How much rates vary
Facilitymedian $2,884 · 10th to 90th $692 to $10,965Professionalmedian $1,549 · 10th to 90th $741 to $2,818
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 $691.83 Median $691.83 Typical High $691.83 | Facility | None | $691.83 | $691.83 | $691.83 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | 54 · Surgery only | $524.81 | $524.81 | $524.81 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | 55 · Aftercare only | $104.71 | $104.71 | $104.71 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | 78 · Unplanned return to OR | $489.78 | $489.78 | $489.78 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $912.01 | Professional | None | $691.83 | $691.83 | $912.01 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $524.81 Typical High $676.08 | Professional | 54 · Surgery only | $524.81 | $524.81 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $104.71 Typical High $138.04 | Professional | 55 · Aftercare only | $104.71 | $104.71 | $138.04 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $489.78 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $489.78 | $489.78 | $630.96 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,168.69 Median $10,000.00 Typical High $21,877.62 | Facility | None | $4,168.69 | $10,000.00 | $21,877.62 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,202.26 Median $1,548.82 Typical High $2,454.71 | Professional | None | $1,202.26 | $1,548.82 | $2,454.71 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $954.99 Median $1,258.93 Typical High $1,949.84 | Professional | 54 · Surgery only | $954.99 | $1,258.93 | $1,949.84 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $239.88 Median $309.03 Typical High $489.78 | Professional | 55 · Aftercare only | $239.88 | $309.03 | $489.78 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,000.00 Median $1,318.26 Typical High $2,041.74 | Professional | 78 · Unplanned return to OR | $1,000.00 | $1,318.26 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $1,202.26 Median $1,862.09 Typical High $3,548.13 | Facility | None | $1,202.26 | $1,862.09 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,698.24 Typical High $2,951.21 | Professional | None | $1,096.48 | $1,698.24 | $2,951.21 |
Health Partners Setting Facility Modifier None Typical Low $1,071.52 Median $1,737.80 Typical High $3,019.95 | Facility | None | $1,071.52 | $1,737.80 | $3,019.95 |
Health Partners Setting Professional Modifier None Typical Low $1,202.26 Median $1,584.89 Typical High $2,630.27 | Professional | None | $1,202.26 | $1,584.89 | $2,630.27 |
Medica Setting Facility Modifier None Typical Low $1,288.25 Median $4,677.35 Typical High $10,232.93 | Facility | None | $1,288.25 | $4,677.35 | $10,232.93 |
Medica Setting Professional Modifier None Typical Low $831.76 Median $1,737.80 Typical High $8,317.64 | Professional | None | $831.76 | $1,737.80 | $8,317.64 |
United Setting Facility Modifier None Typical Low $3,235.94 Median $5,370.32 Typical High $12,882.50 | Facility | None | $3,235.94 | $5,370.32 | $12,882.50 |
United Setting Professional Modifier None Typical Low $794.33 Median $1,318.26 Typical High $2,754.23 | Professional | None | $794.33 | $1,318.26 | $2,754.23 |
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 $346.74 Median $346.74 Typical High $346.74 | Facility | 52 · Reduced service | $346.74 | $346.74 | $346.74 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | 53 · Discontinued | $138.04 | $138.04 | $138.04 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | 56 · Pre-op care only | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $346.74 Median $346.74 Typical High $457.09 | Professional | 52 · Reduced service | $346.74 | $346.74 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $138.04 Typical High $181.97 | Professional | 53 · Discontinued | $138.04 | $138.04 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $69.18 Typical High $91.20 | Professional | 56 · Pre-op care only | $69.18 | $69.18 | $91.20 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $741.31 Median $977.24 Typical High $1,513.56 | Professional | 62 · Two surgeons | $741.31 | $977.24 | $1,513.56 |
Where Minnesota sits
The same service costs 25.1 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
$1,549
AK $3,090TX $123
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.