How much rates vary
Facilitymedian $347 · 10th to 90th $151 to $1,230Professionalmedian $331 · 10th to 90th $174 to $589
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 $151.36 Median $173.78 Typical High $173.78 | Facility | None | $151.36 | $173.78 | $173.78 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $114.82 Median $131.83 Typical High $131.83 | Facility | 54 · Surgery only | $114.82 | $131.83 | $131.83 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $22.91 Median $26.30 Typical High $26.30 | Facility | 55 · Aftercare only | $22.91 | $26.30 | $26.30 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $107.15 Median $123.03 Typical High $123.03 | Facility | 78 · Unplanned return to OR | $107.15 | $123.03 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $169.82 Typical High $190.55 | Professional | None | $151.36 | $169.82 | $190.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $114.82 Median $125.89 Typical High $131.83 | Professional | 54 · Surgery only | $114.82 | $125.89 | $131.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $25.12 Typical High $26.30 | Professional | 55 · Aftercare only | $22.91 | $25.12 | $26.30 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $107.15 Median $117.49 Typical High $123.03 | Professional | 78 · Unplanned return to OR | $107.15 | $117.49 | $123.03 |
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 $245.47 Median $338.84 Typical High $524.81 | Professional | None | $245.47 | $338.84 | $524.81 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $194.98 Median $275.42 Typical High $416.87 | Professional | 54 · Surgery only | $194.98 | $275.42 | $416.87 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $69.18 Typical High $102.33 | Professional | 55 · Aftercare only | $50.12 | $69.18 | $102.33 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $208.93 Median $288.40 Typical High $436.52 | Professional | 78 · Unplanned return to OR | $208.93 | $288.40 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $446.68 Typical High $851.14 | Facility | None | $288.40 | $446.68 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $426.58 Typical High $676.08 | Professional | None | $239.88 | $426.58 | $676.08 |
Health Partners Setting Facility Modifier None Typical Low $257.04 Median $416.87 Typical High $724.44 | Facility | None | $257.04 | $416.87 | $724.44 |
Health Partners Setting Professional Modifier None Typical Low $213.80 Median $398.11 Typical High $616.60 | Professional | None | $213.80 | $398.11 | $616.60 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $323.59 Typical High $1,148.15 | Facility | None | $125.89 | $323.59 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $181.97 Median $389.05 Typical High $1,258.93 | Professional | None | $181.97 | $389.05 | $1,258.93 |
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 $151.36 Median $281.84 Typical High $575.44 | Professional | None | $151.36 | $281.84 | $575.44 |
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 $75.86 Median $87.10 Typical High $87.10 | Facility | 52 · Reduced service | $75.86 | $87.10 | $87.10 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $30.20 Median $34.67 Typical High $34.67 | Facility | 53 · Discontinued | $30.20 | $34.67 | $34.67 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $15.14 Median $17.38 Typical High $17.38 | Facility | 56 · Pre-op care only | $15.14 | $17.38 | $17.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $85.11 Typical High $87.10 | Professional | 52 · Reduced service | $75.86 | $85.11 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $33.88 Typical High $34.67 | Professional | 53 · Discontinued | $30.20 | $33.88 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $16.98 Typical High $17.38 | Professional | 56 · Pre-op care only | $15.14 | $16.98 | $17.38 |
Where Minnesota sits
The same service costs 4.9 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· 3rd of 51
$331
AK $603UT $123
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.