How much rates vary
Facilitymedian $1,738 · 10th to 90th $631 to $10,471Professionalmedian $1,349 · 10th to 90th $724 to $2,630
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 $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
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 $95.50 Median $95.50 Typical High $95.50 | Facility | 55 · Aftercare only | $95.50 | $95.50 | $95.50 |
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 $630.96 Median $630.96 Typical High $776.25 | Professional | None | $630.96 | $630.96 | $776.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $467.74 Typical High $537.03 | Professional | 54 · Surgery only | $467.74 | $467.74 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $95.50 Typical High $107.15 | Professional | 55 · Aftercare only | $95.50 | $95.50 | $107.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $436.52 Typical High $501.19 | Professional | 78 · Unplanned return to OR | $436.52 | $436.52 | $501.19 |
BCBS Minnesota Setting Facility Modifier None Typical Low $6,760.83 Median $12,589.25 Typical High $25,118.86 | Facility | None | $6,760.83 | $12,589.25 | $25,118.86 |
BCBS Minnesota Setting Professional Modifier None Typical Low $977.24 Median $1,318.26 Typical High $2,238.72 | Professional | None | $977.24 | $1,318.26 | $2,238.72 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $1,071.52 Typical High $1,778.28 | Professional | 54 · Surgery only | $776.25 | $1,071.52 | $1,778.28 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $263.03 Typical High $436.52 | Professional | 55 · Aftercare only | $194.98 | $263.03 | $436.52 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $1,122.02 Typical High $1,862.09 | Professional | 78 · Unplanned return to OR | $831.76 | $1,122.02 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $1,621.81 Typical High $3,090.30 | Facility | None | $1,023.29 | $1,621.81 | $3,090.30 |
Cigna 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 |
Health Partners Setting Facility Modifier None Typical Low $912.01 Median $1,479.11 Typical High $2,570.40 | Facility | None | $912.01 | $1,479.11 | $2,570.40 |
Health Partners Setting Professional Modifier None Typical Low $1,047.13 Median $1,659.59 Typical High $2,570.40 | Professional | None | $1,047.13 | $1,659.59 | $2,570.40 |
Medica Setting Facility Modifier None Typical Low $1,096.48 Median $2,187.76 Typical High $6,760.83 | Facility | None | $1,096.48 | $2,187.76 | $6,760.83 |
Medica Setting Professional Modifier None Typical Low $758.58 Median $1,412.54 Typical High $5,370.32 | Professional | None | $758.58 | $1,412.54 | $5,370.32 |
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 $707.95 Median $1,318.26 Typical High $2,570.40 | Professional | None | $707.95 | $1,318.26 | $2,570.40 |
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 $316.23 Median $316.23 Typical High $316.23 | Facility | 52 · Reduced service | $316.23 | $316.23 | $316.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | 53 · Discontinued | $125.89 | $125.89 | $125.89 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | 56 · Pre-op care only | $63.10 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $316.23 Median $316.23 Typical High $363.08 | Professional | 52 · Reduced service | $316.23 | $316.23 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $125.89 Typical High $144.54 | Professional | 53 · Discontinued | $125.89 | $125.89 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $63.10 Typical High $72.44 | Professional | 56 · Pre-op care only | $63.10 | $63.10 | $72.44 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $616.60 Median $831.76 Typical High $1,380.38 | Professional | 62 · Two surgeons | $616.60 | $831.76 | $1,380.38 |
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
$1,479
AK $2,570UT $479
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.