How much rates vary
Facilitymedian $3,162 · 10th to 90th $1,122 to $11,220Professionalmedian $2,291 · 10th to 90th $1,288 to $4,677
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 $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | None | $1,122.02 | $1,122.02 | $1,122.02 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | 54 · Surgery only | $831.76 | $831.76 | $831.76 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | 55 · Aftercare only | $165.96 | $165.96 | $165.96 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $776.25 Median $776.25 Typical High $776.25 | Facility | 78 · Unplanned return to OR | $776.25 | $776.25 | $776.25 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,288.25 | Professional | None | $1,122.02 | $1,122.02 | $1,288.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $831.76 Median $831.76 Typical High $977.24 | Professional | 54 · Surgery only | $831.76 | $831.76 | $977.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $165.96 Typical High $194.98 | Professional | 55 · Aftercare only | $165.96 | $165.96 | $194.98 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $776.25 Median $776.25 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $776.25 | $776.25 | $912.01 |
BCBS Minnesota Setting Facility Modifier None Typical Low $6,456.54 Median $11,220.18 Typical High $22,387.21 | Facility | None | $6,456.54 | $11,220.18 | $22,387.21 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,819.70 Median $2,290.87 Typical High $3,981.07 | Professional | None | $1,819.70 | $2,290.87 | $3,981.07 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,445.44 Median $1,819.70 Typical High $3,235.94 | Professional | 54 · Surgery only | $1,445.44 | $1,819.70 | $3,235.94 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $363.08 Median $457.09 Typical High $776.25 | Professional | 55 · Aftercare only | $363.08 | $457.09 | $776.25 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,513.56 Median $1,949.84 Typical High $3,388.44 | Professional | 78 · Unplanned return to OR | $1,513.56 | $1,949.84 | $3,388.44 |
Cigna Setting Facility Modifier None Typical Low $1,905.46 Median $3,019.95 Typical High $5,754.40 | Facility | None | $1,905.46 | $3,019.95 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $1,949.84 Median $2,754.23 Typical High $5,011.87 | Professional | None | $1,949.84 | $2,754.23 | $5,011.87 |
Health Partners Setting Facility Modifier None Typical Low $1,698.24 Median $2,754.23 Typical High $4,786.30 | Facility | None | $1,698.24 | $2,754.23 | $4,786.30 |
Health Partners Setting Professional Modifier None Typical Low $1,949.84 Median $2,754.23 Typical High $4,677.35 | Professional | None | $1,949.84 | $2,754.23 | $4,677.35 |
Medica Setting Facility Modifier None Typical Low $1,862.09 Median $3,630.78 Typical High $10,471.29 | Facility | None | $1,862.09 | $3,630.78 | $10,471.29 |
Medica Setting Professional Modifier None Typical Low $1,445.44 Median $2,238.72 Typical High $8,709.64 | Professional | None | $1,445.44 | $2,238.72 | $8,709.64 |
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 $1,348.96 Median $2,089.30 Typical High $4,365.16 | Professional | None | $1,348.96 | $2,089.30 | $4,365.16 |
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 $562.34 Median $562.34 Typical High $562.34 | Facility | 52 · Reduced service | $562.34 | $562.34 | $562.34 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | 53 · Discontinued | $223.87 | $223.87 | $223.87 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | 56 · Pre-op care only | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $562.34 Median $562.34 Typical High $645.65 | Professional | 52 · Reduced service | $562.34 | $562.34 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $223.87 Typical High $263.03 | Professional | 53 · Discontinued | $223.87 | $223.87 | $263.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $112.20 Typical High $128.82 | Professional | 56 · Pre-op care only | $112.20 | $112.20 | $128.82 |
Where Minnesota sits
The same service costs 5.5 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· 9th of 51
$2,455
AK $4,786TX $871
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.