How much rates vary
Facilitymedian $437 · 10th to 90th $166 to $1,230Professionalmedian $427 · 10th to 90th $234 to $832
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 $165.96 Median $245.47 Typical High $245.47 | Facility | None | $165.96 | $245.47 | $245.47 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $123.03 Median $181.97 Typical High $181.97 | Facility | 54 · Surgery only | $123.03 | $181.97 | $181.97 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $25.12 Median $37.15 Typical High $37.15 | Facility | 55 · Aftercare only | $25.12 | $37.15 | $37.15 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $114.82 Median $169.82 Typical High $169.82 | Facility | 78 · Unplanned return to OR | $114.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $208.93 Typical High $245.47 | Professional | None | $165.96 | $208.93 | $245.47 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $123.03 Median $158.49 Typical High $181.97 | Professional | 54 · Surgery only | $123.03 | $158.49 | $181.97 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $31.62 Typical High $37.15 | Professional | 55 · Aftercare only | $25.12 | $31.62 | $37.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $114.82 Median $147.91 Typical High $169.82 | Professional | 78 · Unplanned return to OR | $114.82 | $147.91 | $169.82 |
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 $251.19 Median $436.52 Typical High $741.31 | Professional | None | $251.19 | $436.52 | $741.31 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $199.53 Median $346.74 Typical High $588.84 | Professional | 54 · Surgery only | $199.53 | $346.74 | $588.84 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $87.10 Typical High $144.54 | Professional | 55 · Aftercare only | $50.12 | $87.10 | $144.54 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $208.93 Median $363.08 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $208.93 | $363.08 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $630.96 Typical High $1,202.26 | Facility | None | $407.38 | $630.96 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $524.81 Typical High $891.25 | Professional | None | $281.84 | $524.81 | $891.25 |
Health Partners Setting Facility Modifier None Typical Low $363.08 Median $588.84 Typical High $1,023.29 | Facility | None | $363.08 | $588.84 | $1,023.29 |
Health Partners Setting Professional Modifier None Typical Low $281.84 Median $467.74 Typical High $977.24 | Professional | None | $281.84 | $467.74 | $977.24 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $346.74 Typical High $1,230.27 | Facility | None | $125.89 | $346.74 | $1,230.27 |
Medica Setting Professional Modifier None Typical Low $302.00 Median $588.84 Typical High $1,819.70 | Professional | None | $302.00 | $588.84 | $1,819.70 |
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 $213.80 Median $363.08 Typical High $758.58 | Professional | None | $213.80 | $363.08 | $758.58 |
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 $83.18 Median $123.03 Typical High $123.03 | Facility | 52 · Reduced service | $83.18 | $123.03 | $123.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $33.11 Median $48.98 Typical High $48.98 | Facility | 53 · Discontinued | $33.11 | $48.98 | $48.98 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $16.60 Median $24.55 Typical High $24.55 | Facility | 56 · Pre-op care only | $16.60 | $24.55 | $24.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $104.71 Typical High $123.03 | Professional | 52 · Reduced service | $83.18 | $104.71 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $41.69 Typical High $48.98 | Professional | 53 · Discontinued | $33.11 | $41.69 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $20.89 Typical High $24.55 | Professional | 56 · Pre-op care only | $16.60 | $20.89 | $24.55 |
Where Minnesota sits
The same service costs 3.5 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
$427
AK $676TX $191
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.