How much rates vary
Facilitymedian $1,862 · 10th to 90th $708 to $6,166Professionalmedian $1,514 · 10th to 90th $813 to $2,951
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 $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
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 $107.15 Median $107.15 Typical High $107.15 | Facility | 55 · Aftercare only | $107.15 | $107.15 | $107.15 |
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 $707.95 Median $707.95 Typical High $812.83 | Professional | None | $707.95 | $707.95 | $812.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $524.81 Typical High $616.60 | Professional | 54 · Surgery only | $524.81 | $524.81 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $107.15 Typical High $123.03 | Professional | 55 · Aftercare only | $107.15 | $107.15 | $123.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $489.78 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $489.78 | $489.78 | $575.44 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,890.45 Median $6,606.93 Typical High $13,182.57 | Facility | None | $3,890.45 | $6,606.93 | $13,182.57 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,096.48 Median $1,479.11 Typical High $2,511.89 | Professional | None | $1,096.48 | $1,479.11 | $2,511.89 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $1,202.26 Typical High $1,995.26 | Professional | 54 · Surgery only | $870.96 | $1,202.26 | $1,995.26 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $218.78 Median $295.12 Typical High $489.78 | Professional | 55 · Aftercare only | $218.78 | $295.12 | $489.78 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $1,258.93 Typical High $2,089.30 | Professional | 78 · Unplanned return to OR | $933.25 | $1,258.93 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $1,148.15 Median $1,778.28 Typical High $3,467.37 | Facility | None | $1,148.15 | $1,778.28 | $3,467.37 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $2,089.30 Typical High $3,235.94 | Professional | None | $1,318.26 | $2,089.30 | $3,235.94 |
Health Partners Setting Facility Modifier None Typical Low $1,023.29 Median $1,659.59 Typical High $2,884.03 | Facility | None | $1,023.29 | $1,659.59 | $2,884.03 |
Health Partners Setting Professional Modifier None Typical Low $1,174.90 Median $1,862.09 Typical High $2,884.03 | Professional | None | $1,174.90 | $1,862.09 | $2,884.03 |
Medica Setting Facility Modifier None Typical Low $1,148.15 Median $2,041.74 Typical High $4,365.16 | Facility | None | $1,148.15 | $2,041.74 | $4,365.16 |
Medica Setting Professional Modifier None Typical Low $851.14 Median $1,584.89 Typical High $6,165.95 | Professional | None | $851.14 | $1,584.89 | $6,165.95 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,344.23 Typical High $5,888.44 | Facility | None | $1,513.56 | $2,344.23 | $5,888.44 |
United Setting Professional Modifier None Typical Low $794.33 Median $1,479.11 Typical High $2,951.21 | Professional | None | $794.33 | $1,479.11 | $2,951.21 |
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 $354.81 Median $354.81 Typical High $354.81 | Facility | 52 · Reduced service | $354.81 | $354.81 | $354.81 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | 53 · Discontinued | $141.25 | $141.25 | $141.25 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | 56 · Pre-op care only | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $354.81 Median $354.81 Typical High $407.38 | Professional | 52 · Reduced service | $354.81 | $354.81 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $141.25 Typical High $162.18 | Professional | 53 · Discontinued | $141.25 | $141.25 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $70.79 Typical High $81.28 | Professional | 56 · Pre-op care only | $70.79 | $70.79 | $81.28 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $691.83 Median $933.25 Typical High $1,548.82 | Professional | 62 · Two surgeons | $691.83 | $933.25 | $1,548.82 |
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· 6th of 51
$1,585
AK $2,884UT $537
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.