How much rates vary
Facilitymedian $603 · 10th to 90th $275 to $1,738Professionalmedian $617 · 10th to 90th $347 to $1,202
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 $275.42 Median $346.74 Typical High $346.74 | Facility | None | $275.42 | $346.74 | $346.74 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $208.93 Median $257.04 Typical High $257.04 | Facility | 54 · Surgery only | $208.93 | $257.04 | $257.04 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $41.69 Median $52.48 Typical High $52.48 | Facility | 55 · Aftercare only | $41.69 | $52.48 | $52.48 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $194.98 Median $239.88 Typical High $239.88 | Facility | 78 · Unplanned return to OR | $194.98 | $239.88 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $323.59 Typical High $380.19 | Professional | None | $275.42 | $323.59 | $380.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $208.93 Median $223.87 Typical High $257.04 | Professional | 54 · Surgery only | $208.93 | $223.87 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $44.67 Typical High $52.48 | Professional | 55 · Aftercare only | $41.69 | $44.67 | $52.48 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $194.98 Median $208.93 Typical High $239.88 | Professional | 78 · Unplanned return to OR | $194.98 | $208.93 | $239.88 |
BCBS Minnesota Setting Facility Modifier None Typical Low $537.03 Median $1,445.44 Typical High $6,025.60 | Facility | None | $537.03 | $1,445.44 | $6,025.60 |
BCBS Minnesota Setting Professional Modifier None Typical Low $426.58 Median $660.69 Typical High $1,071.52 | Professional | None | $426.58 | $660.69 | $1,071.52 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $524.81 Typical High $870.96 | Professional | 54 · Surgery only | $346.74 | $524.81 | $870.96 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $131.83 Typical High $208.93 | Professional | 55 · Aftercare only | $87.10 | $131.83 | $208.93 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $363.08 Median $549.54 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $363.08 | $549.54 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $891.25 Typical High $1,737.80 | Facility | None | $575.44 | $891.25 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $776.25 Typical High $1,412.54 | Professional | None | $467.74 | $776.25 | $1,412.54 |
Health Partners Setting Facility Modifier None Typical Low $512.86 Median $851.14 Typical High $1,445.44 | Facility | None | $512.86 | $851.14 | $1,445.44 |
Health Partners Setting Professional Modifier None Typical Low $467.74 Median $741.31 Typical High $1,348.96 | Professional | None | $467.74 | $741.31 | $1,348.96 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $489.78 Typical High $1,318.26 | Facility | None | $125.89 | $489.78 | $1,318.26 |
Medica Setting Professional Modifier None Typical Low $426.58 Median $794.33 Typical High $2,570.40 | Professional | None | $426.58 | $794.33 | $2,570.40 |
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 $338.84 Median $549.54 Typical High $1,096.48 | Professional | None | $338.84 | $549.54 | $1,096.48 |
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 $138.04 Median $173.78 Typical High $173.78 | Facility | 52 · Reduced service | $138.04 | $173.78 | $173.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $54.95 Median $69.18 Typical High $69.18 | Facility | 53 · Discontinued | $54.95 | $69.18 | $69.18 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $27.54 Median $34.67 Typical High $34.67 | Facility | 56 · Pre-op care only | $27.54 | $34.67 | $34.67 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $147.91 Typical High $173.78 | Professional | 52 · Reduced service | $138.04 | $147.91 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $60.26 Typical High $69.18 | Professional | 53 · Discontinued | $54.95 | $60.26 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $30.20 Typical High $34.67 | Professional | 56 · Pre-op care only | $27.54 | $30.20 | $34.67 |
Where Minnesota sits
The same service costs 4.7 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
$617
AK $1,122TX $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.