How much rates vary
Facilitymedian $513 · 10th to 90th $195 to $1,445Professionalmedian $562 · 10th to 90th $288 to $1,072
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 $281.84 Typical High $281.84 | Facility | None | $194.98 | $281.84 | $281.84 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $144.54 Median $208.93 Typical High $208.93 | Facility | 54 · Surgery only | $144.54 | $208.93 | $208.93 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $29.51 Median $41.69 Typical High $41.69 | Facility | 55 · Aftercare only | $29.51 | $41.69 | $41.69 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $134.90 Median $194.98 Typical High $194.98 | Facility | 78 · Unplanned return to OR | $134.90 | $194.98 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $281.84 Typical High $302.00 | Professional | None | $194.98 | $281.84 | $302.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $144.54 Median $208.93 Typical High $223.87 | Professional | 54 · Surgery only | $144.54 | $208.93 | $223.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $41.69 Typical High $45.71 | Professional | 55 · Aftercare only | $29.51 | $41.69 | $45.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $134.90 Median $194.98 Typical High $208.93 | Professional | 78 · Unplanned return to OR | $134.90 | $194.98 | $208.93 |
BCBS Minnesota Setting Facility Modifier None Typical Low $524.81 Median $912.01 Typical High $1,905.46 | Facility | None | $524.81 | $912.01 | $1,905.46 |
BCBS Minnesota Setting Professional Modifier None Typical Low $331.13 Median $537.03 Typical High $912.01 | Professional | None | $331.13 | $537.03 | $912.01 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $263.03 Median $436.52 Typical High $724.44 | Professional | 54 · Surgery only | $263.03 | $436.52 | $724.44 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $109.65 Typical High $177.83 | Professional | 55 · Aftercare only | $66.07 | $109.65 | $177.83 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $281.84 Median $457.09 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $281.84 | $457.09 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $758.58 Typical High $1,445.44 | Facility | None | $478.63 | $758.58 | $1,445.44 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $724.44 Typical High $1,258.93 | Professional | None | $446.68 | $724.44 | $1,258.93 |
Health Partners Setting Facility Modifier None Typical Low $426.58 Median $691.83 Typical High $1,202.26 | Facility | None | $426.58 | $691.83 | $1,202.26 |
Health Partners Setting Professional Modifier None Typical Low $398.11 Median $660.69 Typical High $1,174.90 | Professional | None | $398.11 | $660.69 | $1,174.90 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $407.38 Typical High $1,318.26 | Facility | None | $125.89 | $407.38 | $1,318.26 |
Medica Setting Professional Modifier None Typical Low $363.08 Median $794.33 Typical High $2,137.96 | Professional | None | $363.08 | $794.33 | $2,137.96 |
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 $281.84 Median $575.44 Typical High $1,071.52 | Professional | None | $281.84 | $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 $141.25 Typical High $141.25 | Facility | 52 · Reduced service | $97.72 | $141.25 | $141.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $38.90 Median $56.23 Typical High $56.23 | Facility | 53 · Discontinued | $38.90 | $56.23 | $56.23 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $19.50 Median $28.18 Typical High $28.18 | Facility | 56 · Pre-op care only | $19.50 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $141.25 Typical High $151.36 | Professional | 52 · Reduced service | $97.72 | $141.25 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $56.23 Typical High $60.26 | Professional | 53 · Discontinued | $38.90 | $56.23 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.50 Median $28.18 Typical High $30.20 | Professional | 56 · Pre-op care only | $19.50 | $28.18 | $30.20 |
Where Minnesota sits
The same service costs 3.7 times more in Wisconsin than in Texas. 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
$562
WI $891TX $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.