How much rates vary
Facilitymedian $1,585 · 10th to 90th $525 to $7,079Professionalmedian $1,122 · 10th to 90th $589 to $2,042
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 $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | 54 · Surgery only | $389.05 | $389.05 | $389.05 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | 55 · Aftercare only | $79.43 | $79.43 | $79.43 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | 78 · Unplanned return to OR | $363.08 | $363.08 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $575.44 | Professional | None | $524.81 | $524.81 | $575.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $389.05 Typical High $398.11 | Professional | 54 · Surgery only | $389.05 | $389.05 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | 55 · Aftercare only | $79.43 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $363.08 Median $363.08 Typical High $371.54 | Professional | 78 · Unplanned return to OR | $363.08 | $363.08 | $371.54 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,754.23 Median $6,606.93 Typical High $14,454.40 | Facility | None | $2,754.23 | $6,606.93 | $14,454.40 |
BCBS Minnesota Setting Professional Modifier None Typical Low $870.96 Median $1,122.02 Typical High $1,862.09 | Professional | None | $870.96 | $1,122.02 | $1,862.09 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $912.01 Typical High $1,479.11 | Professional | 54 · Surgery only | $707.95 | $912.01 | $1,479.11 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $223.87 Typical High $371.54 | Professional | 55 · Aftercare only | $177.83 | $223.87 | $371.54 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $954.99 Typical High $1,548.82 | Professional | 78 · Unplanned return to OR | $741.31 | $954.99 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $1,288.25 Typical High $2,511.89 | Facility | None | $831.76 | $1,288.25 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $1,513.56 Typical High $2,344.23 | Professional | None | $954.99 | $1,513.56 | $2,344.23 |
Health Partners Setting Facility Modifier None Typical Low $741.31 Median $1,202.26 Typical High $2,089.30 | Facility | None | $741.31 | $1,202.26 | $2,089.30 |
Health Partners Setting Professional Modifier None Typical Low $851.14 Median $1,348.96 Typical High $2,089.30 | Professional | None | $851.14 | $1,348.96 | $2,089.30 |
Medica Setting Facility Modifier None Typical Low $891.25 Median $2,137.96 Typical High $6,760.83 | Facility | None | $891.25 | $2,137.96 | $6,760.83 |
Medica Setting Professional Modifier None Typical Low $588.84 Median $1,122.02 Typical High $3,801.89 | Professional | None | $588.84 | $1,122.02 | $3,801.89 |
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 $537.03 Median $1,047.13 Typical High $2,041.74 | Professional | None | $537.03 | $1,047.13 | $2,041.74 |
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 $263.03 Median $263.03 Typical High $263.03 | Facility | 52 · Reduced service | $263.03 | $263.03 | $263.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | 53 · Discontinued | $104.71 | $104.71 | $104.71 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | 56 · Pre-op care only | $52.48 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | 52 · Reduced service | $263.03 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | 53 · Discontinued | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 56 · Pre-op care only | $52.48 | $52.48 | $52.48 |
Where Minnesota sits
The same service costs 5.4 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· 8th of 51
$1,202
AK $2,138UT $398
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.