How much rates vary
Facilitymedian $603 · 10th to 90th $166 to $3,311Professionalmedian $437 · 10th to 90th $224 to $813
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 $165.96 Median $213.80 Typical High $213.80 | Facility | None | $165.96 | $213.80 | $213.80 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $123.03 Median $162.18 Typical High $162.18 | Facility | 54 · Surgery only | $123.03 | $162.18 | $162.18 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $24.55 Median $32.36 Typical High $32.36 | Facility | 55 · Aftercare only | $24.55 | $32.36 | $32.36 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $114.82 Median $151.36 Typical High $151.36 | Facility | 78 · Unplanned return to OR | $114.82 | $151.36 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $213.80 Typical High $257.04 | Professional | None | $165.96 | $213.80 | $257.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $123.03 Median $162.18 Typical High $165.96 | Professional | 54 · Surgery only | $123.03 | $162.18 | $165.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $32.36 Typical High $33.88 | Professional | 55 · Aftercare only | $24.55 | $32.36 | $33.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $114.82 Median $151.36 Typical High $154.88 | Professional | 78 · Unplanned return to OR | $114.82 | $151.36 | $154.88 |
BCBS Minnesota Setting Facility Modifier None Typical Low $660.69 Median $3,090.30 Typical High $6,918.31 | Facility | None | $660.69 | $3,090.30 | $6,918.31 |
BCBS Minnesota Setting Professional Modifier None Typical Low $269.15 Median $436.52 Typical High $707.95 | Professional | None | $269.15 | $436.52 | $707.95 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $354.81 Typical High $575.44 | Professional | 54 · Surgery only | $218.78 | $354.81 | $575.44 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $87.10 Typical High $141.25 | Professional | 55 · Aftercare only | $54.95 | $87.10 | $141.25 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $229.09 Median $371.54 Typical High $602.56 | Professional | 78 · Unplanned return to OR | $229.09 | $371.54 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $588.84 Typical High $1,122.02 | Facility | None | $380.19 | $588.84 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $616.60 Typical High $977.24 | Professional | None | $371.54 | $616.60 | $977.24 |
Health Partners Setting Facility Modifier None Typical Low $331.13 Median $549.54 Typical High $933.25 | Facility | None | $331.13 | $549.54 | $933.25 |
Health Partners Setting Professional Modifier None Typical Low $331.13 Median $537.03 Typical High $912.01 | Professional | None | $331.13 | $537.03 | $912.01 |
Medica Setting Facility Modifier None Typical Low $281.84 Median $1,202.26 Typical High $3,467.37 | Facility | None | $281.84 | $1,202.26 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $251.19 Median $478.63 Typical High $2,344.23 | Professional | None | $251.19 | $478.63 | $2,344.23 |
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 $213.80 Median $416.87 Typical High $776.25 | Professional | None | $213.80 | $416.87 | $776.25 |
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 $83.18 Median $107.15 Typical High $107.15 | Facility | 52 · Reduced service | $83.18 | $107.15 | $107.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $33.11 Median $42.66 Typical High $42.66 | Facility | 53 · Discontinued | $33.11 | $42.66 | $42.66 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $16.60 Median $21.38 Typical High $21.38 | Facility | 56 · Pre-op care only | $16.60 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $107.15 Typical High $112.20 | Professional | 52 · Reduced service | $83.18 | $107.15 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $42.66 Typical High $44.67 | Professional | 53 · Discontinued | $33.11 | $42.66 | $44.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $21.38 Typical High $22.39 | Professional | 56 · Pre-op care only | $16.60 | $21.38 | $22.39 |
Where Minnesota sits
The same service costs 4.6 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
$468
AK $912UT $200
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.