How much rates vary
Facilitymedian $724 · 10th to 90th $214 to $1,585Professionalmedian $631 · 10th to 90th $331 to $1,259
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 $213.80 Median $380.19 Typical High $1,174.90 | Facility | None | $213.80 | $380.19 | $1,174.90 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $158.49 Median $281.84 Typical High $281.84 | Facility | 54 · Surgery only | $158.49 | $281.84 | $281.84 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $31.62 Median $56.23 Typical High $56.23 | Facility | 55 · Aftercare only | $31.62 | $56.23 | $56.23 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $147.91 Median $263.03 Typical High $263.03 | Facility | 78 · Unplanned return to OR | $147.91 | $263.03 | $263.03 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $323.59 Typical High $380.19 | Professional | None | $213.80 | $323.59 | $380.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $158.49 Median $239.88 Typical High $281.84 | Professional | 54 · Surgery only | $158.49 | $239.88 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $48.98 Typical High $56.23 | Professional | 55 · Aftercare only | $31.62 | $48.98 | $56.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $147.91 Median $223.87 Typical High $263.03 | Professional | 78 · Unplanned return to OR | $147.91 | $223.87 | $263.03 |
BCBS Minnesota Setting Facility Modifier None Typical Low $537.03 Median $1,412.54 Typical High $2,570.40 | Facility | None | $537.03 | $1,412.54 | $2,570.40 |
BCBS Minnesota Setting Professional Modifier None Typical Low $354.81 Median $660.69 Typical High $1,122.02 | Professional | None | $354.81 | $660.69 | $1,122.02 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $537.03 Typical High $891.25 | Professional | 54 · Surgery only | $281.84 | $537.03 | $891.25 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $131.83 Typical High $218.78 | Professional | 55 · Aftercare only | $70.79 | $131.83 | $218.78 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $302.00 Median $562.34 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $302.00 | $562.34 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $977.24 Typical High $1,862.09 | Facility | None | $630.96 | $977.24 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $724.44 Typical High $1,479.11 | Professional | None | $363.08 | $724.44 | $1,479.11 |
Health Partners Setting Facility Modifier None Typical Low $562.34 Median $912.01 Typical High $1,584.89 | Facility | None | $562.34 | $912.01 | $1,584.89 |
Health Partners Setting Professional Modifier None Typical Low $363.08 Median $660.69 Typical High $1,479.11 | Professional | None | $363.08 | $660.69 | $1,479.11 |
Medica Setting Facility Modifier None Typical Low $131.83 Median $457.09 Typical High $1,445.44 | Facility | None | $131.83 | $457.09 | $1,445.44 |
Medica Setting Professional Modifier None Typical Low $467.74 Median $891.25 Typical High $2,818.38 | Professional | None | $467.74 | $891.25 | $2,818.38 |
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 $281.84 Median $537.03 Typical High $1,148.15 | Professional | None | $281.84 | $537.03 | $1,148.15 |
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 $107.15 Median $190.55 Typical High $190.55 | Facility | 52 · Reduced service | $107.15 | $190.55 | $190.55 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $42.66 Median $75.86 Typical High $75.86 | Facility | 53 · Discontinued | $42.66 | $75.86 | $75.86 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $21.38 Median $38.02 Typical High $38.02 | Facility | 56 · Pre-op care only | $21.38 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $162.18 Typical High $190.55 | Professional | 52 · Reduced service | $107.15 | $162.18 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $64.57 Typical High $75.86 | Professional | 53 · Discontinued | $42.66 | $64.57 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $32.36 Typical High $38.02 | Professional | 56 · Pre-op care only | $21.38 | $32.36 | $38.02 |
Where Minnesota sits
The same service costs 3.5 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
$646
AK $891MD $257
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.