How much rates vary
Facilitymedian $2,754 · 10th to 90th $1,122 to $8,710Professionalmedian $3,162 · 10th to 90th $1,738 to $6,026
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 $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | None | $1,380.38 | $1,380.38 | $1,380.38 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | 54 · Surgery only | $1,023.29 | $1,023.29 | $1,023.29 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | 55 · Aftercare only | $208.93 | $208.93 | $208.93 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $954.99 Median $954.99 Typical High $954.99 | Facility | 78 · Unplanned return to OR | $954.99 | $954.99 | $954.99 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,905.46 | Professional | None | $1,380.38 | $1,380.38 | $1,905.46 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,023.29 Median $1,023.29 Typical High $1,288.25 | Professional | 54 · Surgery only | $1,023.29 | $1,023.29 | $1,288.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $208.93 Typical High $257.04 | Professional | 55 · Aftercare only | $208.93 | $208.93 | $257.04 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $954.99 Median $954.99 Typical High $1,202.26 | Professional | 78 · Unplanned return to OR | $954.99 | $954.99 | $1,202.26 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,570.88 Median $9,120.11 Typical High $16,595.87 | Facility | None | $4,570.88 | $9,120.11 | $16,595.87 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,290.87 Median $3,090.30 Typical High $5,248.07 | Professional | None | $2,290.87 | $3,090.30 | $5,248.07 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,819.70 Median $2,454.71 Typical High $4,168.69 | Professional | 54 · Surgery only | $1,819.70 | $2,454.71 | $4,168.69 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $457.09 Median $616.60 Typical High $1,047.13 | Professional | 55 · Aftercare only | $457.09 | $616.60 | $1,047.13 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,905.46 Median $2,570.40 Typical High $4,365.16 | Professional | 78 · Unplanned return to OR | $1,905.46 | $2,570.40 | $4,365.16 |
Cigna Setting Facility Modifier None Typical Low $2,398.83 Median $3,801.89 Typical High $7,244.36 | Facility | None | $2,398.83 | $3,801.89 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $2,754.23 Median $4,365.16 Typical High $6,760.83 | Professional | None | $2,754.23 | $4,365.16 | $6,760.83 |
Health Partners Setting Facility Modifier None Typical Low $2,137.96 Median $3,467.37 Typical High $6,025.60 | Facility | None | $2,137.96 | $3,467.37 | $6,025.60 |
Health Partners Setting Professional Modifier None Typical Low $2,454.71 Median $3,890.45 Typical High $6,025.60 | Professional | None | $2,454.71 | $3,890.45 | $6,025.60 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $3,467.37 | Facility | None | $758.58 | $1,445.44 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $1,819.70 Median $3,311.31 Typical High $12,882.50 | Professional | None | $1,819.70 | $3,311.31 | $12,882.50 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,513.56 Typical High $3,630.78 | Facility | None | $758.58 | $1,513.56 | $3,630.78 |
United Setting Professional Modifier None Typical Low $1,698.24 Median $3,090.30 Typical High $5,888.44 | Professional | None | $1,698.24 | $3,090.30 | $5,888.44 |
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 $691.83 Median $691.83 Typical High $691.83 | Facility | 52 · Reduced service | $691.83 | $691.83 | $691.83 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | 53 · Discontinued | $275.42 | $275.42 | $275.42 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | 56 · Pre-op care only | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $691.83 Median $691.83 Typical High $851.14 | Professional | 52 · Reduced service | $691.83 | $691.83 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $275.42 Typical High $338.84 | Professional | 53 · Discontinued | $275.42 | $275.42 | $338.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $138.04 Typical High $169.82 | Professional | 56 · Pre-op care only | $138.04 | $138.04 | $169.82 |
Where Minnesota sits
The same service costs 6.0 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· 6th of 51
$3,090
AK $6,026TX $1,000
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.