How much rates vary
Facilitymedian $977 · 10th to 90th $240 to $3,981Professionalmedian $575 · 10th to 90th $316 to $1,122
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 $239.88 Median $316.23 Typical High $3,981.07 | Facility | None | $239.88 | $316.23 | $3,981.07 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $181.97 Median $234.42 Typical High $234.42 | Facility | 54 · Surgery only | $181.97 | $234.42 | $234.42 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $36.31 Median $46.77 Typical High $46.77 | Facility | 55 · Aftercare only | $36.31 | $46.77 | $46.77 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $169.82 Median $218.78 Typical High $218.78 | Facility | 78 · Unplanned return to OR | $169.82 | $218.78 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $302.00 Typical High $380.19 | Professional | None | $239.88 | $302.00 | $380.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $181.97 Median $204.17 Typical High $234.42 | Professional | 54 · Surgery only | $181.97 | $204.17 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $40.74 Typical High $46.77 | Professional | 55 · Aftercare only | $36.31 | $40.74 | $46.77 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $169.82 Median $190.55 Typical High $218.78 | Professional | 78 · Unplanned return to OR | $169.82 | $190.55 | $218.78 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,949.84 Median $3,019.95 Typical High $6,165.95 | Facility | None | $1,949.84 | $3,019.95 | $6,165.95 |
BCBS Minnesota Setting Professional Modifier None Typical Low $398.11 Median $630.96 Typical High $1,000.00 | Professional | None | $398.11 | $630.96 | $1,000.00 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $323.59 Median $501.19 Typical High $794.33 | Professional | 54 · Surgery only | $323.59 | $501.19 | $794.33 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $125.89 Typical High $190.55 | Professional | 55 · Aftercare only | $83.18 | $125.89 | $190.55 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $338.84 Median $524.81 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $338.84 | $524.81 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $812.83 Typical High $1,548.82 | Facility | None | $524.81 | $812.83 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $676.08 Typical High $1,258.93 | Professional | None | $407.38 | $676.08 | $1,258.93 |
Health Partners Setting Facility Modifier None Typical Low $467.74 Median $776.25 Typical High $1,318.26 | Facility | None | $467.74 | $776.25 | $1,318.26 |
Health Partners Setting Professional Modifier None Typical Low $407.38 Median $645.65 Typical High $1,230.27 | Professional | None | $407.38 | $645.65 | $1,230.27 |
Medica Setting Facility Modifier None Typical Low $426.58 Median $1,230.27 Typical High $3,715.35 | Facility | None | $426.58 | $1,230.27 | $3,715.35 |
Medica Setting Professional Modifier None Typical Low $380.19 Median $707.95 Typical High $2,344.23 | Professional | None | $380.19 | $707.95 | $2,344.23 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,659.59 Typical High $4,265.80 | Facility | None | $776.25 | $1,659.59 | $4,265.80 |
United Setting Professional Modifier None Typical Low $295.12 Median $489.78 Typical High $1,000.00 | Professional | None | $295.12 | $489.78 | $1,000.00 |
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 $120.23 Median $158.49 Typical High $158.49 | Facility | 52 · Reduced service | $120.23 | $158.49 | $158.49 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $47.86 Median $63.10 Typical High $63.10 | Facility | 53 · Discontinued | $47.86 | $63.10 | $63.10 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $23.99 Median $31.62 Typical High $31.62 | Facility | 56 · Pre-op care only | $23.99 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $134.90 Typical High $158.49 | Professional | 52 · Reduced service | $120.23 | $134.90 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $53.70 Typical High $63.10 | Professional | 53 · Discontinued | $47.86 | $53.70 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $26.92 Typical High $31.62 | Professional | 56 · Pre-op care only | $23.99 | $26.92 | $31.62 |
Where Minnesota sits
The same service costs 4.8 times more in Alaska than in Kentucky. 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
$617
AK $1,202KY $251
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.