How much rates vary
Facilitymedian $676 · 10th to 90th $204 to $2,951Professionalmedian $525 · 10th to 90th $288 to $1,000
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 $204.17 Median $295.12 Typical High $295.12 | Facility | None | $204.17 | $295.12 | $295.12 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $154.88 Median $218.78 Typical High $218.78 | Facility | 54 · Surgery only | $154.88 | $218.78 | $218.78 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $30.90 Median $43.65 Typical High $43.65 | Facility | 55 · Aftercare only | $30.90 | $43.65 | $43.65 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $144.54 Median $204.17 Typical High $204.17 | Facility | 78 · Unplanned return to OR | $144.54 | $204.17 | $204.17 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $275.42 Typical High $309.03 | Professional | None | $204.17 | $275.42 | $309.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $154.88 Median $190.55 Typical High $218.78 | Professional | 54 · Surgery only | $154.88 | $190.55 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $38.02 Typical High $43.65 | Professional | 55 · Aftercare only | $30.90 | $38.02 | $43.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $144.54 Median $177.83 Typical High $204.17 | Professional | 78 · Unplanned return to OR | $144.54 | $177.83 | $204.17 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,621.81 Median $2,884.03 Typical High $6,165.95 | Facility | None | $1,621.81 | $2,884.03 | $6,165.95 |
BCBS Minnesota Setting Professional Modifier None Typical Low $323.59 Median $537.03 Typical High $891.25 | Professional | None | $323.59 | $537.03 | $891.25 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $426.58 Typical High $707.95 | Professional | 54 · Surgery only | $257.04 | $426.58 | $707.95 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $107.15 Typical High $173.78 | Professional | 55 · Aftercare only | $64.57 | $107.15 | $173.78 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $446.68 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $269.15 | $446.68 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $758.58 Typical High $1,445.44 | Facility | None | $489.78 | $758.58 | $1,445.44 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $630.96 Typical High $1,122.02 | Professional | None | $346.74 | $630.96 | $1,122.02 |
Health Partners Setting Facility Modifier None Typical Low $436.52 Median $707.95 Typical High $1,230.27 | Facility | None | $436.52 | $707.95 | $1,230.27 |
Health Partners Setting Professional Modifier None Typical Low $346.74 Median $562.34 Typical High $1,148.15 | Professional | None | $346.74 | $562.34 | $1,148.15 |
Medica Setting Facility Modifier None Typical Low $363.08 Median $758.58 Typical High $2,884.03 | Facility | None | $363.08 | $758.58 | $2,884.03 |
Medica Setting Professional Modifier None Typical Low $338.84 Median $645.65 Typical High $2,187.76 | Professional | None | $338.84 | $645.65 | $2,187.76 |
United Setting Facility Modifier None Typical Low $549.54 Median $1,000.00 Typical High $3,548.13 | Facility | None | $549.54 | $1,000.00 | $3,548.13 |
United Setting Professional Modifier None Typical Low $257.04 Median $446.68 Typical High $933.25 | Professional | None | $257.04 | $446.68 | $933.25 |
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 $102.33 Median $147.91 Typical High $147.91 | Facility | 52 · Reduced service | $102.33 | $147.91 | $147.91 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $40.74 Median $58.88 Typical High $58.88 | Facility | 53 · Discontinued | $40.74 | $58.88 | $58.88 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $20.42 Median $29.51 Typical High $29.51 | Facility | 56 · Pre-op care only | $20.42 | $29.51 | $29.51 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $102.33 Median $125.89 Typical High $147.91 | Professional | 52 · Reduced service | $102.33 | $125.89 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $50.12 Typical High $58.88 | Professional | 53 · Discontinued | $40.74 | $50.12 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $25.12 Typical High $29.51 | Professional | 56 · Pre-op care only | $20.42 | $25.12 | $29.51 |
Where Minnesota sits
The same service costs 3.9 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· 3rd of 51
$537
AK $851TX $219
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.