How much rates vary
Facilitymedian $851 · 10th to 90th $209 to $3,090Professionalmedian $589 · 10th to 90th $302 to $1,175
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 $208.93 Median $338.84 Typical High $338.84 | Facility | None | $208.93 | $338.84 | $338.84 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $158.49 Median $257.04 Typical High $257.04 | Facility | 54 · Surgery only | $158.49 | $257.04 | $257.04 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $31.62 Median $51.29 Typical High $51.29 | Facility | 55 · Aftercare only | $31.62 | $51.29 | $51.29 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $147.91 Median $239.88 Typical High $239.88 | Facility | 78 · Unplanned return to OR | $147.91 | $239.88 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $323.59 Typical High $371.54 | Professional | None | $208.93 | $323.59 | $371.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $158.49 Median $239.88 Typical High $275.42 | Professional | 54 · Surgery only | $158.49 | $239.88 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $47.86 Typical High $54.95 | Professional | 55 · Aftercare only | $31.62 | $47.86 | $54.95 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $147.91 Median $223.87 Typical High $257.04 | Professional | 78 · Unplanned return to OR | $147.91 | $223.87 | $257.04 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,148.15 Median $2,570.40 Typical High $5,623.41 | Facility | None | $1,148.15 | $2,570.40 | $5,623.41 |
BCBS Minnesota Setting Professional Modifier None Typical Low $346.74 Median $645.65 Typical High $1,023.29 | Professional | None | $346.74 | $645.65 | $1,023.29 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $512.86 Typical High $831.76 | Professional | 54 · Surgery only | $275.42 | $512.86 | $831.76 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $128.82 Typical High $204.17 | Professional | 55 · Aftercare only | $69.18 | $128.82 | $204.17 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $537.03 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $288.40 | $537.03 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $912.01 Typical High $1,737.80 | Facility | None | $588.84 | $912.01 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $676.08 Typical High $1,202.26 | Professional | None | $371.54 | $676.08 | $1,202.26 |
Health Partners Setting Facility Modifier None Typical Low $524.81 Median $831.76 Typical High $1,479.11 | Facility | None | $524.81 | $831.76 | $1,479.11 |
Health Partners Setting Professional Modifier None Typical Low $363.08 Median $630.96 Typical High $1,174.90 | Professional | None | $363.08 | $630.96 | $1,174.90 |
Medica Setting Facility Modifier None Typical Low $389.05 Median $1,071.52 Typical High $3,090.30 | Facility | None | $389.05 | $1,071.52 | $3,090.30 |
Medica Setting Professional Modifier None Typical Low $371.54 Median $1,047.13 Typical High $2,630.27 | Professional | None | $371.54 | $1,047.13 | $2,630.27 |
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 $257.04 Median $467.74 Typical High $1,096.48 | Professional | None | $257.04 | $467.74 | $1,096.48 |
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 $104.71 Median $169.82 Typical High $169.82 | Facility | 52 · Reduced service | $104.71 | $169.82 | $169.82 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $41.69 Median $67.61 Typical High $67.61 | Facility | 53 · Discontinued | $41.69 | $67.61 | $67.61 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $20.89 Median $33.88 Typical High $33.88 | Facility | 56 · Pre-op care only | $20.89 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $158.49 Typical High $186.21 | Professional | 52 · Reduced service | $104.71 | $158.49 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $64.57 Typical High $74.13 | Professional | 53 · Discontinued | $41.69 | $64.57 | $74.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $32.36 Typical High $37.15 | Professional | 56 · Pre-op care only | $20.89 | $32.36 | $37.15 |
Where Minnesota sits
The same service costs 3.6 times more in Alaska than in New Jersey. 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
$603
AK $912NJ $251
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.