How much rates vary
Facilitymedian $2,042 · 10th to 90th $646 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 $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
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 $97.72 Median $97.72 Typical High $97.72 | Facility | 55 · Aftercare only | $97.72 | $97.72 | $97.72 |
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 $645.65 Median $645.65 Typical High $891.25 | Professional | None | $645.65 | $645.65 | $891.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $489.78 Typical High $602.56 | Professional | 54 · Surgery only | $489.78 | $489.78 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $97.72 Typical High $120.23 | Professional | 55 · Aftercare only | $97.72 | $97.72 | $120.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $457.09 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $457.09 | $457.09 | $562.34 |
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 $1,071.52 Median $1,479.11 Typical High $2,454.71 | Professional | None | $1,071.52 | $1,479.11 | $2,454.71 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $1,174.90 Typical High $1,949.84 | Professional | 54 · Surgery only | $870.96 | $1,174.90 | $1,949.84 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $295.12 Typical High $489.78 | Professional | 55 · Aftercare only | $213.80 | $295.12 | $489.78 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $912.01 Median $1,230.27 Typical High $2,089.30 | Professional | 78 · Unplanned return to OR | $912.01 | $1,230.27 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $1,148.15 Median $1,778.28 Typical High $3,388.44 | Facility | None | $1,148.15 | $1,778.28 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $2,041.74 Typical High $3,235.94 | Professional | None | $1,288.25 | $2,041.74 | $3,235.94 |
Health Partners Setting Facility Modifier None Typical Low $1,023.29 Median $1,621.81 Typical High $2,818.38 | Facility | None | $1,023.29 | $1,621.81 | $2,818.38 |
Health Partners Setting Professional Modifier None Typical Low $1,148.15 Median $1,862.09 Typical High $2,818.38 | Professional | None | $1,148.15 | $1,862.09 | $2,818.38 |
Medica Setting Facility Modifier None Typical Low $1,202.26 Median $2,754.23 Typical High $7,762.47 | Facility | None | $1,202.26 | $2,754.23 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $831.76 Median $1,548.82 Typical High $6,025.60 | Professional | None | $831.76 | $1,548.82 | $6,025.60 |
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 $1,445.44 Typical High $2,691.53 | Professional | None | $794.33 | $1,445.44 | $2,691.53 |
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 $323.59 Median $323.59 Typical High $323.59 | Facility | 52 · Reduced service | $323.59 | $323.59 | $323.59 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | 53 · Discontinued | $128.82 | $128.82 | $128.82 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | 56 · Pre-op care only | $64.57 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $323.59 Median $323.59 Typical High $398.11 | Professional | 52 · Reduced service | $323.59 | $323.59 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $128.82 Typical High $162.18 | Professional | 53 · Discontinued | $128.82 | $128.82 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $64.57 Typical High $79.43 | Professional | 56 · Pre-op care only | $64.57 | $64.57 | $79.43 |
Where Minnesota sits
The same service costs 5.8 times more in Alaska 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· 5th of 51
$1,622
AK $2,818UT $490
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.