How much rates vary
Facilitymedian $741 · 10th to 90th $200 to $3,090Professionalmedian $550 · 10th to 90th $282 to $1,023
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 $199.53 Median $269.15 Typical High $269.15 | Facility | None | $199.53 | $269.15 | $269.15 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $147.91 Median $199.53 Typical High $199.53 | Facility | 54 · Surgery only | $147.91 | $199.53 | $199.53 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $29.51 Median $39.81 Typical High $39.81 | Facility | 55 · Aftercare only | $29.51 | $39.81 | $39.81 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $138.04 Median $186.21 Typical High $186.21 | Facility | 78 · Unplanned return to OR | $138.04 | $186.21 | $186.21 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $269.15 Typical High $316.23 | Professional | None | $199.53 | $269.15 | $316.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $147.91 Median $199.53 Typical High $213.80 | Professional | 54 · Surgery only | $147.91 | $199.53 | $213.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $39.81 Typical High $42.66 | Professional | 55 · Aftercare only | $29.51 | $39.81 | $42.66 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $138.04 Median $186.21 Typical High $199.53 | Professional | 78 · Unplanned return to OR | $138.04 | $186.21 | $199.53 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,288.25 Median $2,630.27 Typical High $5,623.41 | Facility | None | $1,288.25 | $2,630.27 | $5,623.41 |
BCBS Minnesota Setting Professional Modifier None Typical Low $338.84 Median $524.81 Typical High $851.14 | Professional | None | $338.84 | $524.81 | $851.14 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $426.58 Typical High $691.83 | Professional | 54 · Surgery only | $275.42 | $426.58 | $691.83 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $107.15 Typical High $169.82 | Professional | 55 · Aftercare only | $67.61 | $107.15 | $169.82 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $446.68 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $288.40 | $446.68 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $707.95 Typical High $1,380.38 | Facility | None | $457.09 | $707.95 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $724.44 Typical High $1,202.26 | Professional | None | $446.68 | $724.44 | $1,202.26 |
Health Partners Setting Facility Modifier None Typical Low $407.38 Median $676.08 Typical High $1,148.15 | Facility | None | $407.38 | $676.08 | $1,148.15 |
Health Partners Setting Professional Modifier None Typical Low $389.05 Median $645.65 Typical High $1,122.02 | Professional | None | $389.05 | $645.65 | $1,122.02 |
Medica Setting Facility Modifier None Typical Low $363.08 Median $1,202.26 Typical High $3,467.37 | Facility | None | $363.08 | $1,202.26 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $354.81 Median $758.58 Typical High $1,995.26 | Professional | None | $354.81 | $758.58 | $1,995.26 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,659.59 Typical High $4,265.80 | Facility | None | $776.25 | $1,659.59 | $4,265.80 |
United Setting Professional Modifier None Typical Low $275.42 Median $575.44 Typical High $1,000.00 | Professional | None | $275.42 | $575.44 | $1,000.00 |
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 $100.00 Median $134.90 Typical High $134.90 | Facility | 52 · Reduced service | $100.00 | $134.90 | $134.90 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $39.81 Median $53.70 Typical High $53.70 | Facility | 53 · Discontinued | $39.81 | $53.70 | $53.70 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $19.95 Median $26.92 Typical High $26.92 | Facility | 56 · Pre-op care only | $19.95 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $100.00 Median $134.90 Typical High $144.54 | Professional | 52 · Reduced service | $100.00 | $134.90 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $53.70 Typical High $57.54 | Professional | 53 · Discontinued | $39.81 | $53.70 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.95 Median $26.92 Typical High $28.84 | Professional | 56 · Pre-op care only | $19.95 | $26.92 | $28.84 |
Where Minnesota sits
The same service costs 4.3 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· 4th of 51
$575
AK $1,000UT $234
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.