How much rates vary
Facilitymedian $1,000 · 10th to 90th $269 to $5,012Professionalmedian $692 · 10th to 90th $380 to $1,259
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 $389.05 Typical High $389.05 | Facility | None | $269.15 | $389.05 | $389.05 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $199.53 Median $288.40 Typical High $288.40 | Facility | 54 · Surgery only | $199.53 | $288.40 | $288.40 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $40.74 Median $57.54 Typical High $57.54 | Facility | 55 · Aftercare only | $40.74 | $57.54 | $57.54 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $186.21 Median $269.15 Typical High $269.15 | Facility | 78 · Unplanned return to OR | $186.21 | $269.15 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $371.54 Typical High $389.05 | Professional | None | $269.15 | $371.54 | $389.05 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $199.53 Median $275.42 Typical High $288.40 | Professional | 54 · Surgery only | $199.53 | $275.42 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $56.23 Typical High $57.54 | Professional | 55 · Aftercare only | $40.74 | $56.23 | $57.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $186.21 Median $257.04 Typical High $269.15 | Professional | 78 · Unplanned return to OR | $186.21 | $257.04 | $269.15 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,584.89 Median $5,370.32 Typical High $12,302.69 | Facility | None | $1,584.89 | $5,370.32 | $12,302.69 |
BCBS Minnesota Setting Professional Modifier None Typical Low $436.52 Median $691.83 Typical High $1,122.02 | Professional | None | $436.52 | $691.83 | $1,122.02 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $354.81 Median $549.54 Typical High $891.25 | Professional | 54 · Surgery only | $354.81 | $549.54 | $891.25 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $138.04 Typical High $218.78 | Professional | 55 · Aftercare only | $89.13 | $138.04 | $218.78 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $371.54 Median $575.44 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $371.54 | $575.44 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $977.24 Typical High $1,862.09 | Facility | None | $630.96 | $977.24 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $831.76 Typical High $1,380.38 | Professional | None | $446.68 | $831.76 | $1,380.38 |
Health Partners Setting Facility Modifier None Typical Low $562.34 Median $912.01 Typical High $1,584.89 | Facility | None | $562.34 | $912.01 | $1,584.89 |
Health Partners Setting Professional Modifier None Typical Low $446.68 Median $776.25 Typical High $1,288.25 | Professional | None | $446.68 | $776.25 | $1,288.25 |
Medica Setting Facility Modifier None Typical Low $467.74 Median $1,621.81 Typical High $4,365.16 | Facility | None | $467.74 | $1,621.81 | $4,365.16 |
Medica Setting Professional Modifier None Typical Low $446.68 Median $891.25 Typical High $2,754.23 | Professional | None | $446.68 | $891.25 | $2,754.23 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $8,317.64 | Facility | None | $1,513.56 | $2,511.89 | $8,317.64 |
United Setting Professional Modifier None Typical Low $323.59 Median $616.60 Typical High $1,230.27 | Professional | None | $323.59 | $616.60 | $1,230.27 |
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 $134.90 Median $190.55 Typical High $190.55 | Facility | 52 · Reduced service | $134.90 | $190.55 | $190.55 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $53.70 Median $77.62 Typical High $77.62 | Facility | 53 · Discontinued | $53.70 | $77.62 | $77.62 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $26.92 Median $38.90 Typical High $38.90 | Facility | 56 · Pre-op care only | $26.92 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $134.90 Median $186.21 Typical High $190.55 | Professional | 52 · Reduced service | $134.90 | $186.21 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $74.13 Typical High $77.62 | Professional | 53 · Discontinued | $53.70 | $74.13 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $37.15 Typical High $38.90 | Professional | 56 · Pre-op care only | $26.92 | $37.15 | $38.90 |
Where Minnesota sits
The same service costs 5.2 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· 4th of 51
$708
AK $1,148TX $219
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.