How much rates vary
Facilitymedian $2,884 · 10th to 90th $891 to $9,333Professionalmedian $2,042 · 10th to 90th $1,096 to $3,802
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 $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | 54 · Surgery only | $660.69 | $660.69 | $660.69 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | 55 · Aftercare only | $134.90 | $134.90 | $134.90 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $616.60 Typical High $616.60 | Facility | 78 · Unplanned return to OR | $616.60 | $616.60 | $616.60 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,230.27 | Professional | None | $891.25 | $891.25 | $1,230.27 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $660.69 Median $660.69 Typical High $831.76 | Professional | 54 · Surgery only | $660.69 | $660.69 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $134.90 Typical High $165.96 | Professional | 55 · Aftercare only | $134.90 | $134.90 | $165.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $616.60 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $616.60 | $616.60 | $776.25 |
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 $1,479.11 Median $1,995.26 Typical High $3,388.44 | Professional | None | $1,479.11 | $1,995.26 | $3,388.44 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,174.90 Median $1,584.89 Typical High $2,691.53 | Professional | 54 · Surgery only | $1,174.90 | $1,584.89 | $2,691.53 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $295.12 Median $398.11 Typical High $676.08 | Professional | 55 · Aftercare only | $295.12 | $398.11 | $676.08 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,230.27 Median $1,698.24 Typical High $2,818.38 | Professional | 78 · Unplanned return to OR | $1,230.27 | $1,698.24 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $2,454.71 Typical High $4,677.35 | Facility | None | $1,548.82 | $2,454.71 | $4,677.35 |
Cigna Setting Professional Modifier None Typical Low $1,778.28 Median $2,818.38 Typical High $4,365.16 | Professional | None | $1,778.28 | $2,818.38 | $4,365.16 |
Health Partners Setting Facility Modifier None Typical Low $1,380.38 Median $2,238.72 Typical High $3,890.45 | Facility | None | $1,380.38 | $2,238.72 | $3,890.45 |
Health Partners Setting Professional Modifier None Typical Low $1,584.89 Median $2,511.89 Typical High $3,890.45 | Professional | None | $1,584.89 | $2,511.89 | $3,890.45 |
Medica Setting Facility Modifier None Typical Low $1,479.11 Median $3,801.89 Typical High $8,912.51 | Facility | None | $1,479.11 | $3,801.89 | $8,912.51 |
Medica Setting Professional Modifier None Typical Low $1,148.15 Median $2,137.96 Typical High $7,244.36 | Professional | None | $1,148.15 | $2,137.96 | $7,244.36 |
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 $1,096.48 Median $1,995.26 Typical High $3,715.35 | Professional | None | $1,096.48 | $1,995.26 | $3,715.35 |
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 $446.68 Median $446.68 Typical High $446.68 | Facility | 52 · Reduced service | $446.68 | $446.68 | $446.68 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | 53 · Discontinued | $177.83 | $177.83 | $177.83 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | 56 · Pre-op care only | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $446.68 Median $446.68 Typical High $549.54 | Professional | 52 · Reduced service | $446.68 | $446.68 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $177.83 Typical High $218.78 | Professional | 53 · Discontinued | $177.83 | $177.83 | $218.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $89.13 Typical High $109.65 | Professional | 56 · Pre-op care only | $89.13 | $89.13 | $109.65 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $933.25 Median $1,258.93 Typical High $2,089.30 | Professional | 62 · Two surgeons | $933.25 | $1,258.93 | $2,089.30 |
Where Minnesota sits
The same service costs 5.9 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· 6th of 51
$2,188
OK $4,074UT $692
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.