How much rates vary
Facilitymedian $3,162 · 10th to 90th $1,122 to $9,772Professionalmedian $4,074 · 10th to 90th $2,188 to $7,413
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 $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | 54 · Surgery only | $1,288.25 | $1,288.25 | $1,288.25 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | 55 · Aftercare only | $257.04 | $257.04 | $257.04 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Facility | 78 · Unplanned return to OR | $1,202.26 | $1,202.26 | $1,202.26 |
Aetna Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,949.84 | Professional | None | $1,737.80 | $1,737.80 | $1,949.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,288.25 Median $1,288.25 Typical High $1,445.44 | Professional | 54 · Surgery only | $1,288.25 | $1,288.25 | $1,445.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $257.04 Median $257.04 Typical High $288.40 | Professional | 55 · Aftercare only | $257.04 | $257.04 | $288.40 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,202.26 Median $1,202.26 Typical High $1,348.96 | Professional | 78 · Unplanned return to OR | $1,202.26 | $1,202.26 | $1,348.96 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,365.16 Median $10,715.19 Typical High $20,892.96 | Facility | None | $4,365.16 | $10,715.19 | $20,892.96 |
BCBS Minnesota Setting Professional Modifier None Typical Low $3,162.28 Median $4,073.80 Typical High $6,760.83 | Professional | None | $3,162.28 | $4,073.80 | $6,760.83 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $2,511.89 Median $3,311.31 Typical High $5,370.32 | Professional | 54 · Surgery only | $2,511.89 | $3,311.31 | $5,370.32 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $630.96 Median $812.83 Typical High $1,348.96 | Professional | 55 · Aftercare only | $630.96 | $812.83 | $1,348.96 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,630.27 Median $3,467.37 Typical High $5,623.41 | Professional | 78 · Unplanned return to OR | $2,630.27 | $3,467.37 | $5,623.41 |
Cigna Setting Facility Modifier None Typical Low $2,884.03 Median $4,466.84 Typical High $8,511.38 | Facility | None | $2,884.03 | $4,466.84 | $8,511.38 |
Cigna Setting Professional Modifier None Typical Low $3,311.31 Median $5,128.61 Typical High $7,943.28 | Professional | None | $3,311.31 | $5,128.61 | $7,943.28 |
Health Partners Setting Facility Modifier None Typical Low $2,511.89 Median $4,073.80 Typical High $7,079.46 | Facility | None | $2,511.89 | $4,073.80 | $7,079.46 |
Health Partners Setting Professional Modifier None Typical Low $2,884.03 Median $4,570.88 Typical High $7,079.46 | Professional | None | $2,884.03 | $4,570.88 | $7,079.46 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $3,548.13 | Facility | None | $758.58 | $1,445.44 | $3,548.13 |
Medica Setting Professional Modifier None Typical Low $2,187.76 Median $4,073.80 Typical High $13,489.63 | Professional | None | $2,187.76 | $4,073.80 | $13,489.63 |
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 $2,089.30 Median $3,630.78 Typical High $7,585.78 | Professional | None | $2,089.30 | $3,630.78 | $7,585.78 |
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 $851.14 Median $851.14 Typical High $851.14 | Facility | 52 · Reduced service | $851.14 | $851.14 | $851.14 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | 53 · Discontinued | $346.74 | $346.74 | $346.74 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | 56 · Pre-op care only | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $851.14 Median $851.14 Typical High $954.99 | Professional | 52 · Reduced service | $851.14 | $851.14 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $346.74 Median $346.74 Typical High $389.05 | Professional | 53 · Discontinued | $346.74 | $346.74 | $389.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $173.78 Median $173.78 Typical High $190.55 | Professional | 56 · Pre-op care only | $173.78 | $173.78 | $190.55 |
Where Minnesota sits
The same service costs 5.9 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
$3,890
AK $7,762TX $1,318
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.