How much rates vary
Facilitymedian $1,622 · 10th to 90th $589 to $6,457Professionalmedian $1,259 · 10th to 90th $676 to $2,455
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 $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | 54 · Surgery only | $446.68 | $446.68 | $446.68 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | 55 · Aftercare only | $89.13 | $89.13 | $89.13 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | 78 · Unplanned return to OR | $416.87 | $416.87 | $416.87 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $724.44 | Professional | None | $588.84 | $588.84 | $724.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $446.68 Typical High $512.86 | Professional | 54 · Surgery only | $446.68 | $446.68 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $89.13 Typical High $102.33 | Professional | 55 · Aftercare only | $89.13 | $89.13 | $102.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $416.87 Typical High $478.63 | Professional | 78 · Unplanned return to OR | $416.87 | $416.87 | $478.63 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,412.54 Median $5,623.41 Typical High $13,182.57 | Facility | None | $1,412.54 | $5,623.41 | $13,182.57 |
BCBS Minnesota Setting Professional Modifier None Typical Low $933.25 Median $1,258.93 Typical High $2,089.30 | Professional | None | $933.25 | $1,258.93 | $2,089.30 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $1,000.00 Typical High $1,659.59 | Professional | 54 · Surgery only | $741.31 | $1,000.00 | $1,659.59 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $251.19 Typical High $416.87 | Professional | 55 · Aftercare only | $186.21 | $251.19 | $416.87 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $776.25 Median $1,047.13 Typical High $1,778.28 | Professional | 78 · Unplanned return to OR | $776.25 | $1,047.13 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $977.24 Median $1,513.56 Typical High $2,884.03 | Facility | None | $977.24 | $1,513.56 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,737.80 Typical High $2,754.23 | Professional | None | $1,096.48 | $1,737.80 | $2,754.23 |
Health Partners Setting Facility Modifier None Typical Low $870.96 Median $1,380.38 Typical High $2,454.71 | Facility | None | $870.96 | $1,380.38 | $2,454.71 |
Health Partners Setting Professional Modifier None Typical Low $977.24 Median $1,584.89 Typical High $2,398.83 | Professional | None | $977.24 | $1,584.89 | $2,398.83 |
Medica Setting Facility Modifier None Typical Low $1,023.29 Median $2,137.96 Typical High $6,760.83 | Facility | None | $1,023.29 | $2,137.96 | $6,760.83 |
Medica Setting Professional Modifier None Typical Low $707.95 Median $1,318.26 Typical High $9,772.37 | Professional | None | $707.95 | $1,318.26 | $9,772.37 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $8,317.64 | Facility | None | $1,513.56 | $2,511.89 | $8,317.64 |
United Setting Professional Modifier None Typical Low $676.08 Median $1,230.27 Typical High $2,454.71 | Professional | None | $676.08 | $1,230.27 | $2,454.71 |
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 $295.12 Median $295.12 Typical High $295.12 | Facility | 52 · Reduced service | $295.12 | $295.12 | $295.12 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $117.49 Median $117.49 Typical High $117.49 | Facility | 53 · Discontinued | $117.49 | $117.49 | $117.49 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | 56 · Pre-op care only | $58.88 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $295.12 Median $295.12 Typical High $338.84 | Professional | 52 · Reduced service | $295.12 | $295.12 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $117.49 Typical High $134.90 | Professional | 53 · Discontinued | $117.49 | $117.49 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $58.88 Typical High $67.61 | Professional | 56 · Pre-op care only | $58.88 | $58.88 | $67.61 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $575.44 Median $776.25 Typical High $1,288.25 | Professional | 62 · Two surgeons | $575.44 | $776.25 | $1,288.25 |
Where Minnesota sits
The same service costs 5.4 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· 5th of 51
$1,380
AK $2,399UT $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.