How much rates vary
Facilitymedian $2,042 · 10th to 90th $794 to $7,079Professionalmedian $1,622 · 10th to 90th $813 to $2,818
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 $794.33 Median $794.33 Typical High $794.33 | Facility | None | $794.33 | $794.33 | $794.33 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | 54 · Surgery only | $588.84 | $588.84 | $588.84 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $117.49 Median $117.49 Typical High $117.49 | Facility | 55 · Aftercare only | $117.49 | $117.49 | $117.49 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | 78 · Unplanned return to OR | $549.54 | $549.54 | $549.54 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $933.25 | Professional | None | $794.33 | $794.33 | $933.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $588.84 Median $588.84 Typical High $691.83 | Professional | 54 · Surgery only | $588.84 | $588.84 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $117.49 Typical High $138.04 | Professional | 55 · Aftercare only | $117.49 | $117.49 | $138.04 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $549.54 Median $549.54 Typical High $645.65 | Professional | 78 · Unplanned return to OR | $549.54 | $549.54 | $645.65 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,168.69 Median $6,760.83 Typical High $13,489.63 | Facility | None | $4,168.69 | $6,760.83 | $13,489.63 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,288.25 Median $1,621.81 Typical High $2,570.40 | Professional | None | $1,288.25 | $1,621.81 | $2,570.40 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,023.29 Median $1,288.25 Typical High $2,089.30 | Professional | 54 · Surgery only | $1,023.29 | $1,288.25 | $2,089.30 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $257.04 Median $323.59 Typical High $501.19 | Professional | 55 · Aftercare only | $257.04 | $323.59 | $501.19 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,096.48 Median $1,348.96 Typical High $2,187.76 | Professional | 78 · Unplanned return to OR | $1,096.48 | $1,348.96 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $1,148.15 Median $1,778.28 Typical High $3,388.44 | Facility | None | $1,148.15 | $1,778.28 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $1,949.84 Typical High $3,090.30 | Professional | None | $1,318.26 | $1,949.84 | $3,090.30 |
Health Partners Setting Facility Modifier None Typical Low $1,023.29 Median $1,621.81 Typical High $2,818.38 | Facility | None | $1,023.29 | $1,621.81 | $2,818.38 |
Health Partners Setting Professional Modifier None Typical Low $1,148.15 Median $1,737.80 Typical High $2,818.38 | Professional | None | $1,148.15 | $1,737.80 | $2,818.38 |
Medica Setting Facility Modifier None Typical Low $1,071.52 Median $2,754.23 Typical High $6,606.93 | Facility | None | $1,071.52 | $2,754.23 | $6,606.93 |
Medica Setting Professional Modifier None Typical Low $645.65 Median $1,412.54 Typical High $2,818.38 | Professional | None | $645.65 | $1,412.54 | $2,818.38 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $8,128.31 | Facility | None | $1,995.26 | $3,090.30 | $8,128.31 |
United Setting Professional Modifier None Typical Low $707.95 Median $1,412.54 Typical High $2,951.21 | Professional | None | $707.95 | $1,412.54 | $2,951.21 |
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 $389.05 Median $389.05 Typical High $389.05 | Facility | 52 · Reduced service | $389.05 | $389.05 | $389.05 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | 53 · Discontinued | $158.49 | $158.49 | $158.49 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | 56 · Pre-op care only | $79.43 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $389.05 Median $389.05 Typical High $467.74 | Professional | 52 · Reduced service | $389.05 | $389.05 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $158.49 Typical High $186.21 | Professional | 53 · Discontinued | $158.49 | $158.49 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $79.43 Typical High $93.33 | Professional | 56 · Pre-op care only | $79.43 | $79.43 | $93.33 |
Where Minnesota sits
The same service costs 6.8 times more in Oklahoma than in Kentucky. 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· 8th of 51
$1,738
OK $4,169KY $617
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.