How much rates vary
Facilitymedian $676 · 10th to 90th $324 to $1,778Professionalmedian $851 · 10th to 90th $457 to $1,622
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 $354.81 Median $457.09 Typical High $457.09 | Facility | None | $354.81 | $457.09 | $457.09 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $269.15 Median $338.84 Typical High $338.84 | Facility | 54 · Surgery only | $269.15 | $338.84 | $338.84 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $53.70 Median $67.61 Typical High $67.61 | Facility | 55 · Aftercare only | $53.70 | $67.61 | $67.61 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $251.19 Median $316.23 Typical High $316.23 | Facility | 78 · Unplanned return to OR | $251.19 | $316.23 | $316.23 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $389.05 Typical High $457.09 | Professional | None | $354.81 | $389.05 | $457.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $269.15 Median $295.12 Typical High $338.84 | Professional | 54 · Surgery only | $269.15 | $295.12 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $58.88 Typical High $67.61 | Professional | 55 · Aftercare only | $53.70 | $58.88 | $67.61 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $251.19 Median $275.42 Typical High $316.23 | Professional | 78 · Unplanned return to OR | $251.19 | $275.42 | $316.23 |
BCBS Minnesota Setting Facility Modifier None Typical Low $524.81 Median $933.25 Typical High $1,778.28 | Facility | None | $524.81 | $933.25 | $1,778.28 |
BCBS Minnesota Setting Professional Modifier None Typical Low $549.54 Median $851.14 Typical High $1,412.54 | Professional | None | $549.54 | $851.14 | $1,412.54 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $676.08 Typical High $1,122.02 | Professional | 54 · Surgery only | $446.68 | $676.08 | $1,122.02 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $169.82 Typical High $269.15 | Professional | 55 · Aftercare only | $109.65 | $169.82 | $269.15 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $467.74 Median $707.95 Typical High $1,174.90 | Professional | 78 · Unplanned return to OR | $467.74 | $707.95 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,174.90 Typical High $2,238.72 | Facility | None | $758.58 | $1,174.90 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $1,000.00 Typical High $1,819.70 | Professional | None | $602.56 | $1,000.00 | $1,819.70 |
Health Partners Setting Facility Modifier None Typical Low $676.08 Median $1,122.02 Typical High $1,905.46 | Facility | None | $676.08 | $1,122.02 | $1,905.46 |
Health Partners Setting Professional Modifier None Typical Low $602.56 Median $977.24 Typical High $1,778.28 | Professional | None | $602.56 | $977.24 | $1,778.28 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $588.84 Typical High $1,318.26 | Facility | None | $125.89 | $588.84 | $1,318.26 |
Medica Setting Professional Modifier None Typical Low $575.44 Median $1,096.48 Typical High $3,388.44 | Professional | None | $575.44 | $1,096.48 | $3,388.44 |
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 $436.52 Median $741.31 Typical High $1,445.44 | Professional | None | $436.52 | $741.31 | $1,445.44 |
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 $177.83 Median $229.09 Typical High $229.09 | Facility | 52 · Reduced service | $177.83 | $229.09 | $229.09 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $72.44 Median $91.20 Typical High $91.20 | Facility | 53 · Discontinued | $72.44 | $91.20 | $91.20 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $35.48 Median $45.71 Typical High $45.71 | Facility | 56 · Pre-op care only | $35.48 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $177.83 Median $194.98 Typical High $229.09 | Professional | 52 · Reduced service | $177.83 | $194.98 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $77.62 Typical High $91.20 | Professional | 53 · Discontinued | $72.44 | $77.62 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $38.90 Typical High $45.71 | Professional | 56 · Pre-op care only | $35.48 | $38.90 | $45.71 |
Where Minnesota sits
The same service costs 6.0 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
$813
AK $1,445TX $240
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.