How much rates vary
Facilitymedian $537 · 10th to 90th $302 to $1,479Professionalmedian $661 · 10th to 90th $316 to $1,122
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 $302.00 Median $316.23 Typical High $316.23 | Facility | None | $302.00 | $316.23 | $316.23 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $223.87 Median $234.42 Typical High $234.42 | Facility | 54 · Surgery only | $223.87 | $234.42 | $234.42 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $44.67 Median $46.77 Typical High $46.77 | Facility | 55 · Aftercare only | $44.67 | $46.77 | $46.77 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $208.93 Median $218.78 Typical High $218.78 | Facility | 78 · Unplanned return to OR | $208.93 | $218.78 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $309.03 Typical High $323.59 | Professional | None | $302.00 | $309.03 | $323.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $223.87 Median $234.42 Typical High $234.42 | Professional | 54 · Surgery only | $223.87 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $46.77 Typical High $46.77 | Professional | 55 · Aftercare only | $44.67 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $208.93 Median $218.78 Typical High $218.78 | Professional | 78 · Unplanned return to OR | $208.93 | $218.78 | $218.78 |
BCBS Minnesota Setting Facility Modifier None Typical Low $323.59 Median $870.96 Typical High $2,187.76 | Facility | None | $323.59 | $870.96 | $2,187.76 |
BCBS Minnesota Setting Professional Modifier None Typical Low $489.78 Median $676.08 Typical High $1,023.29 | Professional | None | $489.78 | $676.08 | $1,023.29 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $537.03 Typical High $812.83 | Professional | 54 · Surgery only | $398.11 | $537.03 | $812.83 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $134.90 Typical High $199.53 | Professional | 55 · Aftercare only | $100.00 | $134.90 | $199.53 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $575.44 Typical High $851.14 | Professional | 78 · Unplanned return to OR | $416.87 | $575.44 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $794.33 Typical High $1,548.82 | Facility | None | $512.86 | $794.33 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $831.76 Typical High $1,288.25 | Professional | None | $467.74 | $831.76 | $1,288.25 |
Health Partners Setting Facility Modifier None Typical Low $457.09 Median $758.58 Typical High $1,288.25 | Facility | None | $457.09 | $758.58 | $1,288.25 |
Health Partners Setting Professional Modifier None Typical Low $389.05 Median $741.31 Typical High $1,202.26 | Professional | None | $389.05 | $741.31 | $1,202.26 |
Medica Setting Facility Modifier None Typical Low $131.83 Median $501.19 Typical High $1,445.44 | Facility | None | $131.83 | $501.19 | $1,445.44 |
Medica Setting Professional Modifier None Typical Low $331.13 Median $691.83 Typical High $2,344.23 | Professional | None | $331.13 | $691.83 | $2,344.23 |
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 $295.12 Median $537.03 Typical High $1,096.48 | Professional | None | $295.12 | $537.03 | $1,096.48 |
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 $151.36 Median $158.49 Typical High $158.49 | Facility | 52 · Reduced service | $151.36 | $158.49 | $158.49 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $60.26 Median $63.10 Typical High $63.10 | Facility | 53 · Discontinued | $60.26 | $63.10 | $63.10 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $30.20 Median $31.62 Typical High $31.62 | Facility | 56 · Pre-op care only | $30.20 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $151.36 Median $154.88 Typical High $158.49 | Professional | 52 · Reduced service | $151.36 | $154.88 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $61.66 Typical High $63.10 | Professional | 53 · Discontinued | $60.26 | $61.66 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $30.90 Typical High $31.62 | Professional | 56 · Pre-op care only | $30.20 | $30.90 | $31.62 |
Where Minnesota sits
The same service costs 5.5 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· 4th of 51
$661
AK $1,230TX $224
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.