How much rates vary
Facilitymedian $398 · 10th to 90th $102 to $759Professionalmedian $324 · 10th to 90th $166 to $631
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 $102.33 Median $173.78 Typical High $512.86 | Facility | None | $102.33 | $173.78 | $512.86 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $75.86 Median $131.83 Typical High $131.83 | Facility | 54 · Surgery only | $75.86 | $131.83 | $131.83 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $15.49 Median $26.30 Typical High $26.30 | Facility | 55 · Aftercare only | $15.49 | $26.30 | $26.30 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $70.79 Median $123.03 Typical High $123.03 | Facility | 78 · Unplanned return to OR | $70.79 | $123.03 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $154.88 Typical High $208.93 | Professional | None | $102.33 | $154.88 | $208.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $75.86 Median $117.49 Typical High $131.83 | Professional | 54 · Surgery only | $75.86 | $117.49 | $131.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $23.44 Typical High $26.30 | Professional | 55 · Aftercare only | $15.49 | $23.44 | $26.30 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $70.79 Median $109.65 Typical High $123.03 | Professional | 78 · Unplanned return to OR | $70.79 | $109.65 | $123.03 |
BCBS Minnesota Setting Facility Modifier None Typical Low $263.03 Median $426.58 Typical High $758.58 | Facility | None | $263.03 | $426.58 | $758.58 |
BCBS Minnesota Setting Professional Modifier None Typical Low $181.97 Median $331.13 Typical High $575.44 | Professional | None | $181.97 | $331.13 | $575.44 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $144.54 Median $263.03 Typical High $457.09 | Professional | 54 · Surgery only | $144.54 | $263.03 | $457.09 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $66.07 Typical High $114.82 | Professional | 55 · Aftercare only | $36.31 | $66.07 | $114.82 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $151.36 Median $275.42 Typical High $489.78 | Professional | 78 · Unplanned return to OR | $151.36 | $275.42 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $478.63 Typical High $912.01 | Facility | None | $309.03 | $478.63 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $436.52 Typical High $794.33 | Professional | None | $239.88 | $436.52 | $794.33 |
Health Partners Setting Facility Modifier None Typical Low $275.42 Median $436.52 Typical High $758.58 | Facility | None | $275.42 | $436.52 | $758.58 |
Health Partners Setting Professional Modifier None Typical Low $208.93 Median $380.19 Typical High $741.31 | Professional | None | $208.93 | $380.19 | $741.31 |
Medica Setting Facility Modifier None Typical Low $128.82 Median $323.59 Typical High $1,148.15 | Facility | None | $128.82 | $323.59 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $169.82 Median $407.38 Typical High $870.96 | Professional | None | $169.82 | $407.38 | $870.96 |
United Setting Facility Modifier None Typical Low $125.89 Median $426.58 Typical High $1,778.28 | Facility | None | $125.89 | $426.58 | $1,778.28 |
United Setting Professional Modifier None Typical Low $128.82 Median $251.19 Typical High $562.34 | Professional | None | $128.82 | $251.19 | $562.34 |
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 $51.29 Median $87.10 Typical High $87.10 | Facility | 52 · Reduced service | $51.29 | $87.10 | $87.10 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $20.42 Median $34.67 Typical High $34.67 | Facility | 53 · Discontinued | $20.42 | $34.67 | $34.67 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $10.23 Median $17.38 Typical High $17.38 | Facility | 56 · Pre-op care only | $10.23 | $17.38 | $17.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $77.62 Typical High $87.10 | Professional | 52 · Reduced service | $51.29 | $77.62 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $31.62 Typical High $34.67 | Professional | 53 · Discontinued | $20.42 | $31.62 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $15.85 Typical High $17.38 | Professional | 56 · Pre-op care only | $10.23 | $15.85 | $17.38 |
Where Minnesota sits
The same service costs 3.6 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· 3rd of 51
$331
AK $457KY $126
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.