How much rates vary
Facilitymedian $1,230 · 10th to 90th $447 to $5,129Professionalmedian $912 · 10th to 90th $447 to $1,698
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 $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | 54 · Surgery only | $331.13 | $331.13 | $331.13 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | 55 · Aftercare only | $66.07 | $66.07 | $66.07 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $309.03 Typical High $309.03 | Facility | 78 · Unplanned return to OR | $309.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $512.86 | Professional | None | $446.68 | $446.68 | $512.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $331.13 Typical High $380.19 | Professional | 54 · Surgery only | $331.13 | $331.13 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $66.07 Typical High $75.86 | Professional | 55 · Aftercare only | $66.07 | $66.07 | $75.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $309.03 Typical High $354.81 | Professional | 78 · Unplanned return to OR | $309.03 | $309.03 | $354.81 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,454.71 Median $5,623.41 Typical High $12,302.69 | Facility | None | $2,454.71 | $5,623.41 | $12,302.69 |
BCBS Minnesota Setting Professional Modifier None Typical Low $707.95 Median $912.01 Typical High $1,445.44 | Professional | None | $707.95 | $912.01 | $1,445.44 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $724.44 Typical High $1,148.15 | Professional | 54 · Surgery only | $562.34 | $724.44 | $1,148.15 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $181.97 Typical High $288.40 | Professional | 55 · Aftercare only | $141.25 | $181.97 | $288.40 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $588.84 Median $776.25 Typical High $1,202.26 | Professional | 78 · Unplanned return to OR | $588.84 | $776.25 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,174.90 Typical High $2,290.87 | Facility | None | $758.58 | $1,174.90 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $1,096.48 Typical High $1,862.09 | Professional | None | $691.83 | $1,096.48 | $1,862.09 |
Health Partners Setting Facility Modifier None Typical Low $676.08 Median $1,096.48 Typical High $1,905.46 | Facility | None | $676.08 | $1,096.48 | $1,905.46 |
Health Partners Setting Professional Modifier None Typical Low $776.25 Median $1,023.29 Typical High $1,698.24 | Professional | None | $776.25 | $1,023.29 | $1,698.24 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,258.93 Typical High $3,981.07 | Facility | None | $758.58 | $1,258.93 | $3,981.07 |
Medica Setting Professional Modifier None Typical Low $478.63 Median $1,023.29 Typical High $3,388.44 | Professional | None | $478.63 | $1,023.29 | $3,388.44 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,659.59 Typical High $4,897.79 | Facility | None | $776.25 | $1,659.59 | $4,897.79 |
United Setting Professional Modifier None Typical Low $457.09 Median $776.25 Typical High $1,584.89 | Professional | None | $457.09 | $776.25 | $1,584.89 |
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 $223.87 Median $223.87 Typical High $223.87 | Facility | 52 · Reduced service | $223.87 | $223.87 | $223.87 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | 53 · Discontinued | $89.13 | $89.13 | $89.13 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | 56 · Pre-op care only | $44.67 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $223.87 Median $223.87 Typical High $251.19 | Professional | 52 · Reduced service | $223.87 | $223.87 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $89.13 Typical High $102.33 | Professional | 53 · Discontinued | $89.13 | $89.13 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $44.67 Typical High $50.12 | Professional | 56 · Pre-op care only | $44.67 | $44.67 | $50.12 |
Where Minnesota sits
The same service costs 6.2 times more in Alaska 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· 7th of 51
$912
AK $1,862TX $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.