How much rates vary
Facilitymedian $1,585 · 10th to 90th $490 to $5,888Professionalmedian $1,230 · 10th to 90th $676 to $2,239
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 $489.78 Median $676.08 Typical High $676.08 | Facility | None | $489.78 | $676.08 | $676.08 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $371.54 Median $501.19 Typical High $501.19 | Facility | 54 · Surgery only | $371.54 | $501.19 | $501.19 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $74.13 Median $100.00 Typical High $100.00 | Facility | 55 · Aftercare only | $74.13 | $100.00 | $100.00 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $346.74 Median $467.74 Typical High $467.74 | Facility | 78 · Unplanned return to OR | $346.74 | $467.74 | $467.74 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $645.65 Typical High $676.08 | Professional | None | $489.78 | $645.65 | $676.08 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $489.78 Typical High $501.19 | Professional | 54 · Surgery only | $371.54 | $489.78 | $501.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $97.72 Typical High $100.00 | Professional | 55 · Aftercare only | $74.13 | $97.72 | $100.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $346.74 Median $457.09 Typical High $467.74 | Professional | 78 · Unplanned return to OR | $346.74 | $457.09 | $467.74 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,691.53 Median $5,623.41 Typical High $12,302.69 | Facility | None | $2,691.53 | $5,623.41 | $12,302.69 |
BCBS Minnesota Setting Professional Modifier None Typical Low $794.33 Median $1,230.27 Typical High $1,949.84 | Professional | None | $794.33 | $1,230.27 | $1,949.84 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $977.24 Typical High $1,584.89 | Professional | 54 · Surgery only | $645.65 | $977.24 | $1,584.89 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $245.47 Typical High $389.05 | Professional | 55 · Aftercare only | $162.18 | $245.47 | $389.05 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $1,023.29 Typical High $1,659.59 | Professional | 78 · Unplanned return to OR | $676.08 | $1,023.29 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $1,698.24 Typical High $3,235.94 | Facility | None | $1,096.48 | $1,698.24 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $1,479.11 Typical High $2,454.71 | Professional | None | $831.76 | $1,479.11 | $2,454.71 |
Health Partners Setting Facility Modifier None Typical Low $977.24 Median $1,621.81 Typical High $2,754.23 | Facility | None | $977.24 | $1,621.81 | $2,754.23 |
Health Partners Setting Professional Modifier None Typical Low $812.83 Median $1,412.54 Typical High $2,238.72 | Professional | None | $812.83 | $1,412.54 | $2,238.72 |
Medica Setting Facility Modifier None Typical Low $870.96 Median $1,737.80 Typical High $5,011.87 | Facility | None | $870.96 | $1,737.80 | $5,011.87 |
Medica Setting Professional Modifier None Typical Low $758.58 Median $1,548.82 Typical High $4,897.79 | Professional | None | $758.58 | $1,548.82 | $4,897.79 |
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 $562.34 Median $1,071.52 Typical High $2,137.96 | Professional | None | $562.34 | $1,071.52 | $2,137.96 |
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 $245.47 Median $331.13 Typical High $331.13 | Facility | 52 · Reduced service | $245.47 | $331.13 | $331.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $97.72 Median $134.90 Typical High $134.90 | Facility | 53 · Discontinued | $97.72 | $134.90 | $134.90 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $48.98 Median $67.61 Typical High $67.61 | Facility | 56 · Pre-op care only | $48.98 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $245.47 Median $323.59 Typical High $331.13 | Professional | 52 · Reduced service | $245.47 | $323.59 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $131.83 Typical High $134.90 | Professional | 53 · Discontinued | $97.72 | $131.83 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $48.98 Median $64.57 Typical High $67.61 | Professional | 56 · Pre-op care only | $48.98 | $64.57 | $67.61 |
Where Minnesota sits
The same service costs 5.8 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· 5th of 51
$1,230
AK $2,455TX $427
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.