How much rates vary
Facilitymedian $1,585 · 10th to 90th $457 to $9,333Professionalmedian $891 · 10th to 90th $479 to $1,622
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 $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | 54 · Surgery only | $338.84 | $338.84 | $338.84 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | 55 · Aftercare only | $67.61 | $67.61 | $67.61 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | 78 · Unplanned return to OR | $316.23 | $316.23 | $316.23 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $537.03 | Professional | None | $457.09 | $457.09 | $537.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $338.84 Median $338.84 Typical High $398.11 | Professional | 54 · Surgery only | $338.84 | $338.84 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $67.61 Typical High $81.28 | Professional | 55 · Aftercare only | $67.61 | $67.61 | $81.28 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $316.23 Median $316.23 Typical High $371.54 | Professional | 78 · Unplanned return to OR | $316.23 | $316.23 | $371.54 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,897.79 Median $9,549.93 Typical High $21,379.62 | Facility | None | $4,897.79 | $9,549.93 | $21,379.62 |
BCBS Minnesota Setting Professional Modifier None Typical Low $691.83 Median $891.25 Typical High $1,445.44 | Professional | None | $691.83 | $891.25 | $1,445.44 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $707.95 Typical High $1,148.15 | Professional | 54 · Surgery only | $549.54 | $707.95 | $1,148.15 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $177.83 Typical High $281.84 | Professional | 55 · Aftercare only | $138.04 | $177.83 | $281.84 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $741.31 Typical High $1,202.26 | Professional | 78 · Unplanned return to OR | $575.44 | $741.31 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,023.29 Typical High $1,949.84 | Facility | None | $660.69 | $1,023.29 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $1,148.15 Typical High $1,778.28 | Professional | None | $758.58 | $1,148.15 | $1,778.28 |
Health Partners Setting Facility Modifier None Typical Low $588.84 Median $954.99 Typical High $1,659.59 | Facility | None | $588.84 | $954.99 | $1,659.59 |
Health Partners Setting Professional Modifier None Typical Low $660.69 Median $1,000.00 Typical High $1,621.81 | Professional | None | $660.69 | $1,000.00 | $1,621.81 |
Medica Setting Facility Modifier None Typical Low $691.83 Median $2,754.23 Typical High $7,762.47 | Facility | None | $691.83 | $2,754.23 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $426.58 Median $812.83 Typical High $1,659.59 | Professional | None | $426.58 | $812.83 | $1,659.59 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $9,549.93 | Facility | None | $1,995.26 | $3,090.30 | $9,549.93 |
United Setting Professional Modifier None Typical Low $426.58 Median $794.33 Typical High $1,659.59 | Professional | None | $426.58 | $794.33 | $1,659.59 |
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 $229.09 Median $229.09 Typical High $229.09 | Facility | 52 · Reduced service | $229.09 | $229.09 | $229.09 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | 53 · Discontinued | $91.20 | $91.20 | $91.20 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $45.71 Median $45.71 Typical High $45.71 | Facility | 56 · Pre-op care only | $45.71 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $229.09 Median $229.09 Typical High $269.15 | Professional | 52 · Reduced service | $229.09 | $229.09 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $91.20 Typical High $107.15 | Professional | 53 · Discontinued | $91.20 | $91.20 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $45.71 Typical High $53.70 | Professional | 56 · Pre-op care only | $45.71 | $45.71 | $53.70 |
Where Minnesota sits
The same service costs 5.4 times more in Alaska than in New York. 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· 16th of 51
$955
AK $2,239NY $417
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.