How much rates vary
Facilitymedian $676 · 10th to 90th $178 to $2,344Professionalmedian $513 · 10th to 90th $224 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 $177.83 Median $309.03 Typical High $309.03 | Facility | None | $177.83 | $309.03 | $309.03 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $134.90 Median $229.09 Typical High $229.09 | Facility | 54 · Surgery only | $134.90 | $229.09 | $229.09 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $26.92 Median $45.71 Typical High $45.71 | Facility | 55 · Aftercare only | $26.92 | $45.71 | $45.71 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $125.89 Median $213.80 Typical High $213.80 | Facility | 78 · Unplanned return to OR | $125.89 | $213.80 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $234.42 Typical High $346.74 | Professional | None | $177.83 | $234.42 | $346.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $173.78 Typical High $234.42 | Professional | 54 · Surgery only | $134.90 | $173.78 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $34.67 Typical High $46.77 | Professional | 55 · Aftercare only | $26.92 | $34.67 | $46.77 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $125.89 Median $162.18 Typical High $218.78 | Professional | 78 · Unplanned return to OR | $125.89 | $162.18 | $218.78 |
BCBS Minnesota Setting Facility Modifier None Typical Low $660.69 Median $1,659.59 Typical High $3,467.37 | Facility | None | $660.69 | $1,659.59 | $3,467.37 |
BCBS Minnesota Setting Professional Modifier None Typical Low $338.84 Median $575.44 Typical High $912.01 | Professional | None | $338.84 | $575.44 | $912.01 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $269.15 Median $467.74 Typical High $741.31 | Professional | 54 · Surgery only | $269.15 | $467.74 | $741.31 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $117.49 Typical High $181.97 | Professional | 55 · Aftercare only | $67.61 | $117.49 | $181.97 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $281.84 Median $489.78 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $281.84 | $489.78 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $812.83 Typical High $1,584.89 | Facility | None | $524.81 | $812.83 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $588.84 Typical High $1,071.52 | Professional | None | $316.23 | $588.84 | $1,071.52 |
Health Partners Setting Facility Modifier None Typical Low $467.74 Median $758.58 Typical High $1,318.26 | Facility | None | $467.74 | $758.58 | $1,318.26 |
Health Partners Setting Professional Modifier None Typical Low $309.03 Median $537.03 Typical High $1,047.13 | Professional | None | $309.03 | $537.03 | $1,047.13 |
Medica Setting Facility Modifier None Typical Low $302.00 Median $676.08 Typical High $2,344.23 | Facility | None | $302.00 | $676.08 | $2,344.23 |
Medica Setting Professional Modifier None Typical Low $263.03 Median $891.25 Typical High $2,290.87 | Professional | None | $263.03 | $891.25 | $2,290.87 |
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 $186.21 Median $354.81 Typical High $954.99 | Professional | None | $186.21 | $354.81 | $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 $89.13 Median $154.88 Typical High $154.88 | Facility | 52 · Reduced service | $89.13 | $154.88 | $154.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $35.48 Median $61.66 Typical High $61.66 | Facility | 53 · Discontinued | $35.48 | $61.66 | $61.66 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $17.78 Median $30.90 Typical High $30.90 | Facility | 56 · Pre-op care only | $17.78 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $89.13 Median $114.82 Typical High $158.49 | Professional | 52 · Reduced service | $89.13 | $114.82 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $45.71 Typical High $63.10 | Professional | 53 · Discontinued | $35.48 | $45.71 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $22.91 Typical High $31.62 | Professional | 56 · Pre-op care only | $17.78 | $22.91 | $31.62 |
Where Minnesota sits
The same service costs 4.5 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 $741KY $166
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.