How much rates vary
Facilitymedian $3,548 · 10th to 90th $1,445 to $11,220Professionalmedian $2,951 · 10th to 90th $1,514 to $5,495
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 $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | None | $1,445.44 | $1,445.44 | $1,445.44 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | 54 · Surgery only | $1,096.48 | $1,096.48 | $1,096.48 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | 55 · Aftercare only | $218.78 | $218.78 | $218.78 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | 78 · Unplanned return to OR | $1,023.29 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,698.24 | Professional | None | $1,445.44 | $1,445.44 | $1,698.24 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,096.48 Median $1,096.48 Typical High $1,288.25 | Professional | 54 · Surgery only | $1,096.48 | $1,096.48 | $1,288.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $218.78 Median $218.78 Typical High $257.04 | Professional | 55 · Aftercare only | $218.78 | $218.78 | $257.04 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,023.29 Median $1,023.29 Typical High $1,202.26 | Professional | 78 · Unplanned return to OR | $1,023.29 | $1,023.29 | $1,202.26 |
BCBS Minnesota Setting Facility Modifier None Typical Low $6,309.57 Median $11,481.54 Typical High $22,387.21 | Facility | None | $6,309.57 | $11,481.54 | $22,387.21 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,187.76 Median $2,818.38 Typical High $4,677.35 | Professional | None | $2,187.76 | $2,818.38 | $4,677.35 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,737.80 Median $2,290.87 Typical High $3,715.35 | Professional | 54 · Surgery only | $1,737.80 | $2,290.87 | $3,715.35 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $436.52 Median $562.34 Typical High $933.25 | Professional | 55 · Aftercare only | $436.52 | $562.34 | $933.25 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,862.09 Median $2,398.83 Typical High $3,890.45 | Professional | 78 · Unplanned return to OR | $1,862.09 | $2,398.83 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $2,187.76 Median $3,388.44 Typical High $6,606.93 | Facility | None | $2,187.76 | $3,388.44 | $6,606.93 |
Cigna Setting Professional Modifier None Typical Low $2,511.89 Median $3,981.07 Typical High $6,165.95 | Professional | None | $2,511.89 | $3,981.07 | $6,165.95 |
Health Partners Setting Facility Modifier None Typical Low $1,949.84 Median $3,162.28 Typical High $5,495.41 | Facility | None | $1,949.84 | $3,162.28 | $5,495.41 |
Health Partners Setting Professional Modifier None Typical Low $2,238.72 Median $3,548.13 Typical High $5,495.41 | Professional | None | $2,238.72 | $3,548.13 | $5,495.41 |
Medica Setting Facility Modifier None Typical Low $2,344.23 Median $3,801.89 Typical High $9,772.37 | Facility | None | $2,344.23 | $3,801.89 | $9,772.37 |
Medica Setting Professional Modifier None Typical Low $1,479.11 Median $2,884.03 Typical High $10,000.00 | Professional | None | $1,479.11 | $2,884.03 | $10,000.00 |
United Setting Facility Modifier None Typical Low $2,818.38 Median $4,265.80 Typical High $11,220.18 | Facility | None | $2,818.38 | $4,265.80 | $11,220.18 |
United Setting Professional Modifier None Typical Low $1,412.54 Median $2,754.23 Typical High $5,495.41 | Professional | None | $1,412.54 | $2,754.23 | $5,495.41 |
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 $724.44 Median $724.44 Typical High $724.44 | Facility | 52 · Reduced service | $724.44 | $724.44 | $724.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $288.40 Median $288.40 Typical High $288.40 | Facility | 53 · Discontinued | $288.40 | $288.40 | $288.40 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | 56 · Pre-op care only | $144.54 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $724.44 Median $724.44 Typical High $851.14 | Professional | 52 · Reduced service | $724.44 | $724.44 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $288.40 Typical High $338.84 | Professional | 53 · Discontinued | $288.40 | $288.40 | $338.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $144.54 Median $144.54 Typical High $169.82 | Professional | 56 · Pre-op care only | $144.54 | $144.54 | $169.82 |
Where Minnesota sits
The same service costs 5.9 times more in Alaska than in Utah. 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
$2,951
AK $5,495UT $933
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.