How much rates vary
Facilitymedian $1,514 · 10th to 90th $631 to $4,786Professionalmedian $1,318 · 10th to 90th $631 to $2,344
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 $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | 54 · Surgery only | $478.63 | $478.63 | $478.63 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | 55 · Aftercare only | $95.50 | $95.50 | $95.50 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | 78 · Unplanned return to OR | $446.68 | $446.68 | $446.68 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $645.65 | Professional | None | $630.96 | $630.96 | $645.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | 54 · Surgery only | $478.63 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 55 · Aftercare only | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | 78 · Unplanned return to OR | $446.68 | $446.68 | $446.68 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,137.96 Median $4,677.35 Typical High $11,220.18 | Facility | None | $2,137.96 | $4,677.35 | $11,220.18 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,023.29 Median $1,318.26 Typical High $2,089.30 | Professional | None | $1,023.29 | $1,318.26 | $2,089.30 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $812.83 Median $1,047.13 Typical High $1,659.59 | Professional | 54 · Surgery only | $812.83 | $1,047.13 | $1,659.59 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $263.03 Typical High $416.87 | Professional | 55 · Aftercare only | $204.17 | $263.03 | $416.87 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $1,122.02 Typical High $1,778.28 | Professional | 78 · Unplanned return to OR | $851.14 | $1,122.02 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $1,047.13 Median $1,621.81 Typical High $3,090.30 | Facility | None | $1,047.13 | $1,621.81 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $1,000.00 Median $1,698.24 Typical High $2,691.53 | Professional | None | $1,000.00 | $1,698.24 | $2,691.53 |
Health Partners Setting Facility Modifier None Typical Low $933.25 Median $1,479.11 Typical High $2,570.40 | Facility | None | $933.25 | $1,479.11 | $2,570.40 |
Health Partners Setting Professional Modifier None Typical Low $891.25 Median $1,548.82 Typical High $2,511.89 | Professional | None | $891.25 | $1,548.82 | $2,511.89 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,258.93 Typical High $3,890.45 | Facility | None | $758.58 | $1,258.93 | $3,890.45 |
Medica Setting Professional Modifier None Typical Low $645.65 Median $1,230.27 Typical High $4,897.79 | Professional | None | $645.65 | $1,230.27 | $4,897.79 |
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 $588.84 Median $1,122.02 Typical High $2,290.87 | Professional | None | $588.84 | $1,122.02 | $2,290.87 |
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 $316.23 Median $316.23 Typical High $316.23 | Facility | 52 · Reduced service | $316.23 | $316.23 | $316.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | 53 · Discontinued | $125.89 | $125.89 | $125.89 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | 56 · Pre-op care only | $63.10 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $316.23 Median $316.23 Typical High $323.59 | Professional | 52 · Reduced service | $316.23 | $316.23 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $125.89 Typical High $128.82 | Professional | 53 · Discontinued | $125.89 | $125.89 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $63.10 Typical High $64.57 | Professional | 56 · Pre-op care only | $63.10 | $63.10 | $64.57 |
Where Minnesota sits
The same service costs 7.4 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· 6th of 51
$1,318
AK $2,570TX $347
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.