How much rates vary
Facilitymedian $2,692 · 10th to 90th $1,072 to $7,244Professionalmedian $3,388 · 10th to 90th $1,820 to $6,166
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 $1,479.11 Median $1,479.11 Typical High $1,479.11 | Facility | None | $1,479.11 | $1,479.11 | $1,479.11 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | 54 · Surgery only | $1,122.02 | $1,122.02 | $1,122.02 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | 55 · Aftercare only | $223.87 | $223.87 | $223.87 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | 78 · Unplanned return to OR | $1,047.13 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,819.70 | Professional | None | $1,479.11 | $1,479.11 | $1,819.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,122.02 Median $1,122.02 Typical High $1,348.96 | Professional | 54 · Surgery only | $1,122.02 | $1,122.02 | $1,348.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $223.87 Typical High $269.15 | Professional | 55 · Aftercare only | $223.87 | $223.87 | $269.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,047.13 Median $1,047.13 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $1,047.13 | $1,047.13 | $1,258.93 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,754.23 Median $7,244.36 Typical High $15,135.61 | Facility | None | $2,754.23 | $7,244.36 | $15,135.61 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,511.89 Median $3,388.44 Typical High $5,495.41 | Professional | None | $2,511.89 | $3,388.44 | $5,495.41 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,995.26 Median $2,691.53 Typical High $4,466.84 | Professional | 54 · Surgery only | $1,995.26 | $2,691.53 | $4,466.84 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $501.19 Median $676.08 Typical High $1,096.48 | Professional | 55 · Aftercare only | $501.19 | $676.08 | $1,096.48 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,089.30 Median $2,818.38 Typical High $4,677.35 | Professional | 78 · Unplanned return to OR | $2,089.30 | $2,818.38 | $4,677.35 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $3,801.89 Typical High $7,244.36 | Facility | None | $2,454.71 | $3,801.89 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $2,754.23 Median $4,365.16 Typical High $6,918.31 | Professional | None | $2,754.23 | $4,365.16 | $6,918.31 |
Health Partners Setting Facility Modifier None Typical Low $2,137.96 Median $3,467.37 Typical High $6,025.60 | Facility | None | $2,137.96 | $3,467.37 | $6,025.60 |
Health Partners Setting Professional Modifier None Typical Low $2,454.71 Median $3,890.45 Typical High $6,025.60 | Professional | None | $2,454.71 | $3,890.45 | $6,025.60 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $3,467.37 | Facility | None | $758.58 | $1,445.44 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $1,819.70 Median $3,467.37 Typical High $11,481.54 | Professional | None | $1,819.70 | $3,467.37 | $11,481.54 |
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 $1,621.81 Median $3,162.28 Typical High $6,309.57 | Professional | None | $1,621.81 | $3,162.28 | $6,309.57 |
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 $741.31 Median $741.31 Typical High $741.31 | Facility | 52 · Reduced service | $741.31 | $741.31 | $741.31 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | 53 · Discontinued | $295.12 | $295.12 | $295.12 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | 56 · Pre-op care only | $147.91 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $741.31 Median $741.31 Typical High $912.01 | Professional | 52 · Reduced service | $741.31 | $741.31 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $295.12 Typical High $363.08 | Professional | 53 · Discontinued | $295.12 | $295.12 | $363.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $147.91 Median $147.91 Typical High $181.97 | Professional | 56 · Pre-op care only | $147.91 | $147.91 | $181.97 |
Where Minnesota sits
The same service costs 5.6 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· 5th of 51
$3,236
AK $6,310TX $1,122
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.