How much rates vary
Facilitymedian $1,023 · 10th to 90th $309 to $4,898Professionalmedian $724 · 10th to 90th $380 to $1,349
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 $309.03 Median $380.19 Typical High $380.19 | Facility | None | $309.03 | $380.19 | $380.19 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $234.42 Median $288.40 Typical High $288.40 | Facility | 54 · Surgery only | $234.42 | $288.40 | $288.40 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $46.77 Median $57.54 Typical High $57.54 | Facility | 55 · Aftercare only | $46.77 | $57.54 | $57.54 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $218.78 Median $269.15 Typical High $269.15 | Facility | 78 · Unplanned return to OR | $218.78 | $269.15 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $363.08 Typical High $416.87 | Professional | None | $309.03 | $363.08 | $416.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $257.04 Typical High $288.40 | Professional | 54 · Surgery only | $234.42 | $257.04 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $51.29 Typical High $57.54 | Professional | 55 · Aftercare only | $46.77 | $51.29 | $57.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $218.78 Median $239.88 Typical High $269.15 | Professional | 78 · Unplanned return to OR | $218.78 | $239.88 | $269.15 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,000.00 Median $4,570.88 Typical High $10,715.19 | Facility | None | $1,000.00 | $4,570.88 | $10,715.19 |
BCBS Minnesota Setting Professional Modifier None Typical Low $501.19 Median $758.58 Typical High $1,202.26 | Professional | None | $501.19 | $758.58 | $1,202.26 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $616.60 Typical High $954.99 | Professional | 54 · Surgery only | $398.11 | $616.60 | $954.99 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $151.36 Typical High $234.42 | Professional | 55 · Aftercare only | $102.33 | $151.36 | $234.42 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $645.65 Typical High $1,023.29 | Professional | 78 · Unplanned return to OR | $416.87 | $645.65 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $977.24 Typical High $1,905.46 | Facility | None | $630.96 | $977.24 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $851.14 Typical High $1,584.89 | Professional | None | $524.81 | $851.14 | $1,584.89 |
Health Partners Setting Facility Modifier None Typical Low $562.34 Median $933.25 Typical High $1,584.89 | Facility | None | $562.34 | $933.25 | $1,584.89 |
Health Partners Setting Professional Modifier None Typical Low $524.81 Median $831.76 Typical High $1,479.11 | Professional | None | $524.81 | $831.76 | $1,479.11 |
Medica Setting Facility Modifier None Typical Low $512.86 Median $1,737.80 Typical High $5,370.32 | Facility | None | $512.86 | $1,737.80 | $5,370.32 |
Medica Setting Professional Modifier None Typical Low $478.63 Median $912.01 Typical High $2,884.03 | Professional | None | $478.63 | $912.01 | $2,884.03 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $7,585.78 | Facility | None | $1,513.56 | $2,511.89 | $7,585.78 |
United Setting Professional Modifier None Typical Low $380.19 Median $616.60 Typical High $1,258.93 | Professional | None | $380.19 | $616.60 | $1,258.93 |
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 $154.88 Median $190.55 Typical High $190.55 | Facility | 52 · Reduced service | $154.88 | $190.55 | $190.55 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $63.10 Median $75.86 Typical High $75.86 | Facility | 53 · Discontinued | $63.10 | $75.86 | $75.86 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $30.90 Median $38.02 Typical High $38.02 | Facility | 56 · Pre-op care only | $30.90 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $154.88 Median $169.82 Typical High $190.55 | Professional | 52 · Reduced service | $154.88 | $169.82 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $69.18 Typical High $75.86 | Professional | 53 · Discontinued | $63.10 | $69.18 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $34.67 Typical High $38.02 | Professional | 56 · Pre-op care only | $30.90 | $34.67 | $38.02 |
Where Minnesota sits
The same service costs 4.5 times more in Alaska than in New Jersey. 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
$759
AK $1,549NJ $347
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.