How much rates vary
Facilitymedian $3,631 · 10th to 90th $1,445 to $11,749Professionalmedian $2,884 · 10th to 90th $1,445 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 $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | None | $1,445.44 | $1,445.44 | $1,445.44 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | 54 · Surgery only | $1,071.52 | $1,071.52 | $1,071.52 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | 55 · Aftercare only | $213.80 | $213.80 | $213.80 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | 78 · Unplanned return to OR | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | None | $1,445.44 | $1,445.44 | $1,445.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,071.52 Median $1,071.52 Typical High $1,096.48 | Professional | 54 · Surgery only | $1,071.52 | $1,071.52 | $1,096.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $213.80 Typical High $218.78 | Professional | 55 · Aftercare only | $213.80 | $213.80 | $218.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,000.00 Median $1,000.00 Typical High $1,023.29 | Professional | 78 · Unplanned return to OR | $1,000.00 | $1,000.00 | $1,023.29 |
BCBS Minnesota Setting Facility Modifier None Typical Low $7,762.47 Median $11,748.98 Typical High $22,387.21 | Facility | None | $7,762.47 | $11,748.98 | $22,387.21 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,187.76 Median $2,884.03 Typical High $4,570.88 | Professional | None | $2,187.76 | $2,884.03 | $4,570.88 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,737.80 Median $2,290.87 Typical High $3,715.35 | Professional | 54 · Surgery only | $1,737.80 | $2,290.87 | $3,715.35 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $436.52 Median $575.44 Typical High $912.01 | Professional | 55 · Aftercare only | $436.52 | $575.44 | $912.01 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,819.70 Median $2,398.83 Typical High $3,890.45 | Professional | 78 · Unplanned return to OR | $1,819.70 | $2,398.83 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $2,344.23 Median $3,630.78 Typical High $6,918.31 | Facility | None | $2,344.23 | $3,630.78 | $6,918.31 |
Cigna Setting Professional Modifier None Typical Low $2,238.72 Median $3,801.89 Typical High $6,025.60 | Professional | None | $2,238.72 | $3,801.89 | $6,025.60 |
Health Partners Setting Facility Modifier None Typical Low $2,089.30 Median $3,388.44 Typical High $5,888.44 | Facility | None | $2,089.30 | $3,388.44 | $5,888.44 |
Health Partners Setting Professional Modifier None Typical Low $1,995.26 Median $3,548.13 Typical High $5,623.41 | Professional | None | $1,995.26 | $3,548.13 | $5,623.41 |
Medica Setting Facility Modifier None Typical Low $1,949.84 Median $3,630.78 Typical High $7,943.28 | Facility | None | $1,949.84 | $3,630.78 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $1,584.89 Median $2,884.03 Typical High $16,982.44 | Professional | None | $1,584.89 | $2,884.03 | $16,982.44 |
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 $1,445.44 Median $2,630.27 Typical High $5,248.07 | Professional | None | $1,445.44 | $2,630.27 | $5,248.07 |
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 $707.95 Median $707.95 Typical High $707.95 | Facility | 52 · Reduced service | $707.95 | $707.95 | $707.95 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $288.40 Median $288.40 Typical High $288.40 | Facility | 53 · Discontinued | $288.40 | $288.40 | $288.40 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | 56 · Pre-op care only | $144.54 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $707.95 Median $707.95 Typical High $724.44 | Professional | 52 · Reduced service | $707.95 | $707.95 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | 53 · Discontinued | $288.40 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | 56 · Pre-op care only | $144.54 | $144.54 | $144.54 |
Where Minnesota sits
The same service costs 19.5 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
$2,951
AK $5,754TX $295
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.