How much rates vary
Facilitymedian $1,230 · 10th to 90th $339 to $4,467Professionalmedian $912 · 10th to 90th $479 to $1,820
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 $338.84 Median $524.81 Typical High $524.81 | Facility | None | $338.84 | $524.81 | $524.81 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $257.04 Median $398.11 Typical High $398.11 | Facility | 54 · Surgery only | $257.04 | $398.11 | $398.11 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $51.29 Median $79.43 Typical High $79.43 | Facility | 55 · Aftercare only | $51.29 | $79.43 | $79.43 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $239.88 Median $371.54 Typical High $371.54 | Facility | 78 · Unplanned return to OR | $239.88 | $371.54 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $501.19 Typical High $575.44 | Professional | None | $338.84 | $501.19 | $575.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $371.54 Typical High $436.52 | Professional | 54 · Surgery only | $257.04 | $371.54 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $74.13 Typical High $87.10 | Professional | 55 · Aftercare only | $51.29 | $74.13 | $87.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $239.88 Median $346.74 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $239.88 | $346.74 | $407.38 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,905.46 Median $5,370.32 Typical High $12,302.69 | Facility | None | $1,905.46 | $5,370.32 | $12,302.69 |
BCBS Minnesota Setting Professional Modifier None Typical Low $549.54 Median $933.25 Typical High $1,584.89 | Professional | None | $549.54 | $933.25 | $1,584.89 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $741.31 Typical High $1,258.93 | Professional | 54 · Surgery only | $446.68 | $741.31 | $1,258.93 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $190.55 Typical High $309.03 | Professional | 55 · Aftercare only | $109.65 | $190.55 | $309.03 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $467.74 Median $794.33 Typical High $1,318.26 | Professional | 78 · Unplanned return to OR | $467.74 | $794.33 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $1,412.54 Typical High $2,691.53 | Facility | None | $912.01 | $1,412.54 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $1,047.13 Typical High $1,819.70 | Professional | None | $602.56 | $1,047.13 | $1,819.70 |
Health Partners Setting Facility Modifier None Typical Low $812.83 Median $1,288.25 Typical High $2,238.72 | Facility | None | $812.83 | $1,288.25 | $2,238.72 |
Health Partners Setting Professional Modifier None Typical Low $588.84 Median $1,023.29 Typical High $1,819.70 | Professional | None | $588.84 | $1,023.29 | $1,819.70 |
Medica Setting Facility Modifier None Typical Low $630.96 Median $1,230.27 Typical High $3,467.37 | Facility | None | $630.96 | $1,230.27 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $549.54 Median $1,513.56 Typical High $4,073.80 | Professional | None | $549.54 | $1,513.56 | $4,073.80 |
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 $398.11 Median $741.31 Typical High $1,621.81 | Professional | None | $398.11 | $741.31 | $1,621.81 |
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 $169.82 Median $263.03 Typical High $263.03 | Facility | 52 · Reduced service | $169.82 | $263.03 | $263.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $69.18 Median $104.71 Typical High $104.71 | Facility | 53 · Discontinued | $69.18 | $104.71 | $104.71 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $33.88 Median $52.48 Typical High $52.48 | Facility | 56 · Pre-op care only | $33.88 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $169.82 Median $245.47 Typical High $288.40 | Professional | 52 · Reduced service | $169.82 | $245.47 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $97.72 Typical High $114.82 | Professional | 53 · Discontinued | $69.18 | $97.72 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $48.98 Typical High $57.54 | Professional | 56 · Pre-op care only | $33.88 | $48.98 | $57.54 |
Where Minnesota sits
The same service costs 3.7 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· 5th of 51
$912
AK $1,445NJ $389
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.