How much rates vary
Facilitymedian $1,862 · 10th to 90th $871 to $6,761Professionalmedian $1,778 · 10th to 90th $871 to $3,236
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 $870.96 Median $870.96 Typical High $870.96 | Facility | None | $870.96 | $870.96 | $870.96 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | 54 · Surgery only | $645.65 | $645.65 | $645.65 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | 55 · Aftercare only | $128.82 | $128.82 | $128.82 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | 78 · Unplanned return to OR | $602.56 | $602.56 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $891.25 | Professional | None | $870.96 | $870.96 | $891.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $645.65 Typical High $660.69 | Professional | 54 · Surgery only | $645.65 | $645.65 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $128.82 Typical High $131.83 | Professional | 55 · Aftercare only | $128.82 | $128.82 | $131.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $602.56 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $602.56 | $602.56 | $616.60 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,265.80 Median $6,918.31 Typical High $12,302.69 | Facility | None | $4,265.80 | $6,918.31 | $12,302.69 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,380.38 Median $1,819.70 Typical High $2,818.38 | Professional | None | $1,380.38 | $1,819.70 | $2,818.38 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,096.48 Median $1,445.44 Typical High $2,290.87 | Professional | 54 · Surgery only | $1,096.48 | $1,445.44 | $2,290.87 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $275.42 Median $363.08 Typical High $575.44 | Professional | 55 · Aftercare only | $275.42 | $363.08 | $575.44 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,174.90 Median $1,513.56 Typical High $2,398.83 | Professional | 78 · Unplanned return to OR | $1,174.90 | $1,513.56 | $2,398.83 |
Cigna Setting Facility Modifier None Typical Low $1,412.54 Median $2,187.76 Typical High $4,168.69 | Facility | None | $1,412.54 | $2,187.76 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $1,348.96 Median $2,290.87 Typical High $3,630.78 | Professional | None | $1,348.96 | $2,290.87 | $3,630.78 |
Health Partners Setting Facility Modifier None Typical Low $1,258.93 Median $2,041.74 Typical High $3,548.13 | Facility | None | $1,258.93 | $2,041.74 | $3,548.13 |
Health Partners Setting Professional Modifier None Typical Low $1,202.26 Median $2,137.96 Typical High $3,388.44 | Professional | None | $1,202.26 | $2,137.96 | $3,388.44 |
Medica Setting Facility Modifier None Typical Low $794.33 Median $1,513.56 Typical High $3,467.37 | Facility | None | $794.33 | $1,513.56 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $912.01 Median $1,698.24 Typical High $6,760.83 | Professional | None | $912.01 | $1,698.24 | $6,760.83 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,659.59 Typical High $4,897.79 | Facility | None | $776.25 | $1,659.59 | $4,897.79 |
United Setting Professional Modifier None Typical Low $870.96 Median $1,513.56 Typical High $3,090.30 | Professional | None | $870.96 | $1,513.56 | $3,090.30 |
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 $426.58 Median $426.58 Typical High $426.58 | Facility | 52 · Reduced service | $426.58 | $426.58 | $426.58 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | 53 · Discontinued | $173.78 | $173.78 | $173.78 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | 56 · Pre-op care only | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $426.58 Median $426.58 Typical High $436.52 | Professional | 52 · Reduced service | $426.58 | $426.58 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | 53 · Discontinued | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | 56 · Pre-op care only | $87.10 | $87.10 | $87.10 |
Where Minnesota sits
The same service costs 7.1 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· 5th of 51
$1,778
AK $3,548TX $501
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.