How much rates vary
Facilitymedian $661 · 10th to 90th $107 to $2,818Professionalmedian $324 · 10th to 90th $155 to $692
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 $107.15 Median $208.93 Typical High $2,818.38 | Facility | None | $107.15 | $208.93 | $2,818.38 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $79.43 Median $154.88 Typical High $154.88 | Facility | 54 · Surgery only | $79.43 | $154.88 | $154.88 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $15.85 Median $30.90 Typical High $30.90 | Facility | 55 · Aftercare only | $15.85 | $30.90 | $30.90 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $74.13 Median $144.54 Typical High $144.54 | Facility | 78 · Unplanned return to OR | $74.13 | $144.54 | $144.54 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $199.53 Typical High $239.88 | Professional | None | $107.15 | $199.53 | $239.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $79.43 Median $141.25 Typical High $173.78 | Professional | 54 · Surgery only | $79.43 | $141.25 | $173.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $28.18 Typical High $34.67 | Professional | 55 · Aftercare only | $15.85 | $28.18 | $34.67 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $74.13 Median $131.83 Typical High $162.18 | Professional | 78 · Unplanned return to OR | $74.13 | $131.83 | $162.18 |
BCBS Minnesota Setting Facility Modifier None Typical Low $630.96 Median $2,454.71 Typical High $5,623.41 | Facility | None | $630.96 | $2,454.71 | $5,623.41 |
BCBS Minnesota Setting Professional Modifier None Typical Low $177.83 Median $346.74 Typical High $602.56 | Professional | None | $177.83 | $346.74 | $602.56 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $141.25 Median $275.42 Typical High $478.63 | Professional | 54 · Surgery only | $141.25 | $275.42 | $478.63 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $69.18 Typical High $120.23 | Professional | 55 · Aftercare only | $35.48 | $69.18 | $120.23 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $147.91 Median $288.40 Typical High $501.19 | Professional | 78 · Unplanned return to OR | $147.91 | $288.40 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $562.34 Typical High $1,071.52 | Facility | None | $363.08 | $562.34 | $1,071.52 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $371.54 Typical High $724.44 | Professional | None | $186.21 | $371.54 | $724.44 |
Health Partners Setting Facility Modifier None Typical Low $316.23 Median $512.86 Typical High $891.25 | Facility | None | $316.23 | $512.86 | $891.25 |
Health Partners Setting Professional Modifier None Typical Low $186.21 Median $363.08 Typical High $724.44 | Professional | None | $186.21 | $363.08 | $724.44 |
Medica Setting Facility Modifier None Typical Low $223.87 Median $1,174.90 Typical High $3,467.37 | Facility | None | $223.87 | $1,174.90 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $229.09 Median $616.60 Typical High $1,621.81 | Professional | None | $229.09 | $616.60 | $1,621.81 |
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 $123.03 Median $275.42 Typical High $660.69 | Professional | None | $123.03 | $275.42 | $660.69 |
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 $53.70 Median $104.71 Typical High $104.71 | Facility | 52 · Reduced service | $53.70 | $104.71 | $104.71 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $21.38 Median $41.69 Typical High $41.69 | Facility | 53 · Discontinued | $21.38 | $41.69 | $41.69 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $10.72 Median $20.89 Typical High $20.89 | Facility | 56 · Pre-op care only | $10.72 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $95.50 Typical High $114.82 | Professional | 52 · Reduced service | $53.70 | $95.50 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $38.02 Typical High $46.77 | Professional | 53 · Discontinued | $21.38 | $38.02 | $46.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $19.05 Typical High $22.91 | Professional | 56 · Pre-op care only | $10.72 | $19.05 | $22.91 |
Where Minnesota sits
The same service costs 3.3 times more in Alaska than in Washington, DC. 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
$331
AK $447DC $135
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.