How much rates vary
Facilitymedian $1,514 · 10th to 90th $417 to $6,026Professionalmedian $977 · 10th to 90th $537 to $1,820
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 $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | 54 · Surgery only | $316.23 | $316.23 | $316.23 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | 55 · Aftercare only | $63.10 | $63.10 | $63.10 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | 78 · Unplanned return to OR | $295.12 | $295.12 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $512.86 | Professional | None | $416.87 | $416.87 | $512.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $316.23 Median $316.23 Typical High $389.05 | Professional | 54 · Surgery only | $316.23 | $316.23 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $63.10 Typical High $77.62 | Professional | 55 · Aftercare only | $63.10 | $63.10 | $77.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $295.12 Typical High $363.08 | Professional | 78 · Unplanned return to OR | $295.12 | $295.12 | $363.08 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,344.23 Median $5,495.41 Typical High $12,022.64 | Facility | None | $2,344.23 | $5,495.41 | $12,022.64 |
BCBS Minnesota Setting Professional Modifier None Typical Low $691.83 Median $933.25 Typical High $1,621.81 | Professional | None | $691.83 | $933.25 | $1,621.81 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $758.58 Typical High $1,288.25 | Professional | 54 · Surgery only | $549.54 | $758.58 | $1,288.25 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $186.21 Typical High $316.23 | Professional | 55 · Aftercare only | $141.25 | $186.21 | $316.23 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $588.84 Median $794.33 Typical High $1,348.96 | Professional | 78 · Unplanned return to OR | $588.84 | $794.33 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,148.15 Typical High $2,187.76 | Facility | None | $741.31 | $1,148.15 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $1,318.26 Typical High $2,089.30 | Professional | None | $851.14 | $1,318.26 | $2,089.30 |
Health Partners Setting Facility Modifier None Typical Low $660.69 Median $1,071.52 Typical High $1,862.09 | Facility | None | $660.69 | $1,071.52 | $1,862.09 |
Health Partners Setting Professional Modifier None Typical Low $741.31 Median $1,202.26 Typical High $1,819.70 | Professional | None | $741.31 | $1,202.26 | $1,819.70 |
Medica Setting Facility Modifier None Typical Low $794.33 Median $2,137.96 Typical High $6,760.83 | Facility | None | $794.33 | $2,137.96 | $6,760.83 |
Medica Setting Professional Modifier None Typical Low $512.86 Median $977.24 Typical High $3,388.44 | Professional | None | $512.86 | $977.24 | $3,388.44 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $8,128.31 | Facility | None | $1,513.56 | $2,511.89 | $8,128.31 |
United Setting Professional Modifier None Typical Low $489.78 Median $912.01 Typical High $1,737.80 | Professional | None | $489.78 | $912.01 | $1,737.80 |
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 $208.93 Median $208.93 Typical High $208.93 | Facility | 52 · Reduced service | $208.93 | $208.93 | $208.93 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | 53 · Discontinued | $85.11 | $85.11 | $85.11 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | 56 · Pre-op care only | $41.69 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $208.93 Median $208.93 Typical High $257.04 | Professional | 52 · Reduced service | $208.93 | $208.93 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $102.33 | Professional | 53 · Discontinued | $85.11 | $85.11 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $41.69 Typical High $51.29 | Professional | 56 · Pre-op care only | $41.69 | $41.69 | $51.29 |
Where Minnesota sits
The same service costs 8.9 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· 7th of 51
$1,072
OK $2,754UT $309
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.