How much rates vary
Facilitymedian $1,862 · 10th to 90th $912 to $7,079Professionalmedian $2,188 · 10th to 90th $1,148 to $3,890
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 $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $691.83 Median $691.83 Typical High $691.83 | Facility | 54 · Surgery only | $691.83 | $691.83 | $691.83 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | 55 · Aftercare only | $138.04 | $138.04 | $138.04 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | 78 · Unplanned return to OR | $645.65 | $645.65 | $645.65 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,071.52 | Professional | None | $912.01 | $912.01 | $1,071.52 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $691.83 Median $691.83 Typical High $776.25 | Professional | 54 · Surgery only | $691.83 | $691.83 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $138.04 Typical High $154.88 | Professional | 55 · Aftercare only | $138.04 | $138.04 | $154.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $645.65 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $645.65 | $645.65 | $724.44 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,365.16 Median $7,585.78 Typical High $12,589.25 | Facility | None | $4,365.16 | $7,585.78 | $12,589.25 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,698.24 Median $2,187.76 Typical High $3,548.13 | Professional | None | $1,698.24 | $2,187.76 | $3,548.13 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,348.96 Median $1,737.80 Typical High $2,818.38 | Professional | 54 · Surgery only | $1,348.96 | $1,737.80 | $2,818.38 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $338.84 Median $436.52 Typical High $707.95 | Professional | 55 · Aftercare only | $338.84 | $436.52 | $707.95 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,412.54 Median $1,819.70 Typical High $3,019.95 | Professional | 78 · Unplanned return to OR | $1,412.54 | $1,819.70 | $3,019.95 |
Cigna Setting Facility Modifier None Typical Low $1,513.56 Median $2,344.23 Typical High $4,466.84 | Facility | None | $1,513.56 | $2,344.23 | $4,466.84 |
Cigna Setting Professional Modifier None Typical Low $1,778.28 Median $2,691.53 Typical High $4,265.80 | Professional | None | $1,778.28 | $2,691.53 | $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 $1,513.56 Median $2,454.71 Typical High $3,715.35 | Professional | None | $1,513.56 | $2,454.71 | $3,715.35 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,412.54 Typical High $3,019.95 | Facility | None | $758.58 | $1,412.54 | $3,019.95 |
Medica Setting Professional Modifier None Typical Low $1,148.15 Median $2,137.96 Typical High $7,079.46 | Professional | None | $1,148.15 | $2,137.96 | $7,079.46 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,513.56 Typical High $3,630.78 | Facility | None | $758.58 | $1,513.56 | $3,630.78 |
United Setting Professional Modifier None Typical Low $1,096.48 Median $1,905.46 Typical High $3,981.07 | Professional | None | $1,096.48 | $1,905.46 | $3,981.07 |
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 $457.09 Median $457.09 Typical High $457.09 | Facility | 52 · Reduced service | $457.09 | $457.09 | $457.09 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | 53 · Discontinued | $181.97 | $181.97 | $181.97 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | 56 · Pre-op care only | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $457.09 Median $457.09 Typical High $512.86 | Professional | 52 · Reduced service | $457.09 | $457.09 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $181.97 Typical High $204.17 | Professional | 53 · Discontinued | $181.97 | $181.97 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $91.20 Typical High $102.33 | Professional | 56 · Pre-op care only | $91.20 | $91.20 | $102.33 |
Where Minnesota sits
The same service costs 7.4 times more in Alaska than in Texas. 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· 4th of 51
$2,138
AK $4,074TX $550
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.