How much rates vary
Facilitymedian $676 · 10th to 90th $155 to $3,890Professionalmedian $437 · 10th to 90th $229 to $851
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 $154.88 Median $245.47 Typical High $245.47 | Facility | None | $154.88 | $245.47 | $245.47 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $117.49 Median $186.21 Typical High $186.21 | Facility | 54 · Surgery only | $117.49 | $186.21 | $186.21 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $23.44 Median $37.15 Typical High $37.15 | Facility | 55 · Aftercare only | $23.44 | $37.15 | $37.15 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $109.65 Median $173.78 Typical High $173.78 | Facility | 78 · Unplanned return to OR | $109.65 | $173.78 | $173.78 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $245.47 Typical High $281.84 | Professional | None | $154.88 | $245.47 | $281.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $117.49 Median $181.97 Typical High $208.93 | Professional | 54 · Surgery only | $117.49 | $181.97 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $36.31 Typical High $42.66 | Professional | 55 · Aftercare only | $23.44 | $36.31 | $42.66 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $109.65 Median $169.82 Typical High $194.98 | Professional | 78 · Unplanned return to OR | $109.65 | $169.82 | $194.98 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,023.29 Median $5,128.61 Typical High $12,302.69 | Facility | None | $1,023.29 | $5,128.61 | $12,302.69 |
BCBS Minnesota Setting Professional Modifier None Typical Low $257.04 Median $457.09 Typical High $724.44 | Professional | None | $257.04 | $457.09 | $724.44 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $208.93 Median $363.08 Typical High $588.84 | Professional | 54 · Surgery only | $208.93 | $363.08 | $588.84 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $91.20 Typical High $144.54 | Professional | 55 · Aftercare only | $52.48 | $91.20 | $144.54 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $218.78 Median $380.19 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $218.78 | $380.19 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $660.69 Typical High $1,258.93 | Facility | None | $426.58 | $660.69 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $478.63 Typical High $851.14 | Professional | None | $275.42 | $478.63 | $851.14 |
Health Partners Setting Facility Modifier None Typical Low $380.19 Median $602.56 Typical High $1,047.13 | Facility | None | $380.19 | $602.56 | $1,047.13 |
Health Partners Setting Professional Modifier None Typical Low $269.15 Median $467.74 Typical High $851.14 | Professional | None | $269.15 | $467.74 | $851.14 |
Medica Setting Facility Modifier None Typical Low $288.40 Median $1,096.48 Typical High $3,090.30 | Facility | None | $288.40 | $1,096.48 | $3,090.30 |
Medica Setting Professional Modifier None Typical Low $302.00 Median $794.33 Typical High $1,862.09 | Professional | None | $302.00 | $794.33 | $1,862.09 |
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 $194.98 Median $380.19 Typical High $851.14 | Professional | None | $194.98 | $380.19 | $851.14 |
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 $77.62 Median $123.03 Typical High $123.03 | Facility | 52 · Reduced service | $77.62 | $123.03 | $123.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $30.90 Median $48.98 Typical High $48.98 | Facility | 53 · Discontinued | $30.90 | $48.98 | $48.98 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $15.49 Median $24.55 Typical High $24.55 | Facility | 56 · Pre-op care only | $15.49 | $24.55 | $24.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $123.03 Typical High $141.25 | Professional | 52 · Reduced service | $77.62 | $123.03 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $48.98 Typical High $56.23 | Professional | 53 · Discontinued | $30.90 | $48.98 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $24.55 Typical High $28.18 | Professional | 56 · Pre-op care only | $15.49 | $24.55 | $28.18 |
Where Minnesota sits
The same service costs 3.6 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· 4th of 51
$447
AK $646TX $178
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.