How much rates vary
Facilitymedian $2,512 · 10th to 90th $871 to $13,183Professionalmedian $1,995 · 10th to 90th $1,096 to $3,715
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 $870.96 Median $870.96 Typical High $4,677.35 | Facility | None | $870.96 | $870.96 | $4,677.35 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | 54 · Surgery only | $645.65 | $645.65 | $645.65 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | 55 · Aftercare only | $128.82 | $128.82 | $128.82 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | 78 · Unplanned return to OR | $602.56 | $602.56 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $1,202.26 | Professional | None | $870.96 | $870.96 | $1,202.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $645.65 Typical High $812.83 | Professional | 54 · Surgery only | $645.65 | $645.65 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $128.82 Typical High $162.18 | Professional | 55 · Aftercare only | $128.82 | $128.82 | $162.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $602.56 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $602.56 | $602.56 | $758.58 |
BCBS Minnesota Setting Facility Modifier None Typical Low $8,317.64 Median $17,782.79 Typical High $35,481.34 | Facility | None | $8,317.64 | $17,782.79 | $35,481.34 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,445.44 Median $1,949.84 Typical High $3,311.31 | Professional | None | $1,445.44 | $1,949.84 | $3,311.31 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,148.15 Median $1,548.82 Typical High $2,630.27 | Professional | 54 · Surgery only | $1,148.15 | $1,548.82 | $2,630.27 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $288.40 Median $389.05 Typical High $645.65 | Professional | 55 · Aftercare only | $288.40 | $389.05 | $645.65 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,202.26 Median $1,659.59 Typical High $2,754.23 | Professional | 78 · Unplanned return to OR | $1,202.26 | $1,659.59 | $2,754.23 |
Cigna Setting Facility Modifier None Typical Low $1,513.56 Median $2,344.23 Typical High $4,570.88 | Facility | None | $1,513.56 | $2,344.23 | $4,570.88 |
Cigna Setting Professional Modifier None Typical Low $1,737.80 Median $2,754.23 Typical High $4,265.80 | Professional | None | $1,737.80 | $2,754.23 | $4,265.80 |
Health Partners Setting Facility Modifier None Typical Low $1,348.96 Median $2,187.76 Typical High $3,801.89 | Facility | None | $1,348.96 | $2,187.76 | $3,801.89 |
Health Partners Setting Professional Modifier None Typical Low $1,548.82 Median $2,454.71 Typical High $3,801.89 | Professional | None | $1,548.82 | $2,454.71 | $3,801.89 |
Medica Setting Facility Modifier None Typical Low $1,621.81 Median $2,818.38 Typical High $8,709.64 | Facility | None | $1,621.81 | $2,818.38 | $8,709.64 |
Medica Setting Professional Modifier None Typical Low $1,122.02 Median $2,089.30 Typical High $7,079.46 | Professional | None | $1,122.02 | $2,089.30 | $7,079.46 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $10,000.00 | Facility | None | $1,995.26 | $3,090.30 | $10,000.00 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $1,949.84 Typical High $3,630.78 | Professional | None | $1,071.52 | $1,949.84 | $3,630.78 |
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 $436.52 Median $436.52 Typical High $436.52 | Facility | 52 · Reduced service | $436.52 | $436.52 | $436.52 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | 53 · Discontinued | $173.78 | $173.78 | $173.78 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | 56 · Pre-op care only | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $436.52 Median $436.52 Typical High $537.03 | Professional | 52 · Reduced service | $436.52 | $436.52 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $173.78 Typical High $213.80 | Professional | 53 · Discontinued | $173.78 | $173.78 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $87.10 Typical High $107.15 | Professional | 56 · Pre-op care only | $87.10 | $87.10 | $107.15 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $912.01 Median $1,230.27 Typical High $2,041.74 | Professional | 62 · Two surgeons | $912.01 | $1,230.27 | $2,041.74 |
Where Minnesota sits
The same service costs 6.3 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· 9th of 51
$2,089
OK $4,169UT $661
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.