How much rates vary
Facilitymedian $1,820 · 10th to 90th $575 to $6,026Professionalmedian $1,259 · 10th to 90th $661 to $2,399
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 $575.44 Median $575.44 Typical High $575.44 | Facility | None | $575.44 | $575.44 | $575.44 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | 54 · Surgery only | $436.52 | $436.52 | $436.52 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | 55 · Aftercare only | $87.10 | $87.10 | $87.10 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | 78 · Unplanned return to OR | $407.38 | $407.38 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $676.08 | Professional | None | $575.44 | $575.44 | $676.08 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $436.52 Typical High $501.19 | Professional | 54 · Surgery only | $436.52 | $436.52 | $501.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $87.10 Typical High $100.00 | Professional | 55 · Aftercare only | $87.10 | $87.10 | $100.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $407.38 Median $407.38 Typical High $467.74 | Professional | 78 · Unplanned return to OR | $407.38 | $407.38 | $467.74 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,380.38 Median $3,311.31 Typical High $7,762.47 | Facility | None | $1,380.38 | $3,311.31 | $7,762.47 |
BCBS Minnesota Setting Professional Modifier None Typical Low $912.01 Median $1,230.27 Typical High $2,041.74 | Professional | None | $912.01 | $1,230.27 | $2,041.74 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $977.24 Typical High $1,621.81 | Professional | 54 · Surgery only | $724.44 | $977.24 | $1,621.81 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $245.47 Typical High $407.38 | Professional | 55 · Aftercare only | $181.97 | $245.47 | $407.38 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $1,023.29 Typical High $1,737.80 | Professional | 78 · Unplanned return to OR | $758.58 | $1,023.29 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $1,479.11 Typical High $2,818.38 | Facility | None | $954.99 | $1,479.11 | $2,818.38 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,698.24 Typical High $2,691.53 | Professional | None | $1,071.52 | $1,698.24 | $2,691.53 |
Health Partners Setting Facility Modifier None Typical Low $851.14 Median $1,380.38 Typical High $2,398.83 | Facility | None | $851.14 | $1,380.38 | $2,398.83 |
Health Partners Setting Professional Modifier None Typical Low $954.99 Median $1,548.82 Typical High $2,344.23 | Professional | None | $954.99 | $1,548.82 | $2,344.23 |
Medica Setting Facility Modifier None Typical Low $870.96 Median $3,388.44 Typical High $6,760.83 | Facility | None | $870.96 | $3,388.44 | $6,760.83 |
Medica Setting Professional Modifier None Typical Low $691.83 Median $1,288.25 Typical High $10,964.78 | Professional | None | $691.83 | $1,288.25 | $10,964.78 |
United Setting Facility Modifier None Typical Low $2,818.38 Median $4,265.80 Typical High $9,772.37 | Facility | None | $2,818.38 | $4,265.80 | $9,772.37 |
United Setting Professional Modifier None Typical Low $660.69 Median $1,202.26 Typical High $2,398.83 | Professional | None | $660.69 | $1,202.26 | $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 $288.40 Median $288.40 Typical High $288.40 | Facility | 52 · Reduced service | $288.40 | $288.40 | $288.40 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $114.82 Median $114.82 Typical High $114.82 | Facility | 53 · Discontinued | $114.82 | $114.82 | $114.82 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | 56 · Pre-op care only | $57.54 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $288.40 Median $288.40 Typical High $331.13 | Professional | 52 · Reduced service | $288.40 | $288.40 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $114.82 Typical High $131.83 | Professional | 53 · Discontinued | $114.82 | $114.82 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $57.54 Typical High $66.07 | Professional | 56 · Pre-op care only | $57.54 | $57.54 | $66.07 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $562.34 Median $758.58 Typical High $1,258.93 | Professional | 62 · Two surgeons | $562.34 | $758.58 | $1,258.93 |
Where Minnesota sits
The same service costs 5.2 times more in Alaska than in Utah. 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· 6th of 51
$1,318
AK $2,344UT $447
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.