How much rates vary
Facilitymedian $2,754 · 10th to 90th $380 to $7,762Professionalmedian $2,089 · 10th to 90th $603 to $6,918
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 $1,659.59 Typical High $1,659.59 | Facility | None | $380.19 | $1,659.59 | $1,659.59 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $288.40 Median $1,258.93 Typical High $1,258.93 | Facility | 54 · Surgery only | $288.40 | $1,258.93 | $1,258.93 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $57.54 Median $251.19 Typical High $251.19 | Facility | 55 · Aftercare only | $57.54 | $251.19 | $251.19 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $1,659.59 Typical High $1,949.84 | Professional | None | $380.19 | $1,659.59 | $1,949.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $288.40 Median $1,258.93 Typical High $1,258.93 | Professional | 54 · Surgery only | $288.40 | $1,258.93 | $1,258.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $251.19 Typical High $251.19 | Professional | 55 · Aftercare only | $57.54 | $251.19 | $251.19 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,041.74 Median $5,623.41 Typical High $13,182.57 | Facility | None | $2,041.74 | $5,623.41 | $13,182.57 |
BCBS Minnesota Setting Professional Modifier None Typical Low $645.65 Median $2,454.71 Typical High $7,244.36 | Professional | None | $645.65 | $2,454.71 | $7,244.36 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $1,949.84 Typical High $5,754.40 | Professional | 54 · Surgery only | $512.86 | $1,949.84 | $5,754.40 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $512.86 Typical High $1,445.44 | Professional | 55 · Aftercare only | $128.82 | $512.86 | $1,445.44 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $2,041.74 Typical High $6,025.60 | Professional | 78 · Unplanned return to OR | $537.03 | $2,041.74 | $6,025.60 |
Cigna Setting Facility Modifier None Typical Low $2,570.40 Median $4,265.80 Typical High $8,128.31 | Facility | None | $2,570.40 | $4,265.80 | $8,128.31 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $2,630.27 Typical High $6,918.31 | Professional | None | $851.14 | $2,630.27 | $6,918.31 |
Health Partners Setting Facility Modifier None Typical Low $2,398.83 Median $3,890.45 Typical High $6,760.83 | Facility | None | $2,398.83 | $3,890.45 | $6,760.83 |
Health Partners Setting Professional Modifier None Typical Low $741.31 Median $2,454.71 Typical High $6,025.60 | Professional | None | $741.31 | $2,454.71 | $6,025.60 |
Medica Setting Facility Modifier None Typical Low $676.08 Median $2,238.72 Typical High $5,011.87 | Facility | None | $676.08 | $2,238.72 | $5,011.87 |
Medica Setting Professional Modifier None Typical Low $2,238.72 Median $4,786.30 Typical High $9,772.37 | Professional | None | $2,238.72 | $4,786.30 | $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 $549.54 Median $1,737.80 Typical High $6,456.54 | Professional | None | $549.54 | $1,737.80 | $6,456.54 |
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 $831.76 Typical High $831.76 | Facility | 52 · Reduced service | $190.55 | $831.76 | $831.76 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $75.86 Median $331.13 Typical High $331.13 | Facility | 53 · Discontinued | $75.86 | $331.13 | $331.13 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $38.02 Median $165.96 Typical High $165.96 | Facility | 56 · Pre-op care only | $38.02 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $190.55 Median $831.76 Typical High $831.76 | Professional | 52 · Reduced service | $190.55 | $831.76 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $331.13 Typical High $331.13 | Professional | 53 · Discontinued | $75.86 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $165.96 Typical High $165.96 | Professional | 56 · Pre-op care only | $38.02 | $165.96 | $165.96 |
Where Minnesota sits
The same service costs 3.6 times more in Iowa than in Nebraska. 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
$2,344
IA $2,692NE $741
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.