How much rates vary
Facilitymedian $646 · 10th to 90th $186 to $3,548Professionalmedian $501 · 10th to 90th $251 to $955
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 $186.21 Median $275.42 Typical High $5,011.87 | Facility | None | $186.21 | $275.42 | $5,011.87 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $141.25 Median $208.93 Typical High $208.93 | Facility | 54 · Surgery only | $141.25 | $208.93 | $208.93 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $28.18 Median $41.69 Typical High $41.69 | Facility | 55 · Aftercare only | $28.18 | $41.69 | $41.69 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $131.83 Median $194.98 Typical High $194.98 | Facility | 78 · Unplanned return to OR | $131.83 | $194.98 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $275.42 Typical High $331.13 | Professional | None | $186.21 | $275.42 | $331.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $141.25 Median $199.53 Typical High $229.09 | Professional | 54 · Surgery only | $141.25 | $199.53 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $39.81 Typical High $45.71 | Professional | 55 · Aftercare only | $28.18 | $39.81 | $45.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $131.83 Median $186.21 Typical High $213.80 | Professional | 78 · Unplanned return to OR | $131.83 | $186.21 | $213.80 |
BCBS Minnesota Setting Facility Modifier None Typical Low $457.09 Median $1,479.11 Typical High $3,467.37 | Facility | None | $457.09 | $1,479.11 | $3,467.37 |
BCBS Minnesota Setting Professional Modifier None Typical Low $338.84 Median $549.54 Typical High $851.14 | Professional | None | $338.84 | $549.54 | $851.14 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $446.68 Typical High $676.08 | Professional | 54 · Surgery only | $275.42 | $446.68 | $676.08 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $112.20 Typical High $169.82 | Professional | 55 · Aftercare only | $67.61 | $112.20 | $169.82 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $467.74 Typical High $707.95 | Professional | 78 · Unplanned return to OR | $288.40 | $467.74 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $741.31 Typical High $1,412.54 | Facility | None | $478.63 | $741.31 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $575.44 Typical High $977.24 | Professional | None | $323.59 | $575.44 | $977.24 |
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 $323.59 Median $537.03 Typical High $954.99 | Professional | None | $323.59 | $537.03 | $954.99 |
Medica Setting Facility Modifier None Typical Low $309.03 Median $707.95 Typical High $2,570.40 | Facility | None | $309.03 | $707.95 | $2,570.40 |
Medica Setting Professional Modifier None Typical Low $302.00 Median $851.14 Typical High $2,089.30 | Professional | None | $302.00 | $851.14 | $2,089.30 |
United Setting Facility Modifier None Typical Low $549.54 Median $1,000.00 Typical High $3,162.28 | Facility | None | $549.54 | $1,000.00 | $3,162.28 |
United Setting Professional Modifier None Typical Low $218.78 Median $407.38 Typical High $870.96 | Professional | None | $218.78 | $407.38 | $870.96 |
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 $93.33 Median $138.04 Typical High $138.04 | Facility | 52 · Reduced service | $93.33 | $138.04 | $138.04 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $37.15 Median $56.23 Typical High $56.23 | Facility | 53 · Discontinued | $37.15 | $56.23 | $56.23 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $18.62 Median $27.54 Typical High $27.54 | Facility | 56 · Pre-op care only | $18.62 | $27.54 | $27.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $93.33 Median $134.90 Typical High $154.88 | Professional | 52 · Reduced service | $93.33 | $134.90 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $53.70 Typical High $61.66 | Professional | 53 · Discontinued | $37.15 | $53.70 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $26.92 Typical High $30.90 | Professional | 56 · Pre-op care only | $18.62 | $26.92 | $30.90 |
Where Minnesota sits
The same service costs 3.8 times more in Alaska than in Kentucky. 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
$525
AK $776KY $204
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.