How much rates vary
Facilitymedian $1,820 · 10th to 90th $813 to $6,457Professionalmedian $1,698 · 10th to 90th $813 to $3,020
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 $812.83 Median $812.83 Typical High $812.83 | Facility | None | $812.83 | $812.83 | $812.83 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $616.60 Median $616.60 Typical High $616.60 | Facility | 54 · Surgery only | $616.60 | $616.60 | $616.60 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | 55 · Aftercare only | $123.03 | $123.03 | $123.03 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $575.44 Typical High $575.44 | Facility | 78 · Unplanned return to OR | $575.44 | $575.44 | $575.44 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $831.76 | Professional | None | $812.83 | $812.83 | $831.76 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | 54 · Surgery only | $616.60 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | 55 · Aftercare only | $123.03 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $575.44 | $575.44 | $575.44 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,981.07 Median $6,309.57 Typical High $12,302.69 | Facility | None | $3,981.07 | $6,309.57 | $12,302.69 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,348.96 Median $1,698.24 Typical High $2,691.53 | Professional | None | $1,348.96 | $1,698.24 | $2,691.53 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,071.52 Median $1,380.38 Typical High $2,137.96 | Professional | 54 · Surgery only | $1,071.52 | $1,380.38 | $2,137.96 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $269.15 Median $338.84 Typical High $537.03 | Professional | 55 · Aftercare only | $269.15 | $338.84 | $537.03 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,122.02 Median $1,445.44 Typical High $2,238.72 | Professional | 78 · Unplanned return to OR | $1,122.02 | $1,445.44 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $1,348.96 Median $2,089.30 Typical High $3,981.07 | Facility | None | $1,348.96 | $2,089.30 | $3,981.07 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $2,187.76 Typical High $3,467.37 | Professional | None | $1,288.25 | $2,187.76 | $3,467.37 |
Health Partners Setting Facility Modifier None Typical Low $1,202.26 Median $1,949.84 Typical High $3,388.44 | Facility | None | $1,202.26 | $1,949.84 | $3,388.44 |
Health Partners Setting Professional Modifier None Typical Low $1,148.15 Median $2,041.74 Typical High $3,235.94 | Professional | None | $1,148.15 | $2,041.74 | $3,235.94 |
Medica Setting Facility Modifier None Typical Low $794.33 Median $1,445.44 Typical High $3,981.07 | Facility | None | $794.33 | $1,445.44 | $3,981.07 |
Medica Setting Professional Modifier None Typical Low $812.83 Median $1,548.82 Typical High $6,025.60 | Professional | None | $812.83 | $1,548.82 | $6,025.60 |
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 $794.33 Median $1,380.38 Typical High $2,818.38 | Professional | None | $794.33 | $1,380.38 | $2,818.38 |
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 $407.38 Median $407.38 Typical High $407.38 | Facility | 52 · Reduced service | $407.38 | $407.38 | $407.38 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | 53 · Discontinued | $162.18 | $162.18 | $162.18 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | 56 · Pre-op care only | $81.28 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | 52 · Reduced service | $407.38 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $162.18 Typical High $165.96 | Professional | 53 · Discontinued | $162.18 | $162.18 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 56 · Pre-op care only | $81.28 | $81.28 | $81.28 |
Where Minnesota sits
The same service costs 8.3 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
$1,698
AK $3,388TX $407
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.