How much rates vary
Facilitymedian $776 · 10th to 90th $219 to $3,090Professionalmedian $537 · 10th to 90th $295 to $1,023
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 $218.78 Median $295.12 Typical High $295.12 | Facility | None | $218.78 | $295.12 | $295.12 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $162.18 Median $218.78 Typical High $218.78 | Facility | 54 · Surgery only | $162.18 | $218.78 | $218.78 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $32.36 Median $43.65 Typical High $43.65 | Facility | 55 · Aftercare only | $32.36 | $43.65 | $43.65 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $151.36 Median $204.17 Typical High $204.17 | Facility | 78 · Unplanned return to OR | $151.36 | $204.17 | $204.17 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $288.40 Typical High $338.84 | Professional | None | $218.78 | $288.40 | $338.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $162.18 Median $218.78 Typical High $251.19 | Professional | 54 · Surgery only | $162.18 | $218.78 | $251.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $43.65 Typical High $50.12 | Professional | 55 · Aftercare only | $32.36 | $43.65 | $50.12 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $151.36 Median $204.17 Typical High $234.42 | Professional | 78 · Unplanned return to OR | $151.36 | $204.17 | $234.42 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,230.27 Median $2,570.40 Typical High $5,623.41 | Facility | None | $1,230.27 | $2,570.40 | $5,623.41 |
BCBS Minnesota Setting Professional Modifier None Typical Low $346.74 Median $549.54 Typical High $891.25 | Professional | None | $346.74 | $549.54 | $891.25 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $446.68 Typical High $724.44 | Professional | 54 · Surgery only | $281.84 | $446.68 | $724.44 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $112.20 Typical High $177.83 | Professional | 55 · Aftercare only | $69.18 | $112.20 | $177.83 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $467.74 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $295.12 | $467.74 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $776.25 Typical High $1,513.56 | Facility | None | $501.19 | $776.25 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $645.65 Typical High $1,047.13 | Professional | None | $371.54 | $645.65 | $1,047.13 |
Health Partners Setting Facility Modifier None Typical Low $446.68 Median $741.31 Typical High $1,258.93 | Facility | None | $446.68 | $741.31 | $1,258.93 |
Health Partners Setting Professional Modifier None Typical Low $371.54 Median $588.84 Typical High $1,000.00 | Professional | None | $371.54 | $588.84 | $1,000.00 |
Medica Setting Facility Modifier None Typical Low $398.11 Median $1,202.26 Typical High $3,467.37 | Facility | None | $398.11 | $1,202.26 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $338.84 Median $891.25 Typical High $2,290.87 | Professional | None | $338.84 | $891.25 | $2,290.87 |
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 $457.09 Typical High $954.99 | Professional | None | $257.04 | $457.09 | $954.99 |
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 $107.15 Median $147.91 Typical High $147.91 | Facility | 52 · Reduced service | $107.15 | $147.91 | $147.91 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $43.65 Median $58.88 Typical High $58.88 | Facility | 53 · Discontinued | $43.65 | $58.88 | $58.88 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $21.88 Median $29.51 Typical High $29.51 | Facility | 56 · Pre-op care only | $21.88 | $29.51 | $29.51 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $144.54 Typical High $169.82 | Professional | 52 · Reduced service | $107.15 | $144.54 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $57.54 Typical High $67.61 | Professional | 53 · Discontinued | $43.65 | $57.54 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $28.84 Typical High $33.88 | Professional | 56 · Pre-op care only | $21.88 | $28.84 | $33.88 |
Where Minnesota sits
The same service costs 4.3 times more in Alaska than in Utah. 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
$550
AK $933UT $219
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.