How much rates vary
Facilitymedian $3,236 · 10th to 90th $1,122 to $10,965Professionalmedian $3,090 · 10th to 90th $1,514 to $5,623
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 $1,445.44 Typical High $1,445.44 | Facility | None | $1,122.02 | $1,445.44 | $1,445.44 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $831.76 Median $1,071.52 Typical High $1,071.52 | Facility | 54 · Surgery only | $831.76 | $1,071.52 | $1,071.52 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $165.96 Median $213.80 Typical High $213.80 | Facility | 55 · Aftercare only | $165.96 | $213.80 | $213.80 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $776.25 Median $1,000.00 Typical High $1,000.00 | Facility | 78 · Unplanned return to OR | $776.25 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,445.44 Typical High $1,584.89 | Professional | None | $1,122.02 | $1,445.44 | $1,584.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $831.76 Median $1,071.52 Typical High $1,122.02 | Professional | 54 · Surgery only | $831.76 | $1,071.52 | $1,122.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $213.80 Typical High $229.09 | Professional | 55 · Aftercare only | $165.96 | $213.80 | $229.09 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $776.25 Median $1,000.00 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $776.25 | $1,000.00 | $1,047.13 |
BCBS Minnesota Setting Facility Modifier None Typical Low $6,025.60 Median $11,220.18 Typical High $22,387.21 | Facility | None | $6,025.60 | $11,220.18 | $22,387.21 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,905.46 Median $3,090.30 Typical High $4,786.30 | Professional | None | $1,905.46 | $3,090.30 | $4,786.30 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,513.56 Median $2,454.71 Typical High $3,890.45 | Professional | 54 · Surgery only | $1,513.56 | $2,454.71 | $3,890.45 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $380.19 Median $616.60 Typical High $954.99 | Professional | 55 · Aftercare only | $380.19 | $616.60 | $954.99 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,621.81 Median $2,630.27 Typical High $4,073.80 | Professional | 78 · Unplanned return to OR | $1,621.81 | $2,630.27 | $4,073.80 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $3,801.89 Typical High $7,413.10 | Facility | None | $2,454.71 | $3,801.89 | $7,413.10 |
Cigna Setting Professional Modifier None Typical Low $2,454.71 Median $3,981.07 Typical High $6,456.54 | Professional | None | $2,454.71 | $3,981.07 | $6,456.54 |
Health Partners Setting Facility Modifier None Typical Low $2,187.76 Median $3,630.78 Typical High $6,165.95 | Facility | None | $2,187.76 | $3,630.78 | $6,165.95 |
Health Partners Setting Professional Modifier None Typical Low $2,187.76 Median $3,548.13 Typical High $6,025.60 | Professional | None | $2,187.76 | $3,548.13 | $6,025.60 |
Medica Setting Facility Modifier None Typical Low $1,819.70 Median $3,235.94 Typical High $7,943.28 | Facility | None | $1,819.70 | $3,235.94 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $1,698.24 Median $3,890.45 Typical High $10,715.19 | Professional | None | $1,698.24 | $3,890.45 | $10,715.19 |
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 $2,570.40 Typical High $5,370.32 | Professional | None | $1,412.54 | $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 $549.54 Median $724.44 Typical High $724.44 | Facility | 52 · Reduced service | $549.54 | $724.44 | $724.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $223.87 Median $288.40 Typical High $288.40 | Facility | 53 · Discontinued | $223.87 | $288.40 | $288.40 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $112.20 Median $144.54 Typical High $144.54 | Facility | 56 · Pre-op care only | $112.20 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $549.54 Median $724.44 Typical High $758.58 | Professional | 52 · Reduced service | $549.54 | $724.44 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $288.40 Typical High $302.00 | Professional | 53 · Discontinued | $223.87 | $288.40 | $302.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $144.54 Typical High $151.36 | Professional | 56 · Pre-op care only | $112.20 | $144.54 | $151.36 |
Where Minnesota sits
The same service costs 5.2 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
$3,090
AK $6,026TX $1,148
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.