How much rates vary
Facilitymedian $1,549 · 10th to 90th $646 to $4,266Professionalmedian $1,514 · 10th to 90th $813 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 $645.65 Median $812.83 Typical High $812.83 | Facility | None | $645.65 | $812.83 | $812.83 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $478.63 Median $616.60 Typical High $616.60 | Facility | 54 · Surgery only | $478.63 | $616.60 | $616.60 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $95.50 Median $123.03 Typical High $123.03 | Facility | 55 · Aftercare only | $95.50 | $123.03 | $123.03 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $575.44 Typical High $575.44 | Facility | 78 · Unplanned return to OR | $446.68 | $575.44 | $575.44 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $794.33 Typical High $812.83 | Professional | None | $645.65 | $794.33 | $812.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $588.84 Typical High $616.60 | Professional | 54 · Surgery only | $478.63 | $588.84 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $117.49 Typical High $123.03 | Professional | 55 · Aftercare only | $95.50 | $117.49 | $123.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $549.54 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $446.68 | $549.54 | $575.44 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,995.26 Median $3,801.89 Typical High $6,760.83 | Facility | None | $1,995.26 | $3,801.89 | $6,760.83 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,023.29 Median $1,548.82 Typical High $2,398.83 | Professional | None | $1,023.29 | $1,548.82 | $2,398.83 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $812.83 Median $1,258.93 Typical High $1,949.84 | Professional | 54 · Surgery only | $812.83 | $1,258.93 | $1,949.84 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $316.23 Typical High $478.63 | Professional | 55 · Aftercare only | $204.17 | $316.23 | $478.63 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $1,318.26 Typical High $2,041.74 | Professional | 78 · Unplanned return to OR | $851.14 | $1,318.26 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $1,348.96 Median $2,089.30 Typical High $3,981.07 | Facility | None | $1,348.96 | $2,089.30 | $3,981.07 |
Cigna Setting Professional Modifier None Typical Low $1,000.00 Median $1,862.09 Typical High $3,090.30 | Professional | None | $1,000.00 | $1,862.09 | $3,090.30 |
Health Partners Setting Facility Modifier None Typical Low $1,174.90 Median $1,949.84 Typical High $3,311.31 | Facility | None | $1,174.90 | $1,949.84 | $3,311.31 |
Health Partners Setting Professional Modifier None Typical Low $1,000.00 Median $1,778.28 Typical High $2,754.23 | Professional | None | $1,000.00 | $1,778.28 | $2,754.23 |
Medica Setting Facility Modifier None Typical Low $831.76 Median $1,380.38 Typical High $3,467.37 | Facility | None | $831.76 | $1,380.38 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $891.25 Median $1,778.28 Typical High $6,760.83 | Professional | None | $891.25 | $1,778.28 | $6,760.83 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,659.59 Typical High $4,265.80 | Facility | None | $776.25 | $1,659.59 | $4,265.80 |
United Setting Professional Modifier None Typical Low $707.95 Median $1,318.26 Typical High $2,630.27 | Professional | None | $707.95 | $1,318.26 | $2,630.27 |
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 $323.59 Median $407.38 Typical High $407.38 | Facility | 52 · Reduced service | $323.59 | $407.38 | $407.38 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $128.82 Median $162.18 Typical High $162.18 | Facility | 53 · Discontinued | $128.82 | $162.18 | $162.18 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $64.57 Median $81.28 Typical High $81.28 | Facility | 56 · Pre-op care only | $64.57 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $323.59 Median $398.11 Typical High $407.38 | Professional | 52 · Reduced service | $323.59 | $398.11 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $158.49 Typical High $162.18 | Professional | 53 · Discontinued | $128.82 | $158.49 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $79.43 Typical High $81.28 | Professional | 56 · Pre-op care only | $64.57 | $79.43 | $81.28 |
Where Minnesota sits
The same service costs 5.6 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· 4th of 51
$1,514
AK $2,630TX $468
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.