How much rates vary
Facilitymedian $1,259 · 10th to 90th $295 to $6,310Professionalmedian $813 · 10th to 90th $398 to $1,585
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 $295.12 Median $457.09 Typical High $457.09 | Facility | None | $295.12 | $457.09 | $457.09 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $223.87 Median $346.74 Typical High $346.74 | Facility | 54 · Surgery only | $223.87 | $346.74 | $346.74 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $44.67 Median $69.18 Typical High $69.18 | Facility | 55 · Aftercare only | $44.67 | $69.18 | $69.18 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $208.93 Median $323.59 Typical High $323.59 | Facility | 78 · Unplanned return to OR | $208.93 | $323.59 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $416.87 Typical High $524.81 | Professional | None | $295.12 | $416.87 | $524.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $223.87 Median $309.03 Typical High $371.54 | Professional | 54 · Surgery only | $223.87 | $309.03 | $371.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $61.66 Typical High $74.13 | Professional | 55 · Aftercare only | $44.67 | $61.66 | $74.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $208.93 Median $288.40 Typical High $346.74 | Professional | 78 · Unplanned return to OR | $208.93 | $288.40 | $346.74 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,548.82 Median $5,370.32 Typical High $12,302.69 | Facility | None | $1,548.82 | $5,370.32 | $12,302.69 |
BCBS Minnesota Setting Professional Modifier None Typical Low $512.86 Median $870.96 Typical High $1,380.38 | Professional | None | $512.86 | $870.96 | $1,380.38 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $691.83 Typical High $1,096.48 | Professional | 54 · Surgery only | $416.87 | $691.83 | $1,096.48 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $177.83 Typical High $275.42 | Professional | 55 · Aftercare only | $102.33 | $177.83 | $275.42 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $724.44 Typical High $1,174.90 | Professional | 78 · Unplanned return to OR | $436.52 | $724.44 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $1,230.27 Typical High $2,344.23 | Facility | None | $794.33 | $1,230.27 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $912.01 Typical High $1,621.81 | Professional | None | $512.86 | $912.01 | $1,621.81 |
Health Partners Setting Facility Modifier None Typical Low $707.95 Median $1,148.15 Typical High $1,995.26 | Facility | None | $707.95 | $1,148.15 | $1,995.26 |
Health Partners Setting Professional Modifier None Typical Low $512.86 Median $870.96 Typical High $1,584.89 | Professional | None | $512.86 | $870.96 | $1,584.89 |
Medica Setting Facility Modifier None Typical Low $489.78 Median $2,884.03 Typical High $6,918.31 | Facility | None | $489.78 | $2,884.03 | $6,918.31 |
Medica Setting Professional Modifier None Typical Low $467.74 Median $1,348.96 Typical High $3,467.37 | Professional | None | $467.74 | $1,348.96 | $3,467.37 |
United Setting Facility Modifier None Typical Low $2,818.38 Median $4,265.80 Typical High $9,772.37 | Facility | None | $2,818.38 | $4,265.80 | $9,772.37 |
United Setting Professional Modifier None Typical Low $331.13 Median $616.60 Typical High $1,412.54 | Professional | None | $331.13 | $616.60 | $1,412.54 |
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 $147.91 Median $229.09 Typical High $229.09 | Facility | 52 · Reduced service | $147.91 | $229.09 | $229.09 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $58.88 Median $91.20 Typical High $91.20 | Facility | 53 · Discontinued | $58.88 | $91.20 | $91.20 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $29.51 Median $45.71 Typical High $45.71 | Facility | 56 · Pre-op care only | $29.51 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $147.91 Median $204.17 Typical High $245.47 | Professional | 52 · Reduced service | $147.91 | $204.17 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $81.28 Typical High $97.72 | Professional | 53 · Discontinued | $58.88 | $81.28 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $40.74 Typical High $48.98 | Professional | 56 · Pre-op care only | $29.51 | $40.74 | $48.98 |
Where Minnesota sits
The same service costs 4.3 times more in Alaska than in Kentucky. 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
$832
AK $1,259KY $295
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.