How much rates vary
Facilitymedian $1,445 · 10th to 90th $617 to $3,890Professionalmedian $1,349 · 10th to 90th $631 to $2,512
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 $616.60 Median $616.60 Typical High $616.60 | Facility | None | $616.60 | $616.60 | $616.60 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | 54 · Surgery only | $467.74 | $467.74 | $467.74 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $93.33 Median $93.33 Typical High $93.33 | Facility | 55 · Aftercare only | $93.33 | $93.33 | $93.33 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | 78 · Unplanned return to OR | $436.52 | $436.52 | $436.52 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $741.31 | Professional | None | $616.60 | $616.60 | $741.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $467.74 Typical High $549.54 | Professional | 54 · Surgery only | $467.74 | $467.74 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $93.33 Typical High $109.65 | Professional | 55 · Aftercare only | $93.33 | $93.33 | $109.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $436.52 Typical High $512.86 | Professional | 78 · Unplanned return to OR | $436.52 | $436.52 | $512.86 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,584.89 Median $3,801.89 Typical High $7,244.36 | Facility | None | $1,584.89 | $3,801.89 | $7,244.36 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,071.52 Median $1,412.54 Typical High $2,137.96 | Professional | None | $1,071.52 | $1,412.54 | $2,137.96 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $1,122.02 Typical High $1,698.24 | Professional | 54 · Surgery only | $870.96 | $1,122.02 | $1,698.24 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $281.84 Typical High $426.58 | Professional | 55 · Aftercare only | $213.80 | $281.84 | $426.58 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $912.01 Median $1,174.90 Typical High $1,778.28 | Professional | 78 · Unplanned return to OR | $912.01 | $1,174.90 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $1,071.52 Median $1,659.59 Typical High $3,162.28 | Facility | None | $1,071.52 | $1,659.59 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $1,513.56 Typical High $2,630.27 | Professional | None | $977.24 | $1,513.56 | $2,630.27 |
Health Partners Setting Facility Modifier None Typical Low $954.99 Median $1,548.82 Typical High $2,691.53 | Facility | None | $954.99 | $1,548.82 | $2,691.53 |
Health Partners Setting Professional Modifier None Typical Low $1,071.52 Median $1,412.54 Typical High $2,344.23 | Professional | None | $1,071.52 | $1,412.54 | $2,344.23 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,288.25 Typical High $3,019.95 | Facility | None | $758.58 | $1,288.25 | $3,019.95 |
Medica Setting Professional Modifier None Typical Low $691.83 Median $1,479.11 Typical High $4,897.79 | Professional | None | $691.83 | $1,479.11 | $4,897.79 |
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 $676.08 Median $1,071.52 Typical High $2,398.83 | Professional | None | $676.08 | $1,071.52 | $2,398.83 |
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 $309.03 Median $309.03 Typical High $309.03 | Facility | 52 · Reduced service | $309.03 | $309.03 | $309.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | 53 · Discontinued | $123.03 | $123.03 | $123.03 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | 56 · Pre-op care only | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $309.03 Median $309.03 Typical High $371.54 | Professional | 52 · Reduced service | $309.03 | $309.03 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $123.03 Typical High $147.91 | Professional | 53 · Discontinued | $123.03 | $123.03 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $61.66 Typical High $74.13 | Professional | 56 · Pre-op care only | $61.66 | $61.66 | $74.13 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $676.08 Median $891.25 Typical High $1,318.26 | Professional | 62 · Two surgeons | $676.08 | $891.25 | $1,318.26 |
Where Minnesota sits
The same service costs 5.4 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
$1,349
AK $2,512TX $468
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.