How much rates vary
Facilitymedian $955 · 10th to 90th $372 to $3,802Professionalmedian $912 · 10th to 90th $490 to $1,738
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 $371.54 Median $489.78 Typical High $489.78 | Facility | None | $371.54 | $489.78 | $489.78 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $281.84 Median $363.08 Typical High $363.08 | Facility | 54 · Surgery only | $281.84 | $363.08 | $363.08 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $56.23 Median $74.13 Typical High $74.13 | Facility | 55 · Aftercare only | $56.23 | $74.13 | $74.13 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $263.03 Median $346.74 Typical High $346.74 | Facility | 78 · Unplanned return to OR | $263.03 | $346.74 | $346.74 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $426.58 Typical High $489.78 | Professional | None | $371.54 | $426.58 | $489.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $316.23 Typical High $363.08 | Professional | 54 · Surgery only | $281.84 | $316.23 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $63.10 Typical High $74.13 | Professional | 55 · Aftercare only | $56.23 | $63.10 | $74.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $263.03 Median $295.12 Typical High $346.74 | Professional | 78 · Unplanned return to OR | $263.03 | $295.12 | $346.74 |
BCBS Minnesota Setting Facility Modifier None Typical Low $977.24 Median $4,570.88 Typical High $10,715.19 | Facility | None | $977.24 | $4,570.88 | $10,715.19 |
BCBS Minnesota Setting Professional Modifier None Typical Low $575.44 Median $912.01 Typical High $1,513.56 | Professional | None | $575.44 | $912.01 | $1,513.56 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $724.44 Typical High $1,202.26 | Professional | 54 · Surgery only | $467.74 | $724.44 | $1,202.26 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $181.97 Typical High $288.40 | Professional | 55 · Aftercare only | $114.82 | $181.97 | $288.40 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $758.58 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $489.78 | $758.58 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $1,258.93 Typical High $2,454.71 | Facility | None | $812.83 | $1,258.93 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $1,047.13 Typical High $1,905.46 | Professional | None | $630.96 | $1,047.13 | $1,905.46 |
Health Partners Setting Facility Modifier None Typical Low $724.44 Median $1,202.26 Typical High $2,041.74 | Facility | None | $724.44 | $1,202.26 | $2,041.74 |
Health Partners Setting Professional Modifier None Typical Low $630.96 Median $1,000.00 Typical High $1,905.46 | Professional | None | $630.96 | $1,000.00 | $1,905.46 |
Medica Setting Facility Modifier None Typical Low $478.63 Median $794.33 Typical High $2,570.40 | Facility | None | $478.63 | $794.33 | $2,570.40 |
Medica Setting Professional Modifier None Typical Low $691.83 Median $1,288.25 Typical High $3,630.78 | Professional | None | $691.83 | $1,288.25 | $3,630.78 |
United Setting Facility Modifier None Typical Low $549.54 Median $1,000.00 Typical High $3,548.13 | Facility | None | $549.54 | $1,000.00 | $3,548.13 |
United Setting Professional Modifier None Typical Low $489.78 Median $870.96 Typical High $1,698.24 | Professional | None | $489.78 | $870.96 | $1,698.24 |
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 $186.21 Median $245.47 Typical High $245.47 | Facility | 52 · Reduced service | $186.21 | $245.47 | $245.47 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $74.13 Median $97.72 Typical High $97.72 | Facility | 53 · Discontinued | $74.13 | $97.72 | $97.72 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $37.15 Median $48.98 Typical High $48.98 | Facility | 56 · Pre-op care only | $37.15 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $186.21 Median $208.93 Typical High $245.47 | Professional | 52 · Reduced service | $186.21 | $208.93 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $83.18 Typical High $97.72 | Professional | 53 · Discontinued | $74.13 | $83.18 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $41.69 Typical High $48.98 | Professional | 56 · Pre-op care only | $37.15 | $41.69 | $48.98 |
Where Minnesota sits
The same service costs 5.1 times more in Alaska than in Texas. 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
$912
AK $1,514TX $295
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.