How much rates vary
Facilitymedian $324 · 10th to 90th $129 to $1,000Professionalmedian $295 · 10th to 90th $155 to $537
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 $128.82 Median $154.88 Typical High $154.88 | Facility | None | $128.82 | $154.88 | $154.88 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $97.72 Median $117.49 Typical High $117.49 | Facility | 54 · Surgery only | $97.72 | $117.49 | $117.49 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $19.50 Median $23.44 Typical High $23.44 | Facility | 55 · Aftercare only | $19.50 | $23.44 | $23.44 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $91.20 Median $109.65 Typical High $109.65 | Facility | 78 · Unplanned return to OR | $91.20 | $109.65 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $154.88 Typical High $154.88 | Professional | None | $128.82 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $97.72 Median $114.82 Typical High $117.49 | Professional | 54 · Surgery only | $97.72 | $114.82 | $117.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.50 Median $22.91 Typical High $23.44 | Professional | 55 · Aftercare only | $19.50 | $22.91 | $23.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $91.20 Median $107.15 Typical High $109.65 | Professional | 78 · Unplanned return to OR | $91.20 | $107.15 | $109.65 |
BCBS Minnesota Setting Facility Modifier None Typical Low $354.81 Median $776.25 Typical High $1,412.54 | Facility | None | $354.81 | $776.25 | $1,412.54 |
BCBS Minnesota Setting Professional Modifier None Typical Low $208.93 Median $302.00 Typical High $457.09 | Professional | None | $208.93 | $302.00 | $457.09 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $165.96 Median $239.88 Typical High $371.54 | Professional | 54 · Surgery only | $165.96 | $239.88 | $371.54 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $60.26 Typical High $91.20 | Professional | 55 · Aftercare only | $43.65 | $60.26 | $91.20 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $173.78 Median $257.04 Typical High $389.05 | Professional | 78 · Unplanned return to OR | $173.78 | $257.04 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $398.11 Typical High $758.58 | Facility | None | $257.04 | $398.11 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $371.54 Typical High $575.44 | Professional | None | $199.53 | $371.54 | $575.44 |
Health Partners Setting Facility Modifier None Typical Low $229.09 Median $371.54 Typical High $645.65 | Facility | None | $229.09 | $371.54 | $645.65 |
Health Partners Setting Professional Modifier None Typical Low $190.55 Median $338.84 Typical High $537.03 | Professional | None | $190.55 | $338.84 | $537.03 |
Medica Setting Facility Modifier None Typical Low $128.82 Median $323.59 Typical High $1,445.44 | Facility | None | $128.82 | $323.59 | $1,445.44 |
Medica Setting Professional Modifier None Typical Low $173.78 Median $354.81 Typical High $1,148.15 | Professional | None | $173.78 | $354.81 | $1,148.15 |
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 $144.54 Median $263.03 Typical High $537.03 | Professional | None | $144.54 | $263.03 | $537.03 |
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 $64.57 Median $77.62 Typical High $77.62 | Facility | 52 · Reduced service | $64.57 | $77.62 | $77.62 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $25.70 Median $30.90 Typical High $30.90 | Facility | 53 · Discontinued | $25.70 | $30.90 | $30.90 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $12.88 Median $15.49 Typical High $15.49 | Facility | 56 · Pre-op care only | $12.88 | $15.49 | $15.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $64.57 Median $75.86 Typical High $77.62 | Professional | 52 · Reduced service | $64.57 | $75.86 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $30.20 Typical High $30.90 | Professional | 53 · Discontinued | $25.70 | $30.20 | $30.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.88 Median $15.14 Typical High $15.49 | Professional | 56 · Pre-op care only | $12.88 | $15.14 | $15.49 |
Where Minnesota sits
The same service costs 3.8 times more in Alaska than in Delaware. 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
$295
AK $513DE $135
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.