How much rates vary
Facilitymedian $1,698 · 10th to 90th $372 to $8,710Professionalmedian $1,072 · 10th to 90th $562 to $2,089
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 $645.65 Typical High $645.65 | Facility | None | $371.54 | $645.65 | $645.65 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $275.42 Median $478.63 Typical High $478.63 | Facility | 54 · Surgery only | $275.42 | $478.63 | $478.63 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $54.95 Median $95.50 Typical High $95.50 | Facility | 55 · Aftercare only | $54.95 | $95.50 | $95.50 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $257.04 Median $446.68 Typical High $446.68 | Facility | 78 · Unplanned return to OR | $257.04 | $446.68 | $446.68 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $616.60 Typical High $645.65 | Professional | None | $371.54 | $616.60 | $645.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $457.09 Typical High $478.63 | Professional | 54 · Surgery only | $275.42 | $457.09 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $91.20 Typical High $95.50 | Professional | 55 · Aftercare only | $54.95 | $91.20 | $95.50 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $257.04 Median $426.58 Typical High $446.68 | Professional | 78 · Unplanned return to OR | $257.04 | $426.58 | $446.68 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,290.87 Median $9,549.93 Typical High $22,387.21 | Facility | None | $2,290.87 | $9,549.93 | $22,387.21 |
BCBS Minnesota Setting Professional Modifier None Typical Low $602.56 Median $1,071.52 Typical High $1,819.70 | Professional | None | $602.56 | $1,071.52 | $1,819.70 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $851.14 Typical High $1,479.11 | Professional | 54 · Surgery only | $478.63 | $851.14 | $1,479.11 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $218.78 Typical High $363.08 | Professional | 55 · Aftercare only | $120.23 | $218.78 | $363.08 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $501.19 Median $912.01 Typical High $1,548.82 | Professional | 78 · Unplanned return to OR | $501.19 | $912.01 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $1,047.13 Median $1,621.81 Typical High $3,090.30 | Facility | None | $1,047.13 | $1,621.81 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $1,230.27 Typical High $2,290.87 | Professional | None | $630.96 | $1,230.27 | $2,290.87 |
Health Partners Setting Facility Modifier None Typical Low $933.25 Median $1,513.56 Typical High $2,630.27 | Facility | None | $933.25 | $1,513.56 | $2,630.27 |
Health Partners Setting Professional Modifier None Typical Low $616.60 Median $1,122.02 Typical High $2,137.96 | Professional | None | $616.60 | $1,122.02 | $2,137.96 |
Medica Setting Facility Modifier None Typical Low $645.65 Median $2,884.03 Typical High $7,943.28 | Facility | None | $645.65 | $2,884.03 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $758.58 Median $1,659.59 Typical High $4,570.88 | Professional | None | $758.58 | $1,659.59 | $4,570.88 |
United Setting Facility Modifier None Typical Low $2,818.38 Median $4,265.80 Typical High $11,220.18 | Facility | None | $2,818.38 | $4,265.80 | $11,220.18 |
United Setting Professional Modifier None Typical Low $446.68 Median $1,000.00 Typical High $2,089.30 | Professional | None | $446.68 | $1,000.00 | $2,089.30 |
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 $323.59 Typical High $323.59 | Facility | 52 · Reduced service | $186.21 | $323.59 | $323.59 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $74.13 Median $128.82 Typical High $128.82 | Facility | 53 · Discontinued | $74.13 | $128.82 | $128.82 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $37.15 Median $64.57 Typical High $64.57 | Facility | 56 · Pre-op care only | $37.15 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $186.21 Median $309.03 Typical High $323.59 | Professional | 52 · Reduced service | $186.21 | $309.03 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $123.03 Typical High $128.82 | Professional | 53 · Discontinued | $74.13 | $123.03 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $61.66 Typical High $64.57 | Professional | 56 · Pre-op care only | $37.15 | $61.66 | $64.57 |
Where Minnesota sits
The same service costs 4.9 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
$1,096
AK $1,862TX $380
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.