $109.65 Typical High $112.20 | Professional | 55 · Aftercare only | $109.65 | $109.65 | $112.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $512.86 Typical High $524.81 | Professional | 78 · Unplanned return to OR | $512.86 | $512.86 | $524.81 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,981.07 Median $10,232.93 Typical High $22,387.21 | Facility | None | $3,981.07 | $10,232.93 | $22,387.21 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,148.15 Median $1,513.56 Typical High $2,454.71 | Professional | None | $1,148.15 | $1,513.56 | $2,454.71 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $1,202.26 Typical High $1,949.84 | Professional | 54 · Surgery only | $912.01 | $1,202.26 | $1,949.84 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $229.09 Median $302.00 Typical High $489.78 | Professional | 55 · Aftercare only | $229.09 | $302.00 | $489.78 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $954.99 Median $1,288.25 Typical High $2,089.30 | Professional | 78 · Unplanned return to OR | $954.99 | $1,288.25 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $1,202.26 Median $1,862.09 Typical High $3,548.13 | Facility | None | $1,202.26 | $1,862.09 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,949.84 Typical High $3,090.30 | Professional | None | $1,148.15 | $1,949.84 | $3,090.30 |
Health Partners Setting Facility Modifier None Typical Low $1,071.52 Median $1,737.80 Typical High $3,019.95 | Facility | None | $1,071.52 | $1,737.80 | $3,019.95 |
Health Partners Setting Professional Modifier None Typical Low $1,023.29 Median $1,819.70 Typical High $2,884.03 | Professional | None | $1,023.29 | $1,819.70 | $2,884.03 |
Medica Setting Facility Modifier None Typical Low $1,288.25 Median $2,187.76 Typical High $6,760.83 | Facility | None | $1,288.25 | $2,187.76 | $6,760.83 |
Medica Setting Professional Modifier None Typical Low $794.33 Median $1,479.11 Typical High $6,309.57 | Professional | None | $794.33 | $1,479.11 | $6,309.57 |
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 $758.58 Median $1,318.26 Typical High $2,691.53 | Professional | None | $758.58 | $1,318.26 | $2,691.53 |
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 $371.54 | Professional | 52 · Reduced service | $371.54 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $147.91 Typical High $151.36 | Professional | 53 · Discontinued | $147.91 | $147.91 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | 56 · Pre-op care only | $74.13 | $74.13 | $74.13 |
Where Minnesota sits
The same service costs 8.5 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· 6th of 51
$1,549
AK $3,020TX $355
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.