How much rates vary
Facilitymedian $912 · 10th to 90th $275 to $3,236Professionalmedian $692 · 10th to 90th $380 to $1,318
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 $275.42 Median $380.19 Typical High $380.19 | Facility | None | $275.42 | $380.19 | $380.19 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $204.17 Median $288.40 Typical High $288.40 | Facility | 54 · Surgery only | $204.17 | $288.40 | $288.40 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $40.74 Median $57.54 Typical High $57.54 | Facility | 55 · Aftercare only | $40.74 | $57.54 | $57.54 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $190.55 Median $269.15 Typical High $269.15 | Facility | 78 · Unplanned return to OR | $190.55 | $269.15 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $338.84 Typical High $389.05 | Professional | None | $275.42 | $338.84 | $389.05 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $245.47 Typical High $288.40 | Professional | 54 · Surgery only | $204.17 | $245.47 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $48.98 Typical High $57.54 | Professional | 55 · Aftercare only | $40.74 | $48.98 | $57.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $190.55 Median $229.09 Typical High $269.15 | Professional | 78 · Unplanned return to OR | $190.55 | $229.09 | $269.15 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,000.00 Median $2,630.27 Typical High $6,165.95 | Facility | None | $1,000.00 | $2,630.27 | $6,165.95 |
BCBS Minnesota Setting Professional Modifier None Typical Low $436.52 Median $707.95 Typical High $1,174.90 | Professional | None | $436.52 | $707.95 | $1,174.90 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $562.34 Typical High $933.25 | Professional | 54 · Surgery only | $346.74 | $562.34 | $933.25 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $141.25 Typical High $229.09 | Professional | 55 · Aftercare only | $87.10 | $141.25 | $229.09 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $363.08 Median $588.84 Typical High $977.24 | Professional | 78 · Unplanned return to OR | $363.08 | $588.84 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,000.00 Typical High $1,905.46 | Facility | None | $645.65 | $1,000.00 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $812.83 Typical High $1,548.82 | Professional | None | $467.74 | $812.83 | $1,548.82 |
Health Partners Setting Facility Modifier None Typical Low $575.44 Median $933.25 Typical High $1,621.81 | Facility | None | $575.44 | $933.25 | $1,621.81 |
Health Partners Setting Professional Modifier None Typical Low $457.09 Median $758.58 Typical High $1,513.56 | Professional | None | $457.09 | $758.58 | $1,513.56 |
Medica Setting Facility Modifier None Typical Low $489.78 Median $1,174.90 Typical High $3,467.37 | Facility | None | $489.78 | $1,174.90 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $478.63 Median $933.25 Typical High $2,884.03 | Professional | None | $478.63 | $933.25 | $2,884.03 |
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 $346.74 Median $602.56 Typical High $1,202.26 | Professional | None | $346.74 | $602.56 | $1,202.26 |
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 $138.04 Median $190.55 Typical High $190.55 | Facility | 52 · Reduced service | $138.04 | $190.55 | $190.55 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $54.95 Median $77.62 Typical High $77.62 | Facility | 53 · Discontinued | $54.95 | $77.62 | $77.62 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $27.54 Median $38.02 Typical High $38.02 | Facility | 56 · Pre-op care only | $27.54 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $165.96 Typical High $190.55 | Professional | 52 · Reduced service | $138.04 | $165.96 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $66.07 Typical High $77.62 | Professional | 53 · Discontinued | $54.95 | $66.07 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $33.11 Typical High $38.02 | Professional | 56 · Pre-op care only | $27.54 | $33.11 | $38.02 |
Where Minnesota sits
The same service costs 3.9 times more in Alaska than in Utah. 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
$708
AK $1,259UT $324
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.