How much rates vary
Facilitymedian $316 · 10th to 90th $87 to $871Professionalmedian $245 · 10th to 90th $126 to $490
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 $87.10 Median $147.91 Typical High $147.91 | Facility | None | $87.10 | $147.91 | $147.91 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $66.07 Median $112.20 Typical High $112.20 | Facility | 54 · Surgery only | $66.07 | $112.20 | $112.20 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $13.18 Median $22.39 Typical High $22.39 | Facility | 55 · Aftercare only | $13.18 | $22.39 | $22.39 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $61.66 Median $104.71 Typical High $104.71 | Facility | 78 · Unplanned return to OR | $61.66 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $134.90 Typical High $199.53 | Professional | None | $87.10 | $134.90 | $199.53 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $66.07 Median $95.50 Typical High $112.20 | Professional | 54 · Surgery only | $66.07 | $95.50 | $112.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $19.05 Typical High $22.39 | Professional | 55 · Aftercare only | $13.18 | $19.05 | $22.39 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $61.66 Median $89.13 Typical High $104.71 | Professional | 78 · Unplanned return to OR | $61.66 | $89.13 | $104.71 |
BCBS Minnesota Setting Facility Modifier None Typical Low $263.03 Median $660.69 Typical High $1,479.11 | Facility | None | $263.03 | $660.69 | $1,479.11 |
BCBS Minnesota Setting Professional Modifier None Typical Low $134.90 Median $251.19 Typical High $436.52 | Professional | None | $134.90 | $251.19 | $436.52 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $107.15 Median $199.53 Typical High $346.74 | Professional | 54 · Surgery only | $107.15 | $199.53 | $346.74 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $50.12 Typical High $87.10 | Professional | 55 · Aftercare only | $26.92 | $50.12 | $87.10 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $112.20 Median $208.93 Typical High $363.08 | Professional | 78 · Unplanned return to OR | $112.20 | $208.93 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $389.05 Typical High $741.31 | Facility | None | $251.19 | $389.05 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $302.00 Typical High $549.54 | Professional | None | $147.91 | $302.00 | $549.54 |
Health Partners Setting Facility Modifier None Typical Low $223.87 Median $363.08 Typical High $630.96 | Facility | None | $223.87 | $363.08 | $630.96 |
Health Partners Setting Professional Modifier None Typical Low $147.91 Median $269.15 Typical High $588.84 | Professional | None | $147.91 | $269.15 | $588.84 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $302.00 Typical High $1,148.15 | Facility | None | $125.89 | $302.00 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $177.83 Median $331.13 Typical High $1,122.02 | Professional | None | $177.83 | $331.13 | $1,122.02 |
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 $109.65 Median $208.93 Typical High $446.68 | Professional | None | $109.65 | $208.93 | $446.68 |
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 $43.65 Median $74.13 Typical High $74.13 | Facility | 52 · Reduced service | $43.65 | $74.13 | $74.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $17.38 Median $30.20 Typical High $30.20 | Facility | 53 · Discontinued | $17.38 | $30.20 | $30.20 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $8.71 Median $14.79 Typical High $14.79 | Facility | 56 · Pre-op care only | $8.71 | $14.79 | $14.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $43.65 Median $63.10 Typical High $74.13 | Professional | 52 · Reduced service | $43.65 | $63.10 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $25.70 Typical High $30.20 | Professional | 53 · Discontinued | $17.38 | $25.70 | $30.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $12.88 Typical High $14.79 | Professional | 56 · Pre-op care only | $8.71 | $12.88 | $14.79 |
Where Minnesota sits
The same service costs 3.5 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
$251
AK $389KY $110
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.