How much rates vary
Facilitymedian $759 · 10th to 90th $191 to $3,162Professionalmedian $501 · 10th to 90th $288 to $977
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 $190.55 Median $295.12 Typical High $295.12 | Facility | None | $190.55 | $295.12 | $295.12 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $141.25 Median $218.78 Typical High $218.78 | Facility | 54 · Surgery only | $141.25 | $218.78 | $218.78 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $28.18 Median $43.65 Typical High $43.65 | Facility | 55 · Aftercare only | $28.18 | $43.65 | $43.65 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $131.83 Median $204.17 Typical High $204.17 | Facility | 78 · Unplanned return to OR | $131.83 | $204.17 | $204.17 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $251.19 Typical High $295.12 | Professional | None | $190.55 | $251.19 | $295.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $141.25 Median $186.21 Typical High $218.78 | Professional | 54 · Surgery only | $141.25 | $186.21 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $37.15 Typical High $43.65 | Professional | 55 · Aftercare only | $28.18 | $37.15 | $43.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $131.83 Median $173.78 Typical High $204.17 | Professional | 78 · Unplanned return to OR | $131.83 | $173.78 | $204.17 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,000.00 Median $3,090.30 Typical High $6,918.31 | Facility | None | $1,000.00 | $3,090.30 | $6,918.31 |
BCBS Minnesota Setting Professional Modifier None Typical Low $316.23 Median $524.81 Typical High $870.96 | Professional | None | $316.23 | $524.81 | $870.96 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $251.19 Median $416.87 Typical High $691.83 | Professional | 54 · Surgery only | $251.19 | $416.87 | $691.83 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $104.71 Typical High $169.82 | Professional | 55 · Aftercare only | $63.10 | $104.71 | $169.82 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $263.03 Median $436.52 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $263.03 | $436.52 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $741.31 Typical High $1,445.44 | Facility | None | $478.63 | $741.31 | $1,445.44 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $616.60 Typical High $1,096.48 | Professional | None | $316.23 | $616.60 | $1,096.48 |
Health Partners Setting Facility Modifier None Typical Low $426.58 Median $691.83 Typical High $1,202.26 | Facility | None | $426.58 | $691.83 | $1,202.26 |
Health Partners Setting Professional Modifier None Typical Low $309.03 Median $512.86 Typical High $1,122.02 | Professional | None | $309.03 | $512.86 | $1,122.02 |
Medica Setting Facility Modifier None Typical Low $323.59 Median $1,096.48 Typical High $3,090.30 | Facility | None | $323.59 | $1,096.48 | $3,090.30 |
Medica Setting Professional Modifier None Typical Low $363.08 Median $707.95 Typical High $2,137.96 | Professional | None | $363.08 | $707.95 | $2,137.96 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,659.59 Typical High $4,897.79 | Facility | None | $776.25 | $1,659.59 | $4,897.79 |
United Setting Professional Modifier None Typical Low $239.88 Median $426.58 Typical High $912.01 | Professional | None | $239.88 | $426.58 | $912.01 |
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 $95.50 Median $147.91 Typical High $147.91 | Facility | 52 · Reduced service | $95.50 | $147.91 | $147.91 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $38.02 Median $58.88 Typical High $58.88 | Facility | 53 · Discontinued | $38.02 | $58.88 | $58.88 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $19.05 Median $29.51 Typical High $29.51 | Facility | 56 · Pre-op care only | $19.05 | $29.51 | $29.51 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $95.50 Median $123.03 Typical High $147.91 | Professional | 52 · Reduced service | $95.50 | $123.03 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $50.12 Typical High $58.88 | Professional | 53 · Discontinued | $38.02 | $50.12 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.05 Median $25.12 Typical High $29.51 | Professional | 56 · Pre-op care only | $19.05 | $25.12 | $29.51 |
Where Minnesota sits
The same service costs 3.5 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· 4th of 51
$513
AK $759TX $214
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.