How much rates vary
Facilitymedian $339 · 10th to 90th $95 to $1,202Professionalmedian $275 · 10th to 90th $145 to $537
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 $95.50 Median $169.82 Typical High $169.82 | Facility | None | $95.50 | $169.82 | $169.82 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $72.44 Median $128.82 Typical High $128.82 | Facility | 54 · Surgery only | $72.44 | $128.82 | $128.82 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $14.45 Median $25.70 Typical High $25.70 | Facility | 55 · Aftercare only | $14.45 | $25.70 | $25.70 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $67.61 Median $120.23 Typical High $120.23 | Facility | 78 · Unplanned return to OR | $67.61 | $120.23 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $138.04 Typical High $169.82 | Professional | None | $95.50 | $138.04 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $72.44 Median $97.72 Typical High $128.82 | Professional | 54 · Surgery only | $72.44 | $97.72 | $128.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $19.50 Typical High $25.70 | Professional | 55 · Aftercare only | $14.45 | $19.50 | $25.70 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $67.61 Median $91.20 Typical High $120.23 | Professional | 78 · Unplanned return to OR | $67.61 | $91.20 | $120.23 |
BCBS Minnesota Setting Facility Modifier None Typical Low $524.81 Median $933.25 Typical High $1,778.28 | Facility | None | $524.81 | $933.25 | $1,778.28 |
BCBS Minnesota Setting Professional Modifier None Typical Low $162.18 Median $275.42 Typical High $478.63 | Professional | None | $162.18 | $275.42 | $478.63 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $128.82 Median $223.87 Typical High $389.05 | Professional | 54 · Surgery only | $128.82 | $223.87 | $389.05 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $54.95 Typical High $95.50 | Professional | 55 · Aftercare only | $32.36 | $54.95 | $95.50 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $134.90 Median $234.42 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $134.90 | $234.42 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $436.52 Typical High $831.76 | Facility | None | $281.84 | $436.52 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $323.59 Typical High $616.60 | Professional | None | $158.49 | $323.59 | $616.60 |
Health Partners Setting Facility Modifier None Typical Low $245.47 Median $398.11 Typical High $691.83 | Facility | None | $245.47 | $398.11 | $691.83 |
Health Partners Setting Professional Modifier None Typical Low $158.49 Median $295.12 Typical High $645.65 | Professional | None | $158.49 | $295.12 | $645.65 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $309.03 Typical High $1,230.27 | Facility | None | $125.89 | $309.03 | $1,230.27 |
Medica Setting Professional Modifier None Typical Low $204.17 Median $407.38 Typical High $1,230.27 | Professional | None | $204.17 | $407.38 | $1,230.27 |
United Setting Facility Modifier None Typical Low $125.89 Median $426.58 Typical High $1,778.28 | Facility | None | $125.89 | $426.58 | $1,778.28 |
United Setting Professional Modifier None Typical Low $117.49 Median $239.88 Typical High $512.86 | Professional | None | $117.49 | $239.88 | $512.86 |
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 $47.86 Median $85.11 Typical High $85.11 | Facility | 52 · Reduced service | $47.86 | $85.11 | $85.11 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $19.05 Median $33.88 Typical High $33.88 | Facility | 53 · Discontinued | $19.05 | $33.88 | $33.88 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $9.55 Median $16.98 Typical High $16.98 | Facility | 56 · Pre-op care only | $9.55 | $16.98 | $16.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $66.07 Typical High $85.11 | Professional | 52 · Reduced service | $47.86 | $66.07 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $26.30 Typical High $33.88 | Professional | 53 · Discontinued | $19.05 | $26.30 | $33.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $13.18 Typical High $16.98 | Professional | 56 · Pre-op care only | $9.55 | $13.18 | $16.98 |
Where Minnesota sits
The same service costs 4.5 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· 4th of 51
$275
AK $407KY $91.20
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.