How much rates vary
Facilitymedian $1,380 · 10th to 90th $331 to $7,079Professionalmedian $759 · 10th to 90th $398 to $1,413
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 $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | 54 · Surgery only | $251.19 | $251.19 | $251.19 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | 55 · Aftercare only | $50.12 | $50.12 | $50.12 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | 78 · Unplanned return to OR | $234.42 | $234.42 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $407.38 | Professional | None | $331.13 | $331.13 | $407.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $251.19 Median $251.19 Typical High $302.00 | Professional | 54 · Surgery only | $251.19 | $251.19 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $50.12 Typical High $60.26 | Professional | 55 · Aftercare only | $50.12 | $50.12 | $60.26 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $234.42 Median $234.42 Typical High $281.84 | Professional | 78 · Unplanned return to OR | $234.42 | $234.42 | $281.84 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,168.69 Median $6,918.31 Typical High $13,803.84 | Facility | None | $4,168.69 | $6,918.31 | $13,803.84 |
BCBS Minnesota Setting Professional Modifier None Typical Low $537.03 Median $741.31 Typical High $1,230.27 | Professional | None | $537.03 | $741.31 | $1,230.27 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $588.84 Typical High $1,000.00 | Professional | 54 · Surgery only | $436.52 | $588.84 | $1,000.00 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $147.91 Typical High $251.19 | Professional | 55 · Aftercare only | $107.15 | $147.91 | $251.19 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $616.60 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $457.09 | $616.60 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $912.01 Typical High $1,737.80 | Facility | None | $588.84 | $912.01 | $1,737.80 |
Cigna 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 |
Health Partners Setting Facility Modifier None Typical Low $512.86 Median $831.76 Typical High $1,445.44 | Facility | None | $512.86 | $831.76 | $1,445.44 |
Health Partners Setting Professional Modifier None Typical Low $588.84 Median $933.25 Typical High $1,445.44 | Professional | None | $588.84 | $933.25 | $1,445.44 |
Medica Setting Facility Modifier None Typical Low $616.60 Median $2,137.96 Typical High $6,760.83 | Facility | None | $616.60 | $2,137.96 | $6,760.83 |
Medica Setting Professional Modifier None Typical Low $380.19 Median $741.31 Typical High $2,691.53 | Professional | None | $380.19 | $741.31 | $2,691.53 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $8,128.31 | Facility | None | $1,513.56 | $2,511.89 | $8,128.31 |
United Setting Professional Modifier None Typical Low $363.08 Median $691.83 Typical High $1,318.26 | Professional | None | $363.08 | $691.83 | $1,318.26 |
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 $165.96 Median $165.96 Typical High $165.96 | Facility | 52 · Reduced service | $165.96 | $165.96 | $165.96 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | 53 · Discontinued | $66.07 | $66.07 | $66.07 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | 56 · Pre-op care only | $33.11 | $33.11 | $33.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $165.96 Median $165.96 Typical High $204.17 | Professional | 52 · Reduced service | $165.96 | $165.96 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $66.07 Typical High $81.28 | Professional | 53 · Discontinued | $66.07 | $66.07 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $33.11 Typical High $40.74 | Professional | 56 · Pre-op care only | $33.11 | $33.11 | $40.74 |
Where Minnesota sits
The same service costs 8.5 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· 9th of 51
$813
OK $2,138UT $251
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.