How much rates vary
Facilitymedian $1,445 · 10th to 90th $603 to $3,981Professionalmedian $1,413 · 10th to 90th $724 to $2,455
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 $602.56 Median $724.44 Typical High $724.44 | Facility | None | $602.56 | $724.44 | $724.44 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $457.09 Median $549.54 Typical High $549.54 | Facility | 54 · Surgery only | $457.09 | $549.54 | $549.54 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $91.20 Median $109.65 Typical High $109.65 | Facility | 55 · Aftercare only | $91.20 | $109.65 | $109.65 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $512.86 Typical High $512.86 | Facility | 78 · Unplanned return to OR | $426.58 | $512.86 | $512.86 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $707.95 Typical High $724.44 | Professional | None | $602.56 | $707.95 | $724.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $524.81 Typical High $549.54 | Professional | 54 · Surgery only | $457.09 | $524.81 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $104.71 Typical High $109.65 | Professional | 55 · Aftercare only | $91.20 | $104.71 | $109.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $489.78 Typical High $512.86 | Professional | 78 · Unplanned return to OR | $426.58 | $489.78 | $512.86 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,995.26 Median $3,715.35 Typical High $6,606.93 | Facility | None | $1,995.26 | $3,715.35 | $6,606.93 |
BCBS Minnesota Setting Professional Modifier None Typical Low $977.24 Median $1,412.54 Typical High $2,137.96 | Professional | None | $977.24 | $1,412.54 | $2,137.96 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $1,122.02 Typical High $1,698.24 | Professional | 54 · Surgery only | $776.25 | $1,122.02 | $1,698.24 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $281.84 Typical High $426.58 | Professional | 55 · Aftercare only | $199.53 | $281.84 | $426.58 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $1,174.90 Typical High $1,778.28 | Professional | 78 · Unplanned return to OR | $812.83 | $1,174.90 | $1,778.28 |
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 $954.99 Median $1,778.28 Typical High $2,818.38 | Professional | None | $954.99 | $1,778.28 | $2,818.38 |
Health Partners Setting Facility Modifier None Typical Low $1,071.52 Median $1,778.28 Typical High $3,019.95 | Facility | None | $1,071.52 | $1,778.28 | $3,019.95 |
Health Partners Setting Professional Modifier None Typical Low $912.01 Median $1,621.81 Typical High $2,511.89 | Professional | None | $912.01 | $1,621.81 | $2,511.89 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,288.25 Typical High $3,467.37 | Facility | None | $758.58 | $1,288.25 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $758.58 Median $1,621.81 Typical High $5,248.07 | Professional | None | $758.58 | $1,621.81 | $5,248.07 |
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 $630.96 Median $1,202.26 Typical High $2,398.83 | Professional | None | $630.96 | $1,202.26 | $2,398.83 |
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 $302.00 Median $363.08 Typical High $363.08 | Facility | 52 · Reduced service | $302.00 | $363.08 | $363.08 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $120.23 Median $147.91 Typical High $147.91 | Facility | 53 · Discontinued | $120.23 | $147.91 | $147.91 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $60.26 Median $72.44 Typical High $72.44 | Facility | 56 · Pre-op care only | $60.26 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $302.00 Median $354.81 Typical High $363.08 | Professional | 52 · Reduced service | $302.00 | $354.81 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $141.25 Typical High $147.91 | Professional | 53 · Discontinued | $120.23 | $141.25 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $70.79 Typical High $72.44 | Professional | 56 · Pre-op care only | $60.26 | $70.79 | $72.44 |
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· 3rd of 51
$1,413
AK $2,399TX $427
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.