How much rates vary
Facilitymedian $1,585 · 10th to 90th $501 to $8,128Professionalmedian $1,175 · 10th to 90th $617 to $2,188
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 $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | 54 · Surgery only | $380.19 | $380.19 | $380.19 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | 55 · Aftercare only | $75.86 | $75.86 | $75.86 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | 78 · Unplanned return to OR | $354.81 | $354.81 | $354.81 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $616.60 | Professional | None | $501.19 | $501.19 | $616.60 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $380.19 Median $380.19 Typical High $467.74 | Professional | 54 · Surgery only | $380.19 | $380.19 | $467.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $75.86 Typical High $93.33 | Professional | 55 · Aftercare only | $75.86 | $75.86 | $93.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $354.81 Median $354.81 Typical High $436.52 | Professional | 78 · Unplanned return to OR | $354.81 | $354.81 | $436.52 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,818.38 Median $8,128.31 Typical High $18,620.87 | Facility | None | $2,818.38 | $8,128.31 | $18,620.87 |
BCBS Minnesota Setting Professional Modifier None Typical Low $831.76 Median $1,122.02 Typical High $1,905.46 | Professional | None | $831.76 | $1,122.02 | $1,905.46 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $660.69 Median $891.25 Typical High $1,513.56 | Professional | 54 · Surgery only | $660.69 | $891.25 | $1,513.56 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $223.87 Typical High $380.19 | Professional | 55 · Aftercare only | $165.96 | $223.87 | $380.19 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $933.25 Typical High $1,621.81 | Professional | 78 · Unplanned return to OR | $691.83 | $933.25 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $1,380.38 Typical High $2,630.27 | Facility | None | $891.25 | $1,380.38 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $1,000.00 Median $1,584.89 Typical High $2,511.89 | Professional | None | $1,000.00 | $1,584.89 | $2,511.89 |
Health Partners Setting Facility Modifier None Typical Low $794.33 Median $1,258.93 Typical High $2,187.76 | Facility | None | $794.33 | $1,258.93 | $2,187.76 |
Health Partners Setting Professional Modifier None Typical Low $891.25 Median $1,445.44 Typical High $2,187.76 | Professional | None | $891.25 | $1,445.44 | $2,187.76 |
Medica Setting Facility Modifier None Typical Low $933.25 Median $2,137.96 Typical High $6,760.83 | Facility | None | $933.25 | $2,137.96 | $6,760.83 |
Medica Setting Professional Modifier None Typical Low $630.96 Median $1,174.90 Typical High $5,011.87 | Professional | None | $630.96 | $1,174.90 | $5,011.87 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $8,317.64 | Facility | None | $1,513.56 | $2,511.89 | $8,317.64 |
United Setting Professional Modifier None Typical Low $616.60 Median $1,122.02 Typical High $2,089.30 | Professional | None | $616.60 | $1,122.02 | $2,089.30 |
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 $251.19 Median $251.19 Typical High $251.19 | Facility | 52 · Reduced service | $251.19 | $251.19 | $251.19 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | 53 · Discontinued | $100.00 | $100.00 | $100.00 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | 56 · Pre-op care only | $50.12 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $251.19 Median $251.19 Typical High $309.03 | Professional | 52 · Reduced service | $251.19 | $251.19 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $100.00 Typical High $123.03 | Professional | 53 · Discontinued | $100.00 | $100.00 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $50.12 Typical High $61.66 | Professional | 56 · Pre-op care only | $50.12 | $50.12 | $61.66 |
Where Minnesota sits
The same service costs 8.3 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· 7th of 51
$1,259
OK $2,951UT $355
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.