How much rates vary
Facilitymedian $2,188 · 10th to 90th $1,047 to $7,586Professionalmedian $2,188 · 10th to 90th $1,047 to $3,890
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 $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | None | $1,047.13 | $1,047.13 | $1,047.13 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $794.33 Median $794.33 Typical High $794.33 | Facility | 54 · Surgery only | $794.33 | $794.33 | $794.33 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | 55 · Aftercare only | $158.49 | $158.49 | $158.49 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $741.31 Typical High $741.31 | Facility | 78 · Unplanned return to OR | $741.31 | $741.31 | $741.31 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,096.48 | Professional | None | $1,047.13 | $1,047.13 | $1,096.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $794.33 Median $794.33 Typical High $812.83 | Professional | 54 · Surgery only | $794.33 | $794.33 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $158.49 Typical High $162.18 | Professional | 55 · Aftercare only | $158.49 | $158.49 | $162.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $741.31 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $741.31 | $741.31 | $758.58 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,265.80 Median $6,760.83 Typical High $13,182.57 | Facility | None | $4,265.80 | $6,760.83 | $13,182.57 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,659.59 Median $2,187.76 Typical High $3,467.37 | Professional | None | $1,659.59 | $2,187.76 | $3,467.37 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,348.96 Median $1,778.28 Typical High $2,818.38 | Professional | 54 · Surgery only | $1,348.96 | $1,778.28 | $2,818.38 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $338.84 Median $436.52 Typical High $691.83 | Professional | 55 · Aftercare only | $338.84 | $436.52 | $691.83 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,412.54 Median $1,862.09 Typical High $2,884.03 | Professional | 78 · Unplanned return to OR | $1,412.54 | $1,862.09 | $2,884.03 |
Cigna Setting Facility Modifier None Typical Low $1,737.80 Median $2,691.53 Typical High $5,128.61 | Facility | None | $1,737.80 | $2,691.53 | $5,128.61 |
Cigna Setting Professional Modifier None Typical Low $1,659.59 Median $2,818.38 Typical High $4,365.16 | Professional | None | $1,659.59 | $2,818.38 | $4,365.16 |
Health Partners Setting Facility Modifier None Typical Low $1,548.82 Median $2,454.71 Typical High $4,265.80 | Facility | None | $1,548.82 | $2,454.71 | $4,265.80 |
Health Partners Setting Professional Modifier None Typical Low $1,479.11 Median $2,570.40 Typical High $4,168.69 | Professional | None | $1,479.11 | $2,570.40 | $4,168.69 |
Medica Setting Facility Modifier None Typical Low $776.25 Median $1,584.89 Typical High $3,981.07 | Facility | None | $776.25 | $1,584.89 | $3,981.07 |
Medica Setting Professional Modifier None Typical Low $1,071.52 Median $2,137.96 Typical High $7,943.28 | Professional | None | $1,071.52 | $2,137.96 | $7,943.28 |
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 $977.24 Median $1,905.46 Typical High $3,890.45 | Professional | None | $977.24 | $1,905.46 | $3,890.45 |
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 $524.81 Median $524.81 Typical High $524.81 | Facility | 52 · Reduced service | $524.81 | $524.81 | $524.81 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | 53 · Discontinued | $208.93 | $208.93 | $208.93 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | 56 · Pre-op care only | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $524.81 Median $524.81 Typical High $537.03 | Professional | 52 · Reduced service | $524.81 | $524.81 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $208.93 Typical High $218.78 | Professional | 53 · Discontinued | $208.93 | $208.93 | $218.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $104.71 Typical High $107.15 | Professional | 56 · Pre-op care only | $104.71 | $104.71 | $107.15 |
Where Minnesota sits
The same service costs 7.8 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
$2,188
AK $4,365TX $562
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.