How much rates vary
Facilitymedian $513 · 10th to 90th $195 to $1,479Professionalmedian $575 · 10th to 90th $288 to $1,096
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 $194.98 Median $288.40 Typical High $288.40 | Facility | None | $194.98 | $288.40 | $288.40 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $147.91 Median $218.78 Typical High $218.78 | Facility | 54 · Surgery only | $147.91 | $218.78 | $218.78 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $29.51 Median $43.65 Typical High $43.65 | Facility | 55 · Aftercare only | $29.51 | $43.65 | $43.65 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $138.04 Median $204.17 Typical High $204.17 | Facility | 78 · Unplanned return to OR | $138.04 | $204.17 | $204.17 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $288.40 Typical High $302.00 | Professional | None | $194.98 | $288.40 | $302.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $147.91 Median $218.78 Typical High $229.09 | Professional | 54 · Surgery only | $147.91 | $218.78 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $43.65 Typical High $45.71 | Professional | 55 · Aftercare only | $29.51 | $43.65 | $45.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $138.04 Median $204.17 Typical High $213.80 | Professional | 78 · Unplanned return to OR | $138.04 | $204.17 | $213.80 |
BCBS Minnesota Setting Facility Modifier None Typical Low $512.86 Median $912.01 Typical High $1,905.46 | Facility | None | $512.86 | $912.01 | $1,905.46 |
BCBS Minnesota Setting Professional Modifier None Typical Low $338.84 Median $549.54 Typical High $933.25 | Professional | None | $338.84 | $549.54 | $933.25 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $446.68 Typical High $741.31 | Professional | 54 · Surgery only | $275.42 | $446.68 | $741.31 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $112.20 Typical High $186.21 | Professional | 55 · Aftercare only | $67.61 | $112.20 | $186.21 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $467.74 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $288.40 | $467.74 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $776.25 Typical High $1,479.11 | Facility | None | $501.19 | $776.25 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $741.31 Typical High $1,288.25 | Professional | None | $446.68 | $741.31 | $1,288.25 |
Health Partners Setting Facility Modifier None Typical Low $436.52 Median $707.95 Typical High $1,230.27 | Facility | None | $436.52 | $707.95 | $1,230.27 |
Health Partners Setting Professional Modifier None Typical Low $407.38 Median $676.08 Typical High $1,202.26 | Professional | None | $407.38 | $676.08 | $1,202.26 |
Medica Setting Facility Modifier None Typical Low $131.83 Median $416.87 Typical High $1,445.44 | Facility | None | $131.83 | $416.87 | $1,445.44 |
Medica Setting Professional Modifier None Typical Low $354.81 Median $794.33 Typical High $2,187.76 | Professional | None | $354.81 | $794.33 | $2,187.76 |
United Setting Facility Modifier None Typical Low $125.89 Median $426.58 Typical High $1,862.09 | Facility | None | $125.89 | $426.58 | $1,862.09 |
United Setting Professional Modifier None Typical Low $275.42 Median $575.44 Typical High $1,071.52 | Professional | None | $275.42 | $575.44 | $1,071.52 |
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 $97.72 Median $144.54 Typical High $144.54 | Facility | 52 · Reduced service | $97.72 | $144.54 | $144.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $38.90 Median $57.54 Typical High $57.54 | Facility | 53 · Discontinued | $38.90 | $57.54 | $57.54 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $19.50 Median $28.84 Typical High $28.84 | Facility | 56 · Pre-op care only | $19.50 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $144.54 Typical High $151.36 | Professional | 52 · Reduced service | $97.72 | $144.54 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $57.54 Typical High $61.66 | Professional | 53 · Discontinued | $38.90 | $57.54 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.50 Median $28.84 Typical High $30.20 | Professional | 56 · Pre-op care only | $19.50 | $28.84 | $30.20 |
Where Minnesota sits
The same service costs 3.7 times more in Wisconsin 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· 4th of 51
$575
WI $891UT $240
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.