How much rates vary
Facilitymedian $1,202 · 10th to 90th $316 to $6,761Professionalmedian $813 · 10th to 90th $437 to $1,549
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 $316.23 Median $436.52 Typical High $436.52 | Facility | None | $316.23 | $436.52 | $436.52 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $234.42 Median $323.59 Typical High $323.59 | Facility | 54 · Surgery only | $234.42 | $323.59 | $323.59 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $46.77 Median $66.07 Typical High $66.07 | Facility | 55 · Aftercare only | $46.77 | $66.07 | $66.07 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $218.78 Median $302.00 Typical High $302.00 | Facility | 78 · Unplanned return to OR | $218.78 | $302.00 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $436.52 Typical High $501.19 | Professional | None | $316.23 | $436.52 | $501.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $323.59 Typical High $371.54 | Professional | 54 · Surgery only | $234.42 | $323.59 | $371.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $64.57 Typical High $75.86 | Professional | 55 · Aftercare only | $46.77 | $64.57 | $75.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $218.78 Median $302.00 Typical High $346.74 | Professional | 78 · Unplanned return to OR | $218.78 | $302.00 | $346.74 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,995.26 Median $9,549.93 Typical High $22,387.21 | Facility | None | $1,995.26 | $9,549.93 | $22,387.21 |
BCBS Minnesota Setting Professional Modifier None Typical Low $524.81 Median $831.76 Typical High $1,318.26 | Professional | None | $524.81 | $831.76 | $1,318.26 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $660.69 Typical High $1,047.13 | Professional | 54 · Surgery only | $416.87 | $660.69 | $1,047.13 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $169.82 Typical High $263.03 | Professional | 55 · Aftercare only | $104.71 | $169.82 | $263.03 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $707.95 Typical High $1,096.48 | Professional | 78 · Unplanned return to OR | $446.68 | $707.95 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,174.90 Typical High $2,238.72 | Facility | None | $758.58 | $1,174.90 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $954.99 Typical High $1,548.82 | Professional | None | $549.54 | $954.99 | $1,548.82 |
Health Partners Setting Facility Modifier None Typical Low $660.69 Median $1,096.48 Typical High $1,862.09 | Facility | None | $660.69 | $1,096.48 | $1,862.09 |
Health Partners Setting Professional Modifier None Typical Low $549.54 Median $870.96 Typical High $1,513.56 | Professional | None | $549.54 | $870.96 | $1,513.56 |
Medica Setting Facility Modifier None Typical Low $575.44 Median $1,659.59 Typical High $4,786.30 | Facility | None | $575.44 | $1,659.59 | $4,786.30 |
Medica Setting Professional Modifier None Typical Low $512.86 Median $1,380.38 Typical High $3,311.31 | Professional | None | $512.86 | $1,380.38 | $3,311.31 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $8,317.64 | Facility | None | $1,513.56 | $2,511.89 | $8,317.64 |
United Setting Professional Modifier None Typical Low $389.05 Median $707.95 Typical High $1,479.11 | Professional | None | $389.05 | $707.95 | $1,479.11 |
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 $158.49 Median $218.78 Typical High $218.78 | Facility | 52 · Reduced service | $158.49 | $218.78 | $218.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $63.10 Median $87.10 Typical High $87.10 | Facility | 53 · Discontinued | $63.10 | $87.10 | $87.10 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $31.62 Median $43.65 Typical High $43.65 | Facility | 56 · Pre-op care only | $31.62 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $158.49 Median $213.80 Typical High $251.19 | Professional | 52 · Reduced service | $158.49 | $213.80 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $85.11 Typical High $100.00 | Professional | 53 · Discontinued | $63.10 | $85.11 | $100.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $42.66 Typical High $50.12 | Professional | 56 · Pre-op care only | $31.62 | $42.66 | $50.12 |
Where Minnesota sits
The same service costs 4.0 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
$813
AK $1,318NJ $331
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.