How much rates vary
Facilitymedian $1,549 · 10th to 90th $501 to $8,511Professionalmedian $1,047 · 10th to 90th $501 to $1,905
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 $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | 54 · Surgery only | $380.19 | $380.19 | $380.19 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | 55 · Aftercare only | $75.86 | $75.86 | $75.86 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | 78 · Unplanned return to OR | $354.81 | $354.81 | $354.81 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $512.86 | Professional | None | $501.19 | $501.19 | $512.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $380.19 Median $380.19 Typical High $389.05 | Professional | 54 · Surgery only | $380.19 | $380.19 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $75.86 Typical High $77.62 | Professional | 55 · Aftercare only | $75.86 | $75.86 | $77.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $354.81 Median $354.81 Typical High $363.08 | Professional | 78 · Unplanned return to OR | $354.81 | $354.81 | $363.08 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,951.21 Median $9,772.37 Typical High $22,387.21 | Facility | None | $2,951.21 | $9,772.37 | $22,387.21 |
BCBS Minnesota Setting Professional Modifier None Typical Low $758.58 Median $1,023.29 Typical High $1,659.59 | Professional | None | $758.58 | $1,023.29 | $1,659.59 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $812.83 Typical High $1,288.25 | Professional | 54 · Surgery only | $616.60 | $812.83 | $1,288.25 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $204.17 Typical High $323.59 | Professional | 55 · Aftercare only | $154.88 | $204.17 | $323.59 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $851.14 Typical High $1,380.38 | Professional | 78 · Unplanned return to OR | $645.65 | $851.14 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $1,288.25 Typical High $2,454.71 | Facility | None | $831.76 | $1,288.25 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $1,348.96 Typical High $2,137.96 | Professional | None | $794.33 | $1,348.96 | $2,137.96 |
Health Partners Setting Facility Modifier None Typical Low $741.31 Median $1,174.90 Typical High $2,089.30 | Facility | None | $741.31 | $1,174.90 | $2,089.30 |
Health Partners Setting Professional Modifier None Typical Low $707.95 Median $1,230.27 Typical High $1,995.26 | Professional | None | $707.95 | $1,230.27 | $1,995.26 |
Medica Setting Facility Modifier None Typical Low $891.25 Median $2,137.96 Typical High $6,760.83 | Facility | None | $891.25 | $2,137.96 | $6,760.83 |
Medica Setting Professional Modifier None Typical Low $575.44 Median $1,096.48 Typical High $5,888.44 | Professional | None | $575.44 | $1,096.48 | $5,888.44 |
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 $512.86 Median $1,023.29 Typical High $1,862.09 | Professional | None | $512.86 | $1,023.29 | $1,862.09 |
7 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 $251.19 Median $251.19 Typical High $251.19 | Facility | 52 · Reduced service | $251.19 | $251.19 | $251.19 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | 53 · Discontinued | $100.00 | $100.00 | $100.00 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | 56 · Pre-op care only | $50.12 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $251.19 Median $251.19 Typical High $257.04 | Professional | 52 · Reduced service | $251.19 | $251.19 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $100.00 Typical High $102.33 | Professional | 53 · Discontinued | $100.00 | $100.00 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $50.12 Typical High $51.29 | Professional | 56 · Pre-op care only | $50.12 | $50.12 | $51.29 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $478.63 Median $630.96 Typical High $1,023.29 | Professional | 62 · Two surgeons | $478.63 | $630.96 | $1,023.29 |
Where Minnesota sits
The same service costs 18.2 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· 7th of 51
$1,072
AK $1,995TX $110
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.