How much rates vary
Facilitymedian $1,660 · 10th to 90th $427 to $9,550Professionalmedian $912 · 10th to 90th $490 to $1,738
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 $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | 54 · Surgery only | $316.23 | $316.23 | $316.23 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | 55 · Aftercare only | $63.10 | $63.10 | $63.10 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | 78 · Unplanned return to OR | $295.12 | $295.12 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $512.86 | Professional | None | $426.58 | $426.58 | $512.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $316.23 Median $316.23 Typical High $363.08 | Professional | 54 · Surgery only | $316.23 | $316.23 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $63.10 Typical High $72.44 | Professional | 55 · Aftercare only | $63.10 | $63.10 | $72.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $295.12 Typical High $338.84 | Professional | 78 · Unplanned return to OR | $295.12 | $295.12 | $338.84 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,570.88 Median $10,232.93 Typical High $24,547.09 | Facility | None | $4,570.88 | $10,232.93 | $24,547.09 |
BCBS Minnesota Setting Professional Modifier None Typical Low $660.69 Median $912.01 Typical High $1,513.56 | Professional | None | $660.69 | $912.01 | $1,513.56 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $724.44 Typical High $1,202.26 | Professional | 54 · Surgery only | $537.03 | $724.44 | $1,202.26 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $181.97 Typical High $295.12 | Professional | 55 · Aftercare only | $131.83 | $181.97 | $295.12 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $758.58 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $562.34 | $758.58 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,071.52 Typical High $2,089.30 | Facility | None | $691.83 | $1,071.52 | $2,089.30 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $1,258.93 Typical High $1,949.84 | Professional | None | $794.33 | $1,258.93 | $1,949.84 |
Health Partners Setting Facility Modifier None Typical Low $616.60 Median $1,000.00 Typical High $1,737.80 | Facility | None | $616.60 | $1,000.00 | $1,737.80 |
Health Partners Setting Professional Modifier None Typical Low $707.95 Median $1,122.02 Typical High $1,737.80 | Professional | None | $707.95 | $1,122.02 | $1,737.80 |
Medica Setting Facility Modifier None Typical Low $741.31 Median $2,754.23 Typical High $7,762.47 | Facility | None | $741.31 | $2,754.23 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $512.86 Median $933.25 Typical High $3,162.28 | Professional | None | $512.86 | $933.25 | $3,162.28 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $9,120.11 | Facility | None | $1,995.26 | $3,090.30 | $9,120.11 |
United Setting Professional Modifier None Typical Low $478.63 Median $870.96 Typical High $1,737.80 | Professional | None | $478.63 | $870.96 | $1,737.80 |
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 $213.80 Median $213.80 Typical High $213.80 | Facility | 52 · Reduced service | $213.80 | $213.80 | $213.80 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | 53 · Discontinued | $85.11 | $85.11 | $85.11 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | 56 · Pre-op care only | $42.66 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $213.80 Median $213.80 Typical High $239.88 | Professional | 52 · Reduced service | $213.80 | $213.80 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $97.72 | Professional | 53 · Discontinued | $85.11 | $85.11 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $42.66 Typical High $47.86 | Professional | 56 · Pre-op care only | $42.66 | $42.66 | $47.86 |
Where Minnesota sits
The same service costs 8.9 times more in Oklahoma 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· 9th of 51
$977
OK $2,951UT $331
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.