How much rates vary
Facilitymedian $1,259 · 10th to 90th $372 to $5,248Professionalmedian $912 · 10th to 90th $479 to $1,622
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 $371.54 Median $478.63 Typical High $478.63 | Facility | None | $371.54 | $478.63 | $478.63 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $281.84 Median $354.81 Typical High $354.81 | Facility | 54 · Surgery only | $281.84 | $354.81 | $354.81 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $56.23 Median $70.79 Typical High $70.79 | Facility | 55 · Aftercare only | $56.23 | $70.79 | $70.79 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $263.03 Median $331.13 Typical High $331.13 | Facility | 78 · Unplanned return to OR | $263.03 | $331.13 | $331.13 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $457.09 Typical High $478.63 | Professional | None | $371.54 | $457.09 | $478.63 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $346.74 Typical High $354.81 | Professional | 54 · Surgery only | $281.84 | $346.74 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $69.18 Typical High $70.79 | Professional | 55 · Aftercare only | $56.23 | $69.18 | $70.79 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $263.03 Median $323.59 Typical High $331.13 | Professional | 78 · Unplanned return to OR | $263.03 | $323.59 | $331.13 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,187.76 Median $5,623.41 Typical High $12,302.69 | Facility | None | $2,187.76 | $5,623.41 | $12,302.69 |
BCBS Minnesota Setting Professional Modifier None Typical Low $588.84 Median $912.01 Typical High $1,412.54 | Professional | None | $588.84 | $912.01 | $1,412.54 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $741.31 Typical High $1,122.02 | Professional | 54 · Surgery only | $467.74 | $741.31 | $1,122.02 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $186.21 Typical High $275.42 | Professional | 55 · Aftercare only | $123.03 | $186.21 | $275.42 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $501.19 Median $776.25 Typical High $1,174.90 | Professional | 78 · Unplanned return to OR | $501.19 | $776.25 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $1,202.26 Typical High $2,344.23 | Facility | None | $776.25 | $1,202.26 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $1,071.52 Typical High $1,778.28 | Professional | None | $588.84 | $1,071.52 | $1,778.28 |
Health Partners Setting Facility Modifier None Typical Low $691.83 Median $1,148.15 Typical High $1,949.84 | Facility | None | $691.83 | $1,148.15 | $1,949.84 |
Health Partners Setting Professional Modifier None Typical Low $588.84 Median $1,047.13 Typical High $1,584.89 | Professional | None | $588.84 | $1,047.13 | $1,584.89 |
Medica Setting Facility Modifier None Typical Low $630.96 Median $1,737.80 Typical High $4,786.30 | Facility | None | $630.96 | $1,737.80 | $4,786.30 |
Medica Setting Professional Modifier None Typical Low $562.34 Median $1,122.02 Typical High $3,467.37 | Professional | None | $562.34 | $1,122.02 | $3,467.37 |
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 $446.68 Median $831.76 Typical High $1,621.81 | Professional | None | $446.68 | $831.76 | $1,621.81 |
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 $186.21 Median $239.88 Typical High $239.88 | Facility | 52 · Reduced service | $186.21 | $239.88 | $239.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $74.13 Median $95.50 Typical High $95.50 | Facility | 53 · Discontinued | $74.13 | $95.50 | $95.50 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $37.15 Median $47.86 Typical High $47.86 | Facility | 56 · Pre-op care only | $37.15 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $186.21 Median $229.09 Typical High $239.88 | Professional | 52 · Reduced service | $186.21 | $229.09 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $91.20 Typical High $95.50 | Professional | 53 · Discontinued | $74.13 | $91.20 | $95.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $45.71 Typical High $47.86 | Professional | 56 · Pre-op care only | $37.15 | $45.71 | $47.86 |
Where Minnesota sits
The same service costs 6.0 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· 4th of 51
$912
AK $1,778TX $295
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.