How much rates vary
Facilitymedian $2,692 · 10th to 90th $1,259 to $6,607Professionalmedian $2,884 · 10th to 90th $1,413 to $5,248
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 $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | 54 · Surgery only | $1,047.13 | $1,047.13 | $1,047.13 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | 55 · Aftercare only | $213.80 | $213.80 | $213.80 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $977.24 Median $977.24 Typical High $977.24 | Facility | 78 · Unplanned return to OR | $977.24 | $977.24 | $977.24 |
Aetna Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,479.11 | Professional | None | $1,412.54 | $1,412.54 | $1,479.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,047.13 Median $1,047.13 Typical High $1,071.52 | Professional | 54 · Surgery only | $1,047.13 | $1,047.13 | $1,071.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | 55 · Aftercare only | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $977.24 Median $977.24 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $977.24 | $977.24 | $1,000.00 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,137.96 Median $5,754.40 Typical High $12,022.64 | Facility | None | $2,137.96 | $5,754.40 | $12,022.64 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,290.87 Median $2,951.21 Typical High $4,677.35 | Professional | None | $2,290.87 | $2,951.21 | $4,677.35 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,819.70 Median $2,344.23 Typical High $3,715.35 | Professional | 54 · Surgery only | $1,819.70 | $2,344.23 | $3,715.35 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $457.09 Median $588.84 Typical High $912.01 | Professional | 55 · Aftercare only | $457.09 | $588.84 | $912.01 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,905.46 Median $2,454.71 Typical High $3,890.45 | Professional | 78 · Unplanned return to OR | $1,905.46 | $2,454.71 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $2,290.87 Median $3,630.78 Typical High $6,918.31 | Facility | None | $2,290.87 | $3,630.78 | $6,918.31 |
Cigna Setting Professional Modifier None Typical Low $2,187.76 Median $3,715.35 Typical High $5,888.44 | Professional | None | $2,187.76 | $3,715.35 | $5,888.44 |
Health Partners Setting Facility Modifier None Typical Low $2,041.74 Median $3,311.31 Typical High $5,754.40 | Facility | None | $2,041.74 | $3,311.31 | $5,754.40 |
Health Partners Setting Professional Modifier None Typical Low $1,949.84 Median $3,467.37 Typical High $5,623.41 | Professional | None | $1,949.84 | $3,467.37 | $5,623.41 |
Medica Setting Facility Modifier None Typical Low $794.33 Median $1,819.70 Typical High $3,981.07 | Facility | None | $794.33 | $1,819.70 | $3,981.07 |
Medica Setting Professional Modifier None Typical Low $1,479.11 Median $2,691.53 Typical High $10,471.29 | Professional | None | $1,479.11 | $2,691.53 | $10,471.29 |
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 $1,380.38 Median $2,398.83 Typical High $5,128.61 | Professional | None | $1,380.38 | $2,398.83 | $5,128.61 |
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 $707.95 Median $707.95 Typical High $707.95 | Facility | 52 · Reduced service | $707.95 | $707.95 | $707.95 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | 53 · Discontinued | $281.84 | $281.84 | $281.84 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | 56 · Pre-op care only | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $707.95 Median $707.95 Typical High $724.44 | Professional | 52 · Reduced service | $707.95 | $707.95 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $281.84 Typical High $288.40 | Professional | 53 · Discontinued | $281.84 | $281.84 | $288.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $141.25 Typical High $144.54 | Professional | 56 · Pre-op care only | $141.25 | $141.25 | $144.54 |
Where Minnesota sits
The same service costs 17.0 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· 4th of 51
$2,818
AK $5,888TX $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.