How much rates vary
Facilitymedian $676 · 10th to 90th $240 to $2,239Professionalmedian $661 · 10th to 90th $355 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 $239.88 Median $389.05 Typical High $389.05 | Facility | None | $239.88 | $389.05 | $389.05 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $181.97 Median $295.12 Typical High $295.12 | Facility | 54 · Surgery only | $181.97 | $295.12 | $295.12 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $36.31 Median $58.88 Typical High $58.88 | Facility | 55 · Aftercare only | $36.31 | $58.88 | $58.88 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $169.82 Median $275.42 Typical High $275.42 | Facility | 78 · Unplanned return to OR | $169.82 | $275.42 | $275.42 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $363.08 Typical High $446.68 | Professional | None | $239.88 | $363.08 | $446.68 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $181.97 Median $251.19 Typical High $295.12 | Professional | 54 · Surgery only | $181.97 | $251.19 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $50.12 Typical High $58.88 | Professional | 55 · Aftercare only | $36.31 | $50.12 | $58.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $169.82 Median $234.42 Typical High $275.42 | Professional | 78 · Unplanned return to OR | $169.82 | $234.42 | $275.42 |
BCBS Minnesota Setting Facility Modifier None Typical Low $812.83 Median $2,187.76 Typical High $3,801.89 | Facility | None | $812.83 | $2,187.76 | $3,801.89 |
BCBS Minnesota Setting Professional Modifier None Typical Low $380.19 Median $691.83 Typical High $1,174.90 | Professional | None | $380.19 | $691.83 | $1,174.90 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $302.00 Median $549.54 Typical High $933.25 | Professional | 54 · Surgery only | $302.00 | $549.54 | $933.25 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $138.04 Typical High $229.09 | Professional | 55 · Aftercare only | $75.86 | $138.04 | $229.09 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $316.23 Median $575.44 Typical High $977.24 | Professional | 78 · Unplanned return to OR | $316.23 | $575.44 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,023.29 Typical High $1,949.84 | Facility | None | $660.69 | $1,023.29 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $812.83 Typical High $1,479.11 | Professional | None | $407.38 | $812.83 | $1,479.11 |
Health Partners Setting Facility Modifier None Typical Low $588.84 Median $933.25 Typical High $1,659.59 | Facility | None | $588.84 | $933.25 | $1,659.59 |
Health Partners Setting Professional Modifier None Typical Low $407.38 Median $691.83 Typical High $1,548.82 | Professional | None | $407.38 | $691.83 | $1,548.82 |
Medica Setting Facility Modifier None Typical Low $131.83 Median $489.78 Typical High $1,949.84 | Facility | None | $131.83 | $489.78 | $1,949.84 |
Medica Setting Professional Modifier None Typical Low $501.19 Median $912.01 Typical High $2,951.21 | Professional | None | $501.19 | $912.01 | $2,951.21 |
United Setting Facility Modifier None Typical Low $125.89 Median $426.58 Typical High $1,995.26 | Facility | None | $125.89 | $426.58 | $1,995.26 |
United Setting Professional Modifier None Typical Low $316.23 Median $575.44 Typical High $1,230.27 | Professional | None | $316.23 | $575.44 | $1,230.27 |
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 $120.23 Median $194.98 Typical High $194.98 | Facility | 52 · Reduced service | $120.23 | $194.98 | $194.98 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $47.86 Median $79.43 Typical High $79.43 | Facility | 53 · Discontinued | $47.86 | $79.43 | $79.43 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $23.99 Median $38.90 Typical High $38.90 | Facility | 56 · Pre-op care only | $23.99 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $169.82 Typical High $194.98 | Professional | 52 · Reduced service | $120.23 | $169.82 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $67.61 Typical High $79.43 | Professional | 53 · Discontinued | $47.86 | $67.61 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $33.88 Typical High $38.90 | Professional | 56 · Pre-op care only | $23.99 | $33.88 | $38.90 |
Where Minnesota sits
The same service costs 3.3 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
$661
AK $1,000UT $302
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.