How much rates vary
Facilitymedian $2,239 · 10th to 90th $1,047 to $5,888Professionalmedian $2,754 · 10th to 90th $1,622 to $5,012
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 $1,348.96 Median $1,348.96 Typical High $1,348.96 | Facility | None | $1,348.96 | $1,348.96 | $1,348.96 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | 54 · Surgery only | $1,023.29 | $1,023.29 | $1,023.29 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | 55 · Aftercare only | $204.17 | $204.17 | $204.17 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $954.99 Median $954.99 Typical High $954.99 | Facility | 78 · Unplanned return to OR | $954.99 | $954.99 | $954.99 |
Aetna Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,621.81 | Professional | None | $1,348.96 | $1,348.96 | $1,621.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,023.29 Median $1,023.29 Typical High $1,230.27 | Professional | 54 · Surgery only | $1,023.29 | $1,023.29 | $1,230.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $204.17 Typical High $245.47 | Professional | 55 · Aftercare only | $204.17 | $204.17 | $245.47 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $954.99 Median $954.99 Typical High $1,148.15 | Professional | 78 · Unplanned return to OR | $954.99 | $954.99 | $1,148.15 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,630.27 Median $5,495.41 Typical High $13,182.57 | Facility | None | $2,630.27 | $5,495.41 | $13,182.57 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,089.30 Median $2,754.23 Typical High $4,466.84 | Professional | None | $2,089.30 | $2,754.23 | $4,466.84 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,698.24 Median $2,187.76 Typical High $3,548.13 | Professional | 54 · Surgery only | $1,698.24 | $2,187.76 | $3,548.13 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $426.58 Median $549.54 Typical High $870.96 | Professional | 55 · Aftercare only | $426.58 | $549.54 | $870.96 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,778.28 Median $2,290.87 Typical High $3,715.35 | Professional | 78 · Unplanned return to OR | $1,778.28 | $2,290.87 | $3,715.35 |
Cigna Setting Facility Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $5,888.44 | Facility | None | $1,995.26 | $3,090.30 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $2,290.87 Median $3,388.44 Typical High $5,248.07 | Professional | None | $2,290.87 | $3,388.44 | $5,248.07 |
Health Partners Setting Facility Modifier None Typical Low $1,737.80 Median $2,818.38 Typical High $4,897.79 | Facility | None | $1,737.80 | $2,818.38 | $4,897.79 |
Health Partners Setting Professional Modifier None Typical Low $1,995.26 Median $2,951.21 Typical High $4,897.79 | Professional | None | $1,995.26 | $2,951.21 | $4,897.79 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $3,388.44 | Facility | None | $758.58 | $1,445.44 | $3,388.44 |
Medica Setting Professional Modifier None Typical Low $1,621.81 Median $2,570.40 Typical High $5,248.07 | Professional | None | $1,621.81 | $2,570.40 | $5,248.07 |
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 $1,479.11 Median $2,570.40 Typical High $5,370.32 | Professional | None | $1,479.11 | $2,570.40 | $5,370.32 |
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 $676.08 Median $676.08 Typical High $676.08 | Facility | 52 · Reduced service | $676.08 | $676.08 | $676.08 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | 53 · Discontinued | $275.42 | $275.42 | $275.42 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | 56 · Pre-op care only | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $676.08 Median $676.08 Typical High $812.83 | Professional | 52 · Reduced service | $676.08 | $676.08 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $275.42 Typical High $323.59 | Professional | 53 · Discontinued | $275.42 | $275.42 | $323.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $134.90 Median $134.90 Typical High $162.18 | Professional | 56 · Pre-op care only | $134.90 | $134.90 | $162.18 |
Where Minnesota sits
The same service costs 4.9 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
$2,692
AK $5,248TX $1,072
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.