How much rates vary
Facilitymedian $2,042 · 10th to 90th $661 to $8,913Professionalmedian $1,514 · 10th to 90th $813 to $2,818
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 $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | 54 · Surgery only | $489.78 | $489.78 | $489.78 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | 55 · Aftercare only | $100.00 | $100.00 | $100.00 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | 78 · Unplanned return to OR | $457.09 | $457.09 | $457.09 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $912.01 | Professional | None | $660.69 | $660.69 | $912.01 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $489.78 Typical High $616.60 | Professional | 54 · Surgery only | $489.78 | $489.78 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $100.00 Typical High $123.03 | Professional | 55 · Aftercare only | $100.00 | $100.00 | $123.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $457.09 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $457.09 | $457.09 | $575.44 |
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 $1,096.48 Median $1,479.11 Typical High $2,511.89 | Professional | None | $1,096.48 | $1,479.11 | $2,511.89 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $1,202.26 Typical High $1,995.26 | Professional | 54 · Surgery only | $870.96 | $1,202.26 | $1,995.26 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $218.78 Median $295.12 Typical High $489.78 | Professional | 55 · Aftercare only | $218.78 | $295.12 | $489.78 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $1,258.93 Typical High $2,089.30 | Professional | 78 · Unplanned return to OR | $933.25 | $1,258.93 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $1,148.15 Median $1,778.28 Typical High $3,467.37 | Facility | None | $1,148.15 | $1,778.28 | $3,467.37 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $2,089.30 Typical High $3,235.94 | Professional | None | $1,318.26 | $2,089.30 | $3,235.94 |
Health Partners Setting Facility Modifier None Typical Low $1,023.29 Median $1,659.59 Typical High $2,884.03 | Facility | None | $1,023.29 | $1,659.59 | $2,884.03 |
Health Partners Setting Professional Modifier None Typical Low $1,174.90 Median $1,862.09 Typical High $2,884.03 | Professional | None | $1,174.90 | $1,862.09 | $2,884.03 |
Medica Setting Facility Modifier None Typical Low $1,230.27 Median $2,754.23 Typical High $7,762.47 | Facility | None | $1,230.27 | $2,754.23 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $831.76 Median $1,584.89 Typical High $5,370.32 | Professional | None | $831.76 | $1,584.89 | $5,370.32 |
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 $794.33 Median $1,479.11 Typical High $2,754.23 | Professional | None | $794.33 | $1,479.11 | $2,754.23 |
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 $331.13 Median $331.13 Typical High $331.13 | Facility | 52 · Reduced service | $331.13 | $331.13 | $331.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | 53 · Discontinued | $131.83 | $131.83 | $131.83 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | 56 · Pre-op care only | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $331.13 Median $331.13 Typical High $407.38 | Professional | 52 · Reduced service | $331.13 | $331.13 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $131.83 Typical High $162.18 | Professional | 53 · Discontinued | $131.83 | $131.83 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $66.07 Typical High $81.28 | Professional | 56 · Pre-op care only | $66.07 | $66.07 | $81.28 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $691.83 Median $933.25 Typical High $1,548.82 | Professional | 62 · Two surgeons | $691.83 | $933.25 | $1,548.82 |
Where Minnesota sits
The same service costs 7.2 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
$1,660
OK $3,802UT $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.