How much rates vary
Facilitymedian $692 · 10th to 90th $166 to $5,888Professionalmedian $389 · 10th to 90th $204 to $724
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 $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | 54 · Surgery only | $125.89 | $125.89 | $125.89 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $25.12 Median $25.12 Typical High $25.12 | Facility | 55 · Aftercare only | $25.12 | $25.12 | $25.12 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $117.49 Median $117.49 Typical High $117.49 | Facility | 78 · Unplanned return to OR | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $213.80 | Professional | None | $165.96 | $165.96 | $213.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $125.89 Typical High $154.88 | Professional | 54 · Surgery only | $125.89 | $125.89 | $154.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $25.12 Typical High $30.90 | Professional | 55 · Aftercare only | $25.12 | $25.12 | $30.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $117.49 Median $117.49 Typical High $144.54 | Professional | 78 · Unplanned return to OR | $117.49 | $117.49 | $144.54 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,801.89 Median $6,760.83 Typical High $12,589.25 | Facility | None | $3,801.89 | $6,760.83 | $12,589.25 |
BCBS Minnesota Setting Professional Modifier None Typical Low $269.15 Median $371.54 Typical High $630.96 | Professional | None | $269.15 | $371.54 | $630.96 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $295.12 Typical High $512.86 | Professional | 54 · Surgery only | $218.78 | $295.12 | $512.86 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $74.13 Typical High $125.89 | Professional | 55 · Aftercare only | $53.70 | $74.13 | $125.89 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $229.09 Median $309.03 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $229.09 | $309.03 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $457.09 Typical High $870.96 | Facility | None | $295.12 | $457.09 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $524.81 Typical High $831.76 | Professional | None | $331.13 | $524.81 | $831.76 |
Health Partners Setting Facility Modifier None Typical Low $257.04 Median $416.87 Typical High $724.44 | Facility | None | $257.04 | $416.87 | $724.44 |
Health Partners Setting Professional Modifier None Typical Low $295.12 Median $467.74 Typical High $724.44 | Professional | None | $295.12 | $467.74 | $724.44 |
Medica Setting Facility Modifier None Typical Low $281.84 Median $1,230.27 Typical High $3,467.37 | Facility | None | $281.84 | $1,230.27 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $204.17 Median $389.05 Typical High $1,348.96 | Professional | None | $204.17 | $389.05 | $1,348.96 |
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 $194.98 Median $363.08 Typical High $691.83 | Professional | None | $194.98 | $363.08 | $691.83 |
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 $83.18 Typical High $83.18 | Facility | 52 · Reduced service | $83.18 | $83.18 | $83.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | 53 · Discontinued | $33.11 | $33.11 | $33.11 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $16.60 Median $16.60 Typical High $16.60 | Facility | 56 · Pre-op care only | $16.60 | $16.60 | $16.60 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $83.18 Typical High $102.33 | Professional | 52 · Reduced service | $83.18 | $83.18 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $40.74 | Professional | 53 · Discontinued | $33.11 | $33.11 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $16.60 Typical High $20.42 | Professional | 56 · Pre-op care only | $16.60 | $16.60 | $20.42 |
Where Minnesota sits
The same service costs 8.7 times more in Oklahoma 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· 10th of 51
$407
OK $1,349UT $155
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.