How much rates vary
Facilitymedian $407 · 10th to 90th $145 to $1,445Professionalmedian $427 · 10th to 90th $219 to $851
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 $144.54 Median $263.03 Typical High $354.81 | Facility | None | $144.54 | $263.03 | $354.81 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $107.15 Median $194.98 Typical High $194.98 | Facility | 54 · Surgery only | $107.15 | $194.98 | $194.98 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $21.38 Median $39.81 Typical High $39.81 | Facility | 55 · Aftercare only | $21.38 | $39.81 | $39.81 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $100.00 Median $181.97 Typical High $181.97 | Facility | 78 · Unplanned return to OR | $100.00 | $181.97 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $234.42 Typical High $346.74 | Professional | None | $144.54 | $234.42 | $346.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $107.15 Median $169.82 Typical High $194.98 | Professional | 54 · Surgery only | $107.15 | $169.82 | $194.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $33.88 Typical High $39.81 | Professional | 55 · Aftercare only | $21.38 | $33.88 | $39.81 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $100.00 Median $158.49 Typical High $181.97 | Professional | 78 · Unplanned return to OR | $100.00 | $158.49 | $181.97 |
BCBS Minnesota Setting Facility Modifier None Typical Low $537.03 Median $1,412.54 Typical High $2,951.21 | Facility | None | $537.03 | $1,412.54 | $2,951.21 |
BCBS Minnesota Setting Professional Modifier None Typical Low $234.42 Median $446.68 Typical High $758.58 | Professional | None | $234.42 | $446.68 | $758.58 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $354.81 Typical High $616.60 | Professional | 54 · Surgery only | $186.21 | $354.81 | $616.60 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $89.13 Typical High $151.36 | Professional | 55 · Aftercare only | $46.77 | $89.13 | $151.36 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $194.98 Median $371.54 Typical High $645.65 | Professional | 78 · Unplanned return to OR | $194.98 | $371.54 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $676.08 Typical High $1,318.26 | Facility | None | $436.52 | $676.08 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $478.63 Typical High $977.24 | Professional | None | $245.47 | $478.63 | $977.24 |
Health Partners Setting Facility Modifier None Typical Low $389.05 Median $630.96 Typical High $1,096.48 | Facility | None | $389.05 | $630.96 | $1,096.48 |
Health Partners Setting Professional Modifier None Typical Low $239.88 Median $457.09 Typical High $1,000.00 | Professional | None | $239.88 | $457.09 | $1,000.00 |
Medica Setting Facility Modifier None Typical Low $128.82 Median $380.19 Typical High $1,445.44 | Facility | None | $128.82 | $380.19 | $1,445.44 |
Medica Setting Professional Modifier None Typical Low $309.03 Median $602.56 Typical High $1,949.84 | Professional | None | $309.03 | $602.56 | $1,949.84 |
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 $186.21 Median $354.81 Typical High $776.25 | Professional | None | $186.21 | $354.81 | $776.25 |
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 $72.44 Median $131.83 Typical High $131.83 | Facility | 52 · Reduced service | $72.44 | $131.83 | $131.83 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $28.84 Median $52.48 Typical High $52.48 | Facility | 53 · Discontinued | $28.84 | $52.48 | $52.48 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $14.45 Median $26.30 Typical High $26.30 | Facility | 56 · Pre-op care only | $14.45 | $26.30 | $26.30 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $72.44 Median $112.20 Typical High $131.83 | Professional | 52 · Reduced service | $72.44 | $112.20 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $44.67 Typical High $52.48 | Professional | 53 · Discontinued | $28.84 | $44.67 | $52.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $22.39 Typical High $26.30 | Professional | 56 · Pre-op care only | $14.45 | $22.39 | $26.30 |
Where Minnesota sits
The same service costs 3.4 times more in Alaska than in Maryland. 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
$427
AK $631MD $186
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.