How much rates vary
Facilitymedian $3,311 · 10th to 90th $1,023 to $8,511Professionalmedian $4,365 · 10th to 90th $1,820 to $9,772
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 $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $3,235.94 | Professional | None | $1,819.70 | $1,819.70 | $3,235.94 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,230.27 Median $2,187.76 Typical High $3,630.78 | Facility | None | $1,230.27 | $2,187.76 | $3,630.78 |
Cigna Setting Facility Modifier None Typical Low $3,981.07 Median $6,165.95 Typical High $11,748.98 | Facility | None | $3,981.07 | $6,165.95 | $11,748.98 |
Cigna Setting Professional Modifier None Typical Low $3,801.89 Median $5,623.41 Typical High $9,772.37 | Professional | None | $3,801.89 | $5,623.41 | $9,772.37 |
Health Partners Setting Facility Modifier None Typical Low $3,467.37 Median $5,623.41 Typical High $9,772.37 | Facility | None | $3,467.37 | $5,623.41 | $9,772.37 |
Health Partners Setting Professional Modifier None Typical Low $3,981.07 Median $5,248.07 Typical High $8,709.64 | Professional | None | $3,981.07 | $5,248.07 | $8,709.64 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $4,570.88 | Facility | None | $758.58 | $1,445.44 | $4,570.88 |
Medica Setting Professional Modifier None Typical Low $2,187.76 Median $4,365.16 Typical High $15,135.61 | Professional | None | $2,187.76 | $4,365.16 | $15,135.61 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,513.56 Typical High $3,630.78 | Facility | None | $758.58 | $1,513.56 | $3,630.78 |
United Setting Professional Modifier None Typical Low $2,089.30 Median $3,630.78 Typical High $7,585.78 | Professional | None | $2,089.30 | $3,630.78 | $7,585.78 |
12 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 $912.01 Median $912.01 Typical High $912.01 | Facility | 52 · Reduced service | $912.01 | $912.01 | $912.01 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | 53 · Discontinued | $363.08 | $363.08 | $363.08 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | 54 · Surgery only | $1,380.38 | $1,380.38 | $1,380.38 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | 55 · Aftercare only | $275.42 | $275.42 | $275.42 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | 56 · Pre-op care only | $181.97 | $181.97 | $181.97 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | 78 · Unplanned return to OR | $1,288.25 | $1,288.25 | $1,288.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $912.01 Median $912.01 Typical High $1,621.81 | Professional | 52 · Reduced service | $912.01 | $912.01 | $1,621.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $363.08 Median $363.08 Typical High $645.65 | Professional | 53 · Discontinued | $363.08 | $363.08 | $645.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,380.38 Median $1,380.38 Typical High $2,398.83 | Professional | 54 · Surgery only | $1,380.38 | $1,380.38 | $2,398.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $275.42 Median $275.42 Typical High $478.63 | Professional | 55 · Aftercare only | $275.42 | $275.42 | $478.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $181.97 Median $181.97 Typical High $323.59 | Professional | 56 · Pre-op care only | $181.97 | $181.97 | $323.59 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,288.25 Median $1,288.25 Typical High $2,238.72 | Professional | 78 · Unplanned return to OR | $1,288.25 | $1,288.25 | $2,238.72 |
Where Minnesota sits
The same service costs 9.8 times more in Alaska 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
$4,169
AK $8,511KY $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.