How much rates vary
Facilitymedian $794 · 10th to 90th $269 to $7,244Professionalmedian $708 · 10th to 90th $398 to $1,413
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 $269.15 Median $416.87 Typical High $7,585.78 | Facility | None | $269.15 | $416.87 | $7,585.78 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $204.17 Median $316.23 Typical High $316.23 | Facility | 54 · Surgery only | $204.17 | $316.23 | $316.23 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $40.74 Median $63.10 Typical High $63.10 | Facility | 55 · Aftercare only | $40.74 | $63.10 | $63.10 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $190.55 Median $295.12 Typical High $295.12 | Facility | 78 · Unplanned return to OR | $190.55 | $295.12 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $389.05 Typical High $436.52 | Professional | None | $269.15 | $389.05 | $436.52 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $269.15 Typical High $316.23 | Professional | 54 · Surgery only | $204.17 | $269.15 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $53.70 Typical High $63.10 | Professional | 55 · Aftercare only | $40.74 | $53.70 | $63.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $190.55 Median $251.19 Typical High $295.12 | Professional | 78 · Unplanned return to OR | $190.55 | $251.19 | $295.12 |
BCBS Minnesota Setting Facility Modifier None Typical Low $812.83 Median $2,238.72 Typical High $5,128.61 | Facility | None | $812.83 | $2,238.72 | $5,128.61 |
BCBS Minnesota Setting Professional Modifier None Typical Low $416.87 Median $758.58 Typical High $1,258.93 | Professional | None | $416.87 | $758.58 | $1,258.93 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $338.84 Median $602.56 Typical High $1,000.00 | Professional | 54 · Surgery only | $338.84 | $602.56 | $1,000.00 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $151.36 Typical High $245.47 | Professional | 55 · Aftercare only | $85.11 | $151.36 | $245.47 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $354.81 Median $630.96 Typical High $1,071.52 | Professional | 78 · Unplanned return to OR | $354.81 | $630.96 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,096.48 Typical High $2,089.30 | Facility | None | $691.83 | $1,096.48 | $2,089.30 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $891.25 Typical High $1,548.82 | Professional | None | $457.09 | $891.25 | $1,548.82 |
Health Partners Setting Facility Modifier None Typical Low $616.60 Median $1,000.00 Typical High $1,737.80 | Facility | None | $616.60 | $1,000.00 | $1,737.80 |
Health Partners Setting Professional Modifier None Typical Low $457.09 Median $741.31 Typical High $1,621.81 | Professional | None | $457.09 | $741.31 | $1,621.81 |
Medica Setting Facility Modifier None Typical Low $131.83 Median $524.81 Typical High $1,584.89 | Facility | None | $131.83 | $524.81 | $1,584.89 |
Medica Setting Professional Modifier None Typical Low $478.63 Median $954.99 Typical High $5,888.44 | Professional | None | $478.63 | $954.99 | $5,888.44 |
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 $354.81 Median $630.96 Typical High $1,318.26 | Professional | None | $354.81 | $630.96 | $1,318.26 |
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 $134.90 Median $208.93 Typical High $208.93 | Facility | 52 · Reduced service | $134.90 | $208.93 | $208.93 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $53.70 Median $83.18 Typical High $83.18 | Facility | 53 · Discontinued | $53.70 | $83.18 | $83.18 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $26.92 Median $41.69 Typical High $41.69 | Facility | 56 · Pre-op care only | $26.92 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $134.90 Median $177.83 Typical High $208.93 | Professional | 52 · Reduced service | $134.90 | $177.83 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $72.44 Typical High $83.18 | Professional | 53 · Discontinued | $53.70 | $72.44 | $83.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $35.48 Typical High $41.69 | Professional | 56 · Pre-op care only | $26.92 | $35.48 | $41.69 |
Where Minnesota sits
The same service costs 3.4 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· 3rd of 51
$724
AK $1,122KY $331
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.