How much rates vary
Facilitymedian $3,090 · 10th to 90th $380 to $10,233Professionalmedian $1,905 · 10th to 90th $646 to $4,786
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 $380.19 Median $1,380.38 Typical High $1,380.38 | Facility | None | $380.19 | $1,380.38 | $1,380.38 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $288.40 Median $1,023.29 Typical High $1,023.29 | Facility | 54 · Surgery only | $288.40 | $1,023.29 | $1,023.29 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $57.54 Median $208.93 Typical High $208.93 | Facility | 55 · Aftercare only | $57.54 | $208.93 | $208.93 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $954.99 Typical High $954.99 | Facility | 78 · Unplanned return to OR | $269.15 | $954.99 | $954.99 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $1,380.38 Typical High $1,412.54 | Professional | None | $380.19 | $1,380.38 | $1,412.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $288.40 Median $1,023.29 Typical High $1,023.29 | Professional | 54 · Surgery only | $288.40 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $208.93 Typical High $208.93 | Professional | 55 · Aftercare only | $57.54 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $954.99 Typical High $954.99 | Professional | 78 · Unplanned return to OR | $269.15 | $954.99 | $954.99 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,570.88 Median $10,715.19 Typical High $24,547.09 | Facility | None | $4,570.88 | $10,715.19 | $24,547.09 |
BCBS Minnesota Setting Professional Modifier None Typical Low $645.65 Median $2,089.30 Typical High $3,890.45 | Professional | None | $645.65 | $2,089.30 | $3,890.45 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $1,659.59 Typical High $3,090.30 | Professional | 54 · Surgery only | $512.86 | $1,659.59 | $3,090.30 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $416.87 Typical High $776.25 | Professional | 55 · Aftercare only | $128.82 | $416.87 | $776.25 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $1,737.80 Typical High $3,311.31 | Professional | 78 · Unplanned return to OR | $537.03 | $1,737.80 | $3,311.31 |
Cigna Setting Facility Modifier None Typical Low $2,137.96 Median $3,548.13 Typical High $6,760.83 | Facility | None | $2,137.96 | $3,548.13 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $2,344.23 Typical High $5,754.40 | Professional | None | $851.14 | $2,344.23 | $5,754.40 |
Health Partners Setting Facility Modifier None Typical Low $1,995.26 Median $3,235.94 Typical High $5,623.41 | Facility | None | $1,995.26 | $3,235.94 | $5,623.41 |
Health Partners Setting Professional Modifier None Typical Low $758.58 Median $2,041.74 Typical High $5,011.87 | Professional | None | $758.58 | $2,041.74 | $5,011.87 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $3,090.30 Typical High $7,943.28 | Facility | None | $758.58 | $3,090.30 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $2,187.76 Median $4,073.80 Typical High $8,128.31 | Professional | None | $2,187.76 | $4,073.80 | $8,128.31 |
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 $676.08 Median $1,621.81 Typical High $5,370.32 | Professional | None | $676.08 | $1,621.81 | $5,370.32 |
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 $190.55 Median $691.83 Typical High $691.83 | Facility | 52 · Reduced service | $190.55 | $691.83 | $691.83 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $75.86 Median $275.42 Typical High $275.42 | Facility | 53 · Discontinued | $75.86 | $275.42 | $275.42 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $38.02 Median $138.04 Typical High $138.04 | Facility | 56 · Pre-op care only | $38.02 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $190.55 Median $691.83 Typical High $691.83 | Professional | 52 · Reduced service | $190.55 | $691.83 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $275.42 Typical High $275.42 | Professional | 53 · Discontinued | $75.86 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $138.04 Typical High $138.04 | Professional | 56 · Pre-op care only | $38.02 | $138.04 | $138.04 |
Where Minnesota sits
The same service costs 4.9 times more in Alaska than in Texas. 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
$2,291
AK $3,020TX $617
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.