How much rates vary
Facilitymedian $1,445 · 10th to 90th $776 to $3,631Professionalmedian $1,738 · 10th to 90th $977 to $3,236
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 $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
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 $125.89 Median $125.89 Typical High $125.89 | Facility | 55 · Aftercare only | $125.89 | $125.89 | $125.89 |
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 $831.76 Median $831.76 Typical High $1,000.00 | Professional | None | $831.76 | $831.76 | $1,000.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $616.60 Typical High $741.31 | Professional | 54 · Surgery only | $616.60 | $616.60 | $741.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $125.89 Typical High $147.91 | Professional | 55 · Aftercare only | $125.89 | $125.89 | $147.91 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $575.44 Typical High $691.83 | Professional | 78 · Unplanned return to OR | $575.44 | $575.44 | $691.83 |
BCBS Minnesota Setting Facility Modifier None Typical Low $363.08 Median $870.96 Typical High $6,456.54 | Facility | None | $363.08 | $870.96 | $6,456.54 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,348.96 Median $1,737.80 Typical High $2,818.38 | Professional | None | $1,348.96 | $1,737.80 | $2,818.38 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,071.52 Median $1,380.38 Typical High $2,290.87 | Professional | 54 · Surgery only | $1,071.52 | $1,380.38 | $2,290.87 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $269.15 Median $346.74 Typical High $562.34 | Professional | 55 · Aftercare only | $269.15 | $346.74 | $562.34 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,122.02 Median $1,445.44 Typical High $2,398.83 | Professional | 78 · Unplanned return to OR | $1,122.02 | $1,445.44 | $2,398.83 |
Cigna Setting Facility Modifier None Typical Low $1,258.93 Median $1,949.84 Typical High $3,715.35 | Facility | None | $1,258.93 | $1,949.84 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $1,445.44 Median $2,238.72 Typical High $3,548.13 | Professional | None | $1,445.44 | $2,238.72 | $3,548.13 |
Health Partners Setting Facility Modifier None Typical Low $1,122.02 Median $1,819.70 Typical High $3,162.28 | Facility | None | $1,122.02 | $1,819.70 | $3,162.28 |
Health Partners Setting Professional Modifier None Typical Low $1,258.93 Median $2,041.74 Typical High $3,090.30 | Professional | None | $1,258.93 | $2,041.74 | $3,090.30 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,380.38 Typical High $3,019.95 | Facility | None | $758.58 | $1,380.38 | $3,019.95 |
Medica Setting Professional Modifier None Typical Low $933.25 Median $1,778.28 Typical High $5,888.44 | Professional | None | $933.25 | $1,778.28 | $5,888.44 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,513.56 Typical High $3,630.78 | Facility | None | $758.58 | $1,513.56 | $3,630.78 |
United Setting Professional Modifier None Typical Low $912.01 Median $1,621.81 Typical High $3,388.44 | Professional | None | $912.01 | $1,621.81 | $3,388.44 |
7 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 $416.87 Median $416.87 Typical High $416.87 | Facility | 52 · Reduced service | $416.87 | $416.87 | $416.87 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | 53 · Discontinued | $165.96 | $165.96 | $165.96 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | 56 · Pre-op care only | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $416.87 Median $416.87 Typical High $501.19 | Professional | 52 · Reduced service | $416.87 | $416.87 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $165.96 Typical High $199.53 | Professional | 53 · Discontinued | $165.96 | $165.96 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $83.18 Typical High $100.00 | Professional | 56 · Pre-op care only | $83.18 | $83.18 | $100.00 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $851.14 Median $1,071.52 Typical High $1,778.28 | Professional | 62 · Two surgeons | $851.14 | $1,071.52 | $1,778.28 |
Where Minnesota sits
The same service costs 6.2 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 $3,311TX $537
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.