How much rates vary
Facilitymedian $1,318 · 10th to 90th $525 to $4,169Professionalmedian $1,148 · 10th to 90th $550 to $2,089
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 $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | 54 · Surgery only | $389.05 | $389.05 | $389.05 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | 55 · Aftercare only | $77.62 | $77.62 | $77.62 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | 78 · Unplanned return to OR | $363.08 | $363.08 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $630.96 | Professional | None | $524.81 | $524.81 | $630.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $389.05 Typical High $467.74 | Professional | 54 · Surgery only | $389.05 | $389.05 | $467.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $77.62 Typical High $93.33 | Professional | 55 · Aftercare only | $77.62 | $77.62 | $93.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $363.08 Median $363.08 Typical High $436.52 | Professional | 78 · Unplanned return to OR | $363.08 | $363.08 | $436.52 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,995.26 Median $3,715.35 Typical High $6,456.54 | Facility | None | $1,995.26 | $3,715.35 | $6,456.54 |
BCBS Minnesota Setting Professional Modifier None Typical Low $891.25 Median $1,174.90 Typical High $1,819.70 | Professional | None | $891.25 | $1,174.90 | $1,819.70 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $933.25 Typical High $1,445.44 | Professional | 54 · Surgery only | $724.44 | $933.25 | $1,445.44 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $234.42 Typical High $363.08 | Professional | 55 · Aftercare only | $177.83 | $234.42 | $363.08 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $977.24 Typical High $1,513.56 | Professional | 78 · Unplanned return to OR | $758.58 | $977.24 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $1,380.38 Typical High $2,691.53 | Facility | None | $891.25 | $1,380.38 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $1,288.25 Typical High $2,187.76 | Professional | None | $812.83 | $1,288.25 | $2,187.76 |
Health Partners Setting Facility Modifier None Typical Low $794.33 Median $1,288.25 Typical High $2,238.72 | Facility | None | $794.33 | $1,288.25 | $2,238.72 |
Health Partners Setting Professional Modifier None Typical Low $912.01 Median $1,202.26 Typical High $1,995.26 | Professional | None | $912.01 | $1,202.26 | $1,995.26 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,258.93 Typical High $3,467.37 | Facility | None | $758.58 | $1,258.93 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $602.56 Median $1,258.93 Typical High $4,168.69 | Professional | None | $602.56 | $1,258.93 | $4,168.69 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,659.59 Typical High $4,265.80 | Facility | None | $776.25 | $1,659.59 | $4,265.80 |
United Setting Professional Modifier None Typical Low $588.84 Median $954.99 Typical High $2,041.74 | Professional | None | $588.84 | $954.99 | $2,041.74 |
7 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 $263.03 Median $263.03 Typical High $263.03 | Facility | 52 · Reduced service | $263.03 | $263.03 | $263.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | 53 · Discontinued | $104.71 | $104.71 | $104.71 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | 56 · Pre-op care only | $52.48 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $263.03 Median $263.03 Typical High $309.03 | Professional | 52 · Reduced service | $263.03 | $263.03 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $104.71 Typical High $125.89 | Professional | 53 · Discontinued | $104.71 | $104.71 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $52.48 Typical High $63.10 | Professional | 56 · Pre-op care only | $52.48 | $52.48 | $63.10 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $562.34 Median $724.44 Typical High $1,122.02 | Professional | 62 · Two surgeons | $562.34 | $724.44 | $1,122.02 |
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· 7th of 51
$1,148
AK $2,188TX $398
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.