How much rates vary
Facilitymedian $617 · 10th to 90th $182 to $1,445Professionalmedian $407 · 10th to 90th $214 to $759
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 $181.97 Median $660.69 Typical High $954.99 | Facility | None | $181.97 | $660.69 | $954.99 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $138.04 Median $158.49 Typical High $158.49 | Facility | 54 · Surgery only | $138.04 | $158.49 | $158.49 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $27.54 Median $31.62 Typical High $31.62 | Facility | 55 · Aftercare only | $27.54 | $31.62 | $31.62 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $128.82 Median $147.91 Typical High $147.91 | Facility | 78 · Unplanned return to OR | $128.82 | $147.91 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $204.17 Typical High $281.84 | Professional | None | $181.97 | $204.17 | $281.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $138.04 Median $138.04 Typical High $158.49 | Professional | 54 · Surgery only | $138.04 | $138.04 | $158.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $27.54 Typical High $31.62 | Professional | 55 · Aftercare only | $27.54 | $27.54 | $31.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $128.82 Median $128.82 Typical High $147.91 | Professional | 78 · Unplanned return to OR | $128.82 | $128.82 | $147.91 |
BCBS Minnesota Setting Facility Modifier None Typical Low $524.81 Median $870.96 Typical High $1,513.56 | Facility | None | $524.81 | $870.96 | $1,513.56 |
BCBS Minnesota Setting Professional Modifier None Typical Low $302.00 Median $426.58 Typical High $676.08 | Professional | None | $302.00 | $426.58 | $676.08 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $239.88 Median $338.84 Typical High $537.03 | Professional | 54 · Surgery only | $239.88 | $338.84 | $537.03 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $85.11 Typical High $131.83 | Professional | 55 · Aftercare only | $60.26 | $85.11 | $131.83 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $251.19 Median $354.81 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $251.19 | $354.81 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $549.54 Typical High $1,047.13 | Facility | None | $354.81 | $549.54 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $478.63 Typical High $912.01 | Professional | None | $309.03 | $478.63 | $912.01 |
Health Partners Setting Facility Modifier None Typical Low $316.23 Median $524.81 Typical High $891.25 | Facility | None | $316.23 | $524.81 | $891.25 |
Health Partners Setting Professional Modifier None Typical Low $309.03 Median $478.63 Typical High $831.76 | Professional | None | $309.03 | $478.63 | $831.76 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $380.19 Typical High $1,445.44 | Facility | None | $125.89 | $380.19 | $1,445.44 |
Medica Setting Professional Modifier None Typical Low $257.04 Median $467.74 Typical High $1,584.89 | Professional | None | $257.04 | $467.74 | $1,584.89 |
United Setting Facility Modifier None Typical Low $125.89 Median $426.58 Typical High $1,778.28 | Facility | None | $125.89 | $426.58 | $1,778.28 |
United Setting Professional Modifier None Typical Low $208.93 Median $338.84 Typical High $724.44 | Professional | None | $208.93 | $338.84 | $724.44 |
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 $91.20 Median $107.15 Typical High $107.15 | Facility | 52 · Reduced service | $91.20 | $107.15 | $107.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $36.31 Median $42.66 Typical High $42.66 | Facility | 53 · Discontinued | $36.31 | $42.66 | $42.66 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $18.20 Median $21.38 Typical High $21.38 | Facility | 56 · Pre-op care only | $18.20 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $91.20 Median $91.20 Typical High $107.15 | Professional | 52 · Reduced service | $91.20 | $91.20 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $42.66 | Professional | 53 · Discontinued | $36.31 | $36.31 | $42.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $18.20 Typical High $21.38 | Professional | 56 · Pre-op care only | $18.20 | $18.20 | $21.38 |
Where Minnesota sits
The same service costs 4.4 times more in Alaska than in Florida. 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· 3rd of 51
$437
AK $759FL $174
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.