How much rates vary
Facilitymedian $871 · 10th to 90th $288 to $4,786Professionalmedian $631 · 10th to 90th $324 to $1,148
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 $288.40 Median $323.59 Typical High $323.59 | Facility | None | $288.40 | $323.59 | $323.59 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $213.80 Median $245.47 Typical High $245.47 | Facility | 54 · Surgery only | $213.80 | $245.47 | $245.47 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $43.65 Median $48.98 Typical High $48.98 | Facility | 55 · Aftercare only | $43.65 | $48.98 | $48.98 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $199.53 Median $229.09 Typical High $229.09 | Facility | 78 · Unplanned return to OR | $199.53 | $229.09 | $229.09 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $323.59 Typical High $338.84 | Professional | None | $288.40 | $323.59 | $338.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $213.80 Median $239.88 Typical High $245.47 | Professional | 54 · Surgery only | $213.80 | $239.88 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $47.86 Typical High $48.98 | Professional | 55 · Aftercare only | $43.65 | $47.86 | $48.98 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $199.53 Median $223.87 Typical High $229.09 | Professional | 78 · Unplanned return to OR | $199.53 | $223.87 | $229.09 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,137.96 Median $4,897.79 Typical High $11,481.54 | Facility | None | $2,137.96 | $4,897.79 | $11,481.54 |
BCBS Minnesota Setting Professional Modifier None Typical Low $457.09 Median $630.96 Typical High $1,000.00 | Professional | None | $457.09 | $630.96 | $1,000.00 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $363.08 Median $501.19 Typical High $794.33 | Professional | 54 · Surgery only | $363.08 | $501.19 | $794.33 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $128.82 Typical High $199.53 | Professional | 55 · Aftercare only | $95.50 | $128.82 | $199.53 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $537.03 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $380.19 | $537.03 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $831.76 Typical High $1,584.89 | Facility | None | $537.03 | $831.76 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $812.83 Typical High $1,288.25 | Professional | None | $446.68 | $812.83 | $1,288.25 |
Health Partners Setting Facility Modifier None Typical Low $478.63 Median $776.25 Typical High $1,348.96 | Facility | None | $478.63 | $776.25 | $1,348.96 |
Health Partners Setting Professional Modifier None Typical Low $398.11 Median $758.58 Typical High $1,148.15 | Professional | None | $398.11 | $758.58 | $1,148.15 |
Medica Setting Facility Modifier None Typical Low $478.63 Median $1,698.24 Typical High $4,786.30 | Facility | None | $478.63 | $1,698.24 | $4,786.30 |
Medica Setting Professional Modifier None Typical Low $354.81 Median $741.31 Typical High $3,090.30 | Professional | None | $354.81 | $741.31 | $3,090.30 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $5,888.44 | Facility | None | $1,513.56 | $2,511.89 | $5,888.44 |
United Setting Professional Modifier None Typical Low $302.00 Median $549.54 Typical High $1,122.02 | Professional | None | $302.00 | $549.54 | $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 $144.54 Median $162.18 Typical High $162.18 | Facility | 52 · Reduced service | $144.54 | $162.18 | $162.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $57.54 Median $64.57 Typical High $64.57 | Facility | 53 · Discontinued | $57.54 | $64.57 | $64.57 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $28.84 Median $32.36 Typical High $32.36 | Facility | 56 · Pre-op care only | $28.84 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $144.54 Median $158.49 Typical High $162.18 | Professional | 52 · Reduced service | $144.54 | $158.49 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $63.10 Typical High $64.57 | Professional | 53 · Discontinued | $57.54 | $63.10 | $64.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $31.62 Typical High $32.36 | Professional | 56 · Pre-op care only | $28.84 | $31.62 | $32.36 |
Where Minnesota sits
The same service costs 6.8 times more in Alaska than in Utah. 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· 5th of 51
$646
AK $1,288UT $191
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.