How much rates vary
Facilitymedian $4,571 · 10th to 90th $603 to $10,471Professionalmedian $550 · 10th to 90th $282 to $1,096
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 $2,951.21 Median $4,786.30 Typical High $10,471.29 | Facility | None | $2,951.21 | $4,786.30 | $10,471.29 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | 54 · Surgery only | $208.93 | $208.93 | $208.93 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | 55 · Aftercare only | $41.69 | $41.69 | $41.69 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | 78 · Unplanned return to OR | $194.98 | $194.98 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $478.63 | Professional | None | $281.84 | $281.84 | $478.63 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $208.93 Median $208.93 Typical High $251.19 | Professional | 54 · Surgery only | $208.93 | $208.93 | $251.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $41.69 Typical High $50.12 | Professional | 55 · Aftercare only | $41.69 | $41.69 | $50.12 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $194.98 Median $194.98 Typical High $234.42 | Professional | 78 · Unplanned return to OR | $194.98 | $194.98 | $234.42 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,168.69 Median $10,471.29 Typical High $22,387.21 | Facility | None | $4,168.69 | $10,471.29 | $22,387.21 |
BCBS Minnesota Setting Professional Modifier None Typical Low $426.58 Median $549.54 Typical High $933.25 | Professional | None | $426.58 | $549.54 | $933.25 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $338.84 Median $446.68 Typical High $741.31 | Professional | 54 · Surgery only | $338.84 | $446.68 | $741.31 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $109.65 Typical High $186.21 | Professional | 55 · Aftercare only | $89.13 | $109.65 | $186.21 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $354.81 Median $467.74 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $354.81 | $467.74 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $741.31 Typical High $1,445.44 | Facility | None | $478.63 | $741.31 | $1,445.44 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $691.83 Typical High $1,174.90 | Professional | None | $436.52 | $691.83 | $1,174.90 |
Health Partners Setting Facility Modifier None Typical Low $426.58 Median $691.83 Typical High $1,202.26 | Facility | None | $426.58 | $691.83 | $1,202.26 |
Health Partners Setting Professional Modifier None Typical Low $489.78 Median $645.65 Typical High $1,071.52 | Professional | None | $489.78 | $645.65 | $1,071.52 |
Medica Setting Facility Modifier None Typical Low $1,288.25 Median $2,398.83 Typical High $5,754.40 | Facility | None | $1,288.25 | $2,398.83 | $5,754.40 |
Medica Setting Professional Modifier None Typical Low $316.23 Median $660.69 Typical High $2,630.27 | Professional | None | $316.23 | $660.69 | $2,630.27 |
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 $295.12 Median $501.19 Typical High $1,023.29 | Professional | None | $295.12 | $501.19 | $1,023.29 |
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 $141.25 Median $141.25 Typical High $141.25 | Facility | 52 · Reduced service | $141.25 | $141.25 | $141.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | 53 · Discontinued | $56.23 | $56.23 | $56.23 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $28.18 Median $28.18 Typical High $28.18 | Facility | 56 · Pre-op care only | $28.18 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $141.25 Median $141.25 Typical High $169.82 | Professional | 52 · Reduced service | $141.25 | $141.25 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $67.61 | Professional | 53 · Discontinued | $56.23 | $56.23 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $28.18 Typical High $33.88 | Professional | 56 · Pre-op care only | $28.18 | $28.18 | $33.88 |
Where Minnesota sits
The same service costs 5.5 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· 3rd of 51
$724
AK $1,202UT $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.