How much rates vary
Facilitymedian $2,818 · 10th to 90th $912 to $8,710Professionalmedian $1,862 · 10th to 90th $912 to $3,631
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 $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $676.08 Median $676.08 Typical High $676.08 | Facility | 54 · Surgery only | $676.08 | $676.08 | $676.08 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | 55 · Aftercare only | $134.90 | $134.90 | $134.90 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | 78 · Unplanned return to OR | $630.96 | $630.96 | $630.96 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,148.15 | Professional | None | $912.01 | $912.01 | $1,148.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $676.08 Typical High $794.33 | Professional | 54 · Surgery only | $676.08 | $676.08 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $134.90 Typical High $158.49 | Professional | 55 · Aftercare only | $134.90 | $134.90 | $158.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $630.96 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $630.96 | $630.96 | $741.31 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,265.80 Median $7,585.78 Typical High $12,589.25 | Facility | None | $4,265.80 | $7,585.78 | $12,589.25 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,412.54 Median $1,862.09 Typical High $3,019.95 | Professional | None | $1,412.54 | $1,862.09 | $3,019.95 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,122.02 Median $1,479.11 Typical High $2,454.71 | Professional | 54 · Surgery only | $1,122.02 | $1,479.11 | $2,454.71 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $295.12 Median $371.54 Typical High $602.56 | Professional | 55 · Aftercare only | $295.12 | $371.54 | $602.56 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,174.90 Median $1,548.82 Typical High $2,570.40 | Professional | 78 · Unplanned return to OR | $1,174.90 | $1,548.82 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $2,398.83 Typical High $4,677.35 | Facility | None | $1,548.82 | $2,398.83 | $4,677.35 |
Cigna Setting Professional Modifier None Typical Low $1,412.54 Median $2,238.72 Typical High $3,801.89 | Professional | None | $1,412.54 | $2,238.72 | $3,801.89 |
Health Partners Setting Facility Modifier None Typical Low $1,380.38 Median $2,238.72 Typical High $3,890.45 | Facility | None | $1,380.38 | $2,238.72 | $3,890.45 |
Health Partners Setting Professional Modifier None Typical Low $1,584.89 Median $2,089.30 Typical High $3,467.37 | Professional | None | $1,584.89 | $2,089.30 | $3,467.37 |
Medica Setting Facility Modifier None Typical Low $1,513.56 Median $3,467.37 Typical High $7,943.28 | Facility | None | $1,513.56 | $3,467.37 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $1,047.13 Median $2,238.72 Typical High $9,120.11 | Professional | None | $1,047.13 | $2,238.72 | $9,120.11 |
United Setting Facility Modifier None Typical Low $2,818.38 Median $4,265.80 Typical High $9,772.37 | Facility | None | $2,818.38 | $4,265.80 | $9,772.37 |
United Setting Professional Modifier None Typical Low $1,000.00 Median $1,621.81 Typical High $3,548.13 | Professional | None | $1,000.00 | $1,621.81 | $3,548.13 |
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 $457.09 Median $457.09 Typical High $457.09 | Facility | 52 · Reduced service | $457.09 | $457.09 | $457.09 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | 53 · Discontinued | $181.97 | $181.97 | $181.97 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | 56 · Pre-op care only | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $457.09 Median $457.09 Typical High $524.81 | Professional | 52 · Reduced service | $457.09 | $457.09 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $181.97 Typical High $213.80 | Professional | 53 · Discontinued | $181.97 | $181.97 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $91.20 Typical High $107.15 | Professional | 56 · Pre-op care only | $91.20 | $91.20 | $107.15 |
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· 7th of 51
$1,950
AK $3,802TX $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.