How much rates vary
Facilitymedian $1,514 · 10th to 90th $398 to $7,413Professionalmedian $851 · 10th to 90th $457 to $1,622
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 $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | 54 · Surgery only | $295.12 | $295.12 | $295.12 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | 55 · Aftercare only | $60.26 | $60.26 | $60.26 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | 78 · Unplanned return to OR | $275.42 | $275.42 | $275.42 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $478.63 | Professional | None | $398.11 | $398.11 | $478.63 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $295.12 Median $295.12 Typical High $338.84 | Professional | 54 · Surgery only | $295.12 | $295.12 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $60.26 Typical High $67.61 | Professional | 55 · Aftercare only | $60.26 | $60.26 | $67.61 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $275.42 Median $275.42 Typical High $316.23 | Professional | 78 · Unplanned return to OR | $275.42 | $275.42 | $316.23 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,570.88 Median $7,413.10 Typical High $14,454.40 | Facility | None | $4,570.88 | $7,413.10 | $14,454.40 |
BCBS Minnesota Setting Professional Modifier None Typical Low $630.96 Median $851.14 Typical High $1,380.38 | Professional | None | $630.96 | $851.14 | $1,380.38 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $676.08 Typical High $1,096.48 | Professional | 54 · Surgery only | $501.19 | $676.08 | $1,096.48 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $169.82 Typical High $275.42 | Professional | 55 · Aftercare only | $125.89 | $169.82 | $275.42 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $707.95 Typical High $1,174.90 | Professional | 78 · Unplanned return to OR | $524.81 | $707.95 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,023.29 Typical High $1,949.84 | Facility | None | $645.65 | $1,023.29 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $1,174.90 Typical High $1,819.70 | Professional | None | $741.31 | $1,174.90 | $1,819.70 |
Health Partners Setting Facility Modifier None Typical Low $575.44 Median $933.25 Typical High $1,621.81 | Facility | None | $575.44 | $933.25 | $1,621.81 |
Health Partners Setting Professional Modifier None Typical Low $660.69 Median $1,047.13 Typical High $1,621.81 | Professional | None | $660.69 | $1,047.13 | $1,621.81 |
Medica Setting Facility Modifier None Typical Low $691.83 Median $2,137.96 Typical High $6,760.83 | Facility | None | $691.83 | $2,137.96 | $6,760.83 |
Medica Setting Professional Modifier None Typical Low $467.74 Median $870.96 Typical High $5,011.87 | Professional | None | $467.74 | $870.96 | $5,011.87 |
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 $446.68 Median $812.83 Typical High $1,621.81 | Professional | None | $446.68 | $812.83 | $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 $199.53 Median $199.53 Typical High $199.53 | Facility | 52 · Reduced service | $199.53 | $199.53 | $199.53 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | 53 · Discontinued | $79.43 | $79.43 | $79.43 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | 56 · Pre-op care only | $39.81 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $199.53 Median $199.53 Typical High $229.09 | Professional | 52 · Reduced service | $199.53 | $199.53 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $79.43 Typical High $91.20 | Professional | 53 · Discontinued | $79.43 | $79.43 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $39.81 Typical High $45.71 | Professional | 56 · Pre-op care only | $39.81 | $39.81 | $45.71 |
Where Minnesota sits
The same service costs 6.2 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· 7th of 51
$933
AK $1,862UT $302
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.