How much rates vary
Facilitymedian $2,692 · 10th to 90th $692 to $9,333Professionalmedian $1,585 · 10th to 90th $851 to $2,951
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 $691.83 Median $691.83 Typical High $691.83 | Facility | None | $691.83 | $691.83 | $691.83 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | 54 · Surgery only | $512.86 | $512.86 | $512.86 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | 55 · Aftercare only | $104.71 | $104.71 | $104.71 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | 78 · Unplanned return to OR | $478.63 | $478.63 | $478.63 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $954.99 | Professional | None | $691.83 | $691.83 | $954.99 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $512.86 Typical High $645.65 | Professional | 54 · Surgery only | $512.86 | $512.86 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $104.71 Typical High $128.82 | Professional | 55 · Aftercare only | $104.71 | $104.71 | $128.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $478.63 Typical High $602.56 | Professional | 78 · Unplanned return to OR | $478.63 | $478.63 | $602.56 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,570.88 Median $9,120.11 Typical High $20,892.96 | Facility | None | $4,570.88 | $9,120.11 | $20,892.96 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,148.15 Median $1,548.82 Typical High $2,630.27 | Professional | None | $1,148.15 | $1,548.82 | $2,630.27 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $1,258.93 Typical High $2,089.30 | Professional | 54 · Surgery only | $912.01 | $1,258.93 | $2,089.30 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $229.09 Median $309.03 Typical High $512.86 | Professional | 55 · Aftercare only | $229.09 | $309.03 | $512.86 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $954.99 Median $1,318.26 Typical High $2,187.76 | Professional | 78 · Unplanned return to OR | $954.99 | $1,318.26 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $1,202.26 Median $1,862.09 Typical High $3,630.78 | Facility | None | $1,202.26 | $1,862.09 | $3,630.78 |
Cigna Setting Professional Modifier None Typical Low $1,380.38 Median $2,187.76 Typical High $3,388.44 | Professional | None | $1,380.38 | $2,187.76 | $3,388.44 |
Health Partners Setting Facility Modifier None Typical Low $1,071.52 Median $1,737.80 Typical High $3,019.95 | Facility | None | $1,071.52 | $1,737.80 | $3,019.95 |
Health Partners Setting Professional Modifier None Typical Low $1,230.27 Median $1,949.84 Typical High $3,019.95 | Professional | None | $1,230.27 | $1,949.84 | $3,019.95 |
Medica Setting Facility Modifier None Typical Low $1,148.15 Median $3,630.78 Typical High $8,709.64 | Facility | None | $1,148.15 | $3,630.78 | $8,709.64 |
Medica Setting Professional Modifier None Typical Low $891.25 Median $1,659.59 Typical High $5,623.41 | Professional | None | $891.25 | $1,659.59 | $5,623.41 |
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 $851.14 Median $1,548.82 Typical High $2,884.03 | Professional | None | $851.14 | $1,548.82 | $2,884.03 |
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 $346.74 Median $346.74 Typical High $346.74 | Facility | 52 · Reduced service | $346.74 | $346.74 | $346.74 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | 53 · Discontinued | $138.04 | $138.04 | $138.04 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | 56 · Pre-op care only | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $346.74 Median $346.74 Typical High $426.58 | Professional | 52 · Reduced service | $346.74 | $346.74 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $138.04 Typical High $169.82 | Professional | 53 · Discontinued | $138.04 | $138.04 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $69.18 Typical High $85.11 | Professional | 56 · Pre-op care only | $69.18 | $69.18 | $85.11 |
Where Minnesota sits
The same service costs 7.9 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· 8th of 51
$1,698
OK $4,169UT $525
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.