How much rates vary
Facilitymedian $2,188 · 10th to 90th $759 to $8,913Professionalmedian $1,738 · 10th to 90th $933 to $3,236
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 $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | 54 · Surgery only | $562.34 | $562.34 | $562.34 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | 55 · Aftercare only | $112.20 | $112.20 | $112.20 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | 78 · Unplanned return to OR | $524.81 | $524.81 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $1,047.13 | Professional | None | $758.58 | $758.58 | $1,047.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $562.34 Typical High $707.95 | Professional | 54 · Surgery only | $562.34 | $562.34 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $112.20 Typical High $141.25 | Professional | 55 · Aftercare only | $112.20 | $112.20 | $141.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $524.81 Typical High $660.69 | Professional | 78 · Unplanned return to OR | $524.81 | $524.81 | $660.69 |
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 $1,258.93 Median $1,698.24 Typical High $2,884.03 | Professional | None | $1,258.93 | $1,698.24 | $2,884.03 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,000.00 Median $1,348.96 Typical High $2,290.87 | Professional | 54 · Surgery only | $1,000.00 | $1,348.96 | $2,290.87 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $251.19 Median $338.84 Typical High $575.44 | Professional | 55 · Aftercare only | $251.19 | $338.84 | $575.44 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,047.13 Median $1,445.44 Typical High $2,398.83 | Professional | 78 · Unplanned return to OR | $1,047.13 | $1,445.44 | $2,398.83 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $2,041.74 Typical High $3,981.07 | Facility | None | $1,318.26 | $2,041.74 | $3,981.07 |
Cigna Setting Professional Modifier None Typical Low $1,513.56 Median $2,398.83 Typical High $3,715.35 | Professional | None | $1,513.56 | $2,398.83 | $3,715.35 |
Health Partners Setting Facility Modifier None Typical Low $1,174.90 Median $1,905.46 Typical High $3,311.31 | Facility | None | $1,174.90 | $1,905.46 | $3,311.31 |
Health Partners Setting Professional Modifier None Typical Low $1,348.96 Median $2,137.96 Typical High $3,311.31 | Professional | None | $1,348.96 | $2,137.96 | $3,311.31 |
Medica Setting Facility Modifier None Typical Low $1,412.54 Median $2,754.23 Typical High $7,762.47 | Facility | None | $1,412.54 | $2,754.23 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $1,023.29 Median $1,819.70 Typical High $7,762.47 | Professional | None | $1,023.29 | $1,819.70 | $7,762.47 |
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 $933.25 Median $1,698.24 Typical High $3,162.28 | Professional | None | $933.25 | $1,698.24 | $3,162.28 |
7 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 $380.19 Median $380.19 Typical High $380.19 | Facility | 52 · Reduced service | $380.19 | $380.19 | $380.19 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | 53 · Discontinued | $151.36 | $151.36 | $151.36 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | 56 · Pre-op care only | $75.86 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $380.19 Median $380.19 Typical High $467.74 | Professional | 52 · Reduced service | $380.19 | $380.19 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $151.36 Typical High $186.21 | Professional | 53 · Discontinued | $151.36 | $151.36 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $75.86 Typical High $93.33 | Professional | 56 · Pre-op care only | $75.86 | $75.86 | $93.33 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $794.33 Median $1,071.52 Typical High $1,778.28 | Professional | 62 · Two surgeons | $794.33 | $1,071.52 | $1,778.28 |
Where Minnesota sits
The same service costs 6.6 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· 6th of 51
$1,862
OK $3,802UT $575
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.