How much rates vary
Facilitymedian $3,162 · 10th to 90th $741 to $12,882Professionalmedian $1,738 · 10th to 90th $933 to $3,236
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 $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | 54 · Surgery only | $549.54 | $549.54 | $549.54 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | 55 · Aftercare only | $109.65 | $109.65 | $109.65 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | 78 · Unplanned return to OR | $512.86 | $512.86 | $512.86 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $912.01 | Professional | None | $741.31 | $741.31 | $912.01 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $549.54 Typical High $676.08 | Professional | 54 · Surgery only | $549.54 | $549.54 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $109.65 Typical High $138.04 | Professional | 55 · Aftercare only | $109.65 | $109.65 | $138.04 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $512.86 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $512.86 | $512.86 | $630.96 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,677.35 Median $16,982.44 Typical High $39,810.72 | Facility | None | $4,677.35 | $16,982.44 | $39,810.72 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,230.27 Median $1,659.59 Typical High $2,818.38 | Professional | None | $1,230.27 | $1,659.59 | $2,818.38 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $977.24 Median $1,318.26 Typical High $2,290.87 | Professional | 54 · Surgery only | $977.24 | $1,318.26 | $2,290.87 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $245.47 Median $331.13 Typical High $562.34 | Professional | 55 · Aftercare only | $245.47 | $331.13 | $562.34 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,023.29 Median $1,380.38 Typical High $2,398.83 | Professional | 78 · Unplanned return to OR | $1,023.29 | $1,380.38 | $2,398.83 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $1,995.26 Typical High $3,801.89 | Facility | None | $1,288.25 | $1,995.26 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $1,479.11 Median $2,344.23 Typical High $3,630.78 | Professional | None | $1,479.11 | $2,344.23 | $3,630.78 |
Health Partners Setting Facility Modifier None Typical Low $1,148.15 Median $1,862.09 Typical High $3,235.94 | Facility | None | $1,148.15 | $1,862.09 | $3,235.94 |
Health Partners Setting Professional Modifier None Typical Low $1,318.26 Median $2,089.30 Typical High $3,235.94 | Professional | None | $1,318.26 | $2,089.30 | $3,235.94 |
Medica Setting Facility Modifier None Typical Low $1,380.38 Median $4,897.79 Typical High $9,332.54 | Facility | None | $1,380.38 | $4,897.79 | $9,332.54 |
Medica Setting Professional Modifier None Typical Low $1,023.29 Median $1,778.28 Typical High $6,025.60 | Professional | None | $1,023.29 | $1,778.28 | $6,025.60 |
United Setting Facility Modifier None Typical Low $3,235.94 Median $5,370.32 Typical High $12,882.50 | Facility | None | $3,235.94 | $5,370.32 | $12,882.50 |
United Setting Professional Modifier None Typical Low $933.25 Median $1,659.59 Typical High $3,090.30 | Professional | None | $933.25 | $1,659.59 | $3,090.30 |
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 $371.54 Median $371.54 Typical High $371.54 | Facility | 52 · Reduced service | $371.54 | $371.54 | $371.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | 53 · Discontinued | $147.91 | $147.91 | $147.91 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $74.13 Median $74.13 Typical High $74.13 | Facility | 56 · Pre-op care only | $74.13 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $371.54 Median $371.54 Typical High $457.09 | Professional | 52 · Reduced service | $371.54 | $371.54 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $147.91 Typical High $181.97 | Professional | 53 · Discontinued | $147.91 | $147.91 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $74.13 Typical High $91.20 | Professional | 56 · Pre-op care only | $74.13 | $74.13 | $91.20 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $758.58 Median $1,047.13 Typical High $1,778.28 | Professional | 62 · Two surgeons | $758.58 | $1,047.13 | $1,778.28 |
Where Minnesota sits
The same service costs 11.0 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
$1,820
OK $5,888UT $537
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.