How much rates vary
Facilitymedian $617 · 10th to 90th $269 to $1,778Professionalmedian $631 · 10th to 90th $355 to $1,230
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 $269.15 Median $354.81 Typical High $354.81 | Facility | None | $269.15 | $354.81 | $354.81 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $199.53 Median $263.03 Typical High $263.03 | Facility | 54 · Surgery only | $199.53 | $263.03 | $263.03 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $39.81 Median $53.70 Typical High $53.70 | Facility | 55 · Aftercare only | $39.81 | $53.70 | $53.70 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $186.21 Median $245.47 Typical High $245.47 | Facility | 78 · Unplanned return to OR | $186.21 | $245.47 | $245.47 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $309.03 Typical High $354.81 | Professional | None | $269.15 | $309.03 | $354.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $199.53 Median $229.09 Typical High $263.03 | Professional | 54 · Surgery only | $199.53 | $229.09 | $263.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $45.71 Typical High $53.70 | Professional | 55 · Aftercare only | $39.81 | $45.71 | $53.70 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $186.21 Median $213.80 Typical High $245.47 | Professional | 78 · Unplanned return to OR | $186.21 | $213.80 | $245.47 |
BCBS Minnesota Setting Facility Modifier None Typical Low $660.69 Median $1,202.26 Typical High $2,398.83 | Facility | None | $660.69 | $1,202.26 | $2,398.83 |
BCBS Minnesota Setting Professional Modifier None Typical Low $407.38 Median $676.08 Typical High $1,096.48 | Professional | None | $407.38 | $676.08 | $1,096.48 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $323.59 Median $537.03 Typical High $891.25 | Professional | 54 · Surgery only | $323.59 | $537.03 | $891.25 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $134.90 Typical High $213.80 | Professional | 55 · Aftercare only | $81.28 | $134.90 | $213.80 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $338.84 Median $562.34 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $338.84 | $562.34 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $912.01 Typical High $1,778.28 | Facility | None | $588.84 | $912.01 | $1,778.28 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $758.58 Typical High $1,380.38 | Professional | None | $457.09 | $758.58 | $1,380.38 |
Health Partners Setting Facility Modifier None Typical Low $524.81 Median $870.96 Typical High $1,479.11 | Facility | None | $524.81 | $870.96 | $1,479.11 |
Health Partners Setting Professional Modifier None Typical Low $446.68 Median $724.44 Typical High $1,412.54 | Professional | None | $446.68 | $724.44 | $1,412.54 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $478.63 Typical High $1,445.44 | Facility | None | $125.89 | $478.63 | $1,445.44 |
Medica Setting Professional Modifier None Typical Low $436.52 Median $851.14 Typical High $2,630.27 | Professional | None | $436.52 | $851.14 | $2,630.27 |
United Setting Facility Modifier None Typical Low $125.89 Median $426.58 Typical High $1,995.26 | Facility | None | $125.89 | $426.58 | $1,995.26 |
United Setting Professional Modifier None Typical Low $338.84 Median $562.34 Typical High $1,122.02 | Professional | None | $338.84 | $562.34 | $1,122.02 |
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 $131.83 Median $177.83 Typical High $177.83 | Facility | 52 · Reduced service | $131.83 | $177.83 | $177.83 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $53.70 Median $70.79 Typical High $70.79 | Facility | 53 · Discontinued | $53.70 | $70.79 | $70.79 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $26.92 Median $35.48 Typical High $35.48 | Facility | 56 · Pre-op care only | $26.92 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $131.83 Median $151.36 Typical High $177.83 | Professional | 52 · Reduced service | $131.83 | $151.36 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $61.66 Typical High $70.79 | Professional | 53 · Discontinued | $53.70 | $61.66 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $30.90 Typical High $35.48 | Professional | 56 · Pre-op care only | $26.92 | $30.90 | $35.48 |
Where Minnesota sits
The same service costs 4.0 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
$631
AK $1,096TX $275
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.