How much rates vary
Facilitymedian $363 · 10th to 90th $120 to $933Professionalmedian $324 · 10th to 90th $174 to $646
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 $120.23 Median $194.98 Typical High $194.98 | Facility | None | $120.23 | $194.98 | $194.98 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $91.20 Median $144.54 Typical High $144.54 | Facility | 54 · Surgery only | $91.20 | $144.54 | $144.54 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $18.20 Median $28.84 Typical High $28.84 | Facility | 55 · Aftercare only | $18.20 | $28.84 | $28.84 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $85.11 Median $134.90 Typical High $134.90 | Facility | 78 · Unplanned return to OR | $85.11 | $134.90 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $177.83 Typical High $208.93 | Professional | None | $120.23 | $177.83 | $208.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $91.20 Median $125.89 Typical High $144.54 | Professional | 54 · Surgery only | $91.20 | $125.89 | $144.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $25.12 Typical High $28.84 | Professional | 55 · Aftercare only | $18.20 | $25.12 | $28.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $85.11 Median $117.49 Typical High $134.90 | Professional | 78 · Unplanned return to OR | $85.11 | $117.49 | $134.90 |
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 $186.21 Median $338.84 Typical High $575.44 | Professional | None | $186.21 | $338.84 | $575.44 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $147.91 Median $269.15 Typical High $457.09 | Professional | 54 · Surgery only | $147.91 | $269.15 | $457.09 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $67.61 Typical High $114.82 | Professional | 55 · Aftercare only | $37.15 | $67.61 | $114.82 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $154.88 Median $288.40 Typical High $478.63 | Professional | 78 · Unplanned return to OR | $154.88 | $288.40 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $501.19 Typical High $954.99 | Facility | None | $323.59 | $501.19 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $407.38 Typical High $691.83 | Professional | None | $204.17 | $407.38 | $691.83 |
Health Partners Setting Facility Modifier None Typical Low $288.40 Median $467.74 Typical High $812.83 | Facility | None | $288.40 | $467.74 | $812.83 |
Health Partners Setting Professional Modifier None Typical Low $204.17 Median $346.74 Typical High $758.58 | Professional | None | $204.17 | $346.74 | $758.58 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $323.59 Typical High $1,148.15 | Facility | None | $125.89 | $323.59 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $218.78 Median $426.58 Typical High $1,445.44 | Professional | None | $218.78 | $426.58 | $1,445.44 |
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 $158.49 Median $281.84 Typical High $588.84 | Professional | None | $158.49 | $281.84 | $588.84 |
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 $60.26 Median $97.72 Typical High $97.72 | Facility | 52 · Reduced service | $60.26 | $97.72 | $97.72 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $23.99 Median $38.90 Typical High $38.90 | Facility | 53 · Discontinued | $23.99 | $38.90 | $38.90 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $12.02 Median $19.50 Typical High $19.50 | Facility | 56 · Pre-op care only | $12.02 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $60.26 Median $83.18 Typical High $97.72 | Professional | 52 · Reduced service | $60.26 | $83.18 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $33.11 Typical High $38.90 | Professional | 53 · Discontinued | $23.99 | $33.11 | $38.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $16.60 Typical High $19.50 | Professional | 56 · Pre-op care only | $12.02 | $16.60 | $19.50 |
Where Minnesota sits
The same service costs 3.3 times more in Alaska than in Maryland. 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
$331
AK $490MD $148
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.