How much rates vary
Facilitymedian $1,000 · 10th to 90th $275 to $5,129Professionalmedian $741 · 10th to 90th $389 to $1,413
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 $275.42 Median $363.08 Typical High $363.08 | Facility | None | $275.42 | $363.08 | $363.08 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $208.93 Median $275.42 Typical High $275.42 | Facility | 54 · Surgery only | $208.93 | $275.42 | $275.42 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $41.69 Median $54.95 Typical High $54.95 | Facility | 55 · Aftercare only | $41.69 | $54.95 | $54.95 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $194.98 Median $257.04 Typical High $257.04 | Facility | 78 · Unplanned return to OR | $194.98 | $257.04 | $257.04 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $363.08 Typical High $416.87 | Professional | None | $275.42 | $363.08 | $416.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $208.93 Median $275.42 Typical High $295.12 | Professional | 54 · Surgery only | $208.93 | $275.42 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $54.95 Typical High $58.88 | Professional | 55 · Aftercare only | $41.69 | $54.95 | $58.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $194.98 Median $257.04 Typical High $275.42 | Professional | 78 · Unplanned return to OR | $194.98 | $257.04 | $275.42 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,659.59 Median $5,370.32 Typical High $12,302.69 | Facility | None | $1,659.59 | $5,370.32 | $12,302.69 |
BCBS Minnesota Setting Professional Modifier None Typical Low $478.63 Median $724.44 Typical High $1,174.90 | Professional | None | $478.63 | $724.44 | $1,174.90 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $380.19 Median $588.84 Typical High $954.99 | Professional | 54 · Surgery only | $380.19 | $588.84 | $954.99 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $147.91 Typical High $234.42 | Professional | 55 · Aftercare only | $95.50 | $147.91 | $234.42 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $616.60 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $398.11 | $616.60 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $977.24 Typical High $1,862.09 | Facility | None | $630.96 | $977.24 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $1,000.00 Typical High $1,659.59 | Professional | None | $616.60 | $1,000.00 | $1,659.59 |
Health Partners Setting Facility Modifier None Typical Low $562.34 Median $912.01 Typical High $1,548.82 | Facility | None | $562.34 | $912.01 | $1,548.82 |
Health Partners Setting Professional Modifier None Typical Low $549.54 Median $891.25 Typical High $1,513.56 | Professional | None | $549.54 | $891.25 | $1,513.56 |
Medica Setting Facility Modifier None Typical Low $467.74 Median $1,659.59 Typical High $4,786.30 | Facility | None | $467.74 | $1,659.59 | $4,786.30 |
Medica Setting Professional Modifier None Typical Low $446.68 Median $1,000.00 Typical High $2,754.23 | Professional | None | $446.68 | $1,000.00 | $2,754.23 |
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 $371.54 Median $724.44 Typical High $1,348.96 | Professional | None | $371.54 | $724.44 | $1,348.96 |
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 $138.04 Median $181.97 Typical High $181.97 | Facility | 52 · Reduced service | $138.04 | $181.97 | $181.97 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $54.95 Median $72.44 Typical High $72.44 | Facility | 53 · Discontinued | $54.95 | $72.44 | $72.44 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $27.54 Median $36.31 Typical High $36.31 | Facility | 56 · Pre-op care only | $27.54 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $181.97 Typical High $194.98 | Professional | 52 · Reduced service | $138.04 | $181.97 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $72.44 Typical High $79.43 | Professional | 53 · Discontinued | $54.95 | $72.44 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $36.31 Typical High $39.81 | Professional | 56 · Pre-op care only | $27.54 | $36.31 | $39.81 |
Where Minnesota sits
The same service costs 4.9 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· 5th of 51
$776
AK $1,479UT $302
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.