How much rates vary
Facilitymedian $1,549 · 10th to 90th $324 to $6,166Professionalmedian $891 · 10th to 90th $447 to $1,445
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 $323.59 Median $371.54 Typical High $6,165.95 | Facility | None | $323.59 | $371.54 | $6,165.95 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $239.88 Median $281.84 Typical High $281.84 | Facility | 54 · Surgery only | $239.88 | $281.84 | $281.84 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $47.86 Median $56.23 Typical High $56.23 | Facility | 55 · Aftercare only | $47.86 | $56.23 | $56.23 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $223.87 Median $263.03 Typical High $263.03 | Facility | 78 · Unplanned return to OR | $223.87 | $263.03 | $263.03 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $371.54 Typical High $489.78 | Professional | None | $323.59 | $371.54 | $489.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $239.88 Median $281.84 Typical High $323.59 | Professional | 54 · Surgery only | $239.88 | $281.84 | $323.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $56.23 Typical High $64.57 | Professional | 55 · Aftercare only | $47.86 | $56.23 | $64.57 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $223.87 Median $263.03 Typical High $302.00 | Professional | 78 · Unplanned return to OR | $223.87 | $263.03 | $302.00 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,168.69 Median $6,309.57 Typical High $12,302.69 | Facility | None | $4,168.69 | $6,309.57 | $12,302.69 |
BCBS Minnesota Setting Professional Modifier None Typical Low $602.56 Median $891.25 Typical High $1,288.25 | Professional | None | $602.56 | $891.25 | $1,288.25 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $724.44 Typical High $1,023.29 | Professional | 54 · Surgery only | $478.63 | $724.44 | $1,023.29 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $177.83 Typical High $257.04 | Professional | 55 · Aftercare only | $123.03 | $177.83 | $257.04 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $501.19 Median $758.58 Typical High $1,071.52 | Professional | 78 · Unplanned return to OR | $501.19 | $758.58 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $1,047.13 Typical High $2,041.74 | Facility | None | $676.08 | $1,047.13 | $2,041.74 |
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 $602.56 Median $1,000.00 Typical High $1,698.24 | Facility | None | $602.56 | $1,000.00 | $1,698.24 |
Health Partners Setting Professional Modifier None Typical Low $616.60 Median $1,023.29 Typical High $1,659.59 | Professional | None | $616.60 | $1,023.29 | $1,659.59 |
Medica Setting Facility Modifier None Typical Low $562.34 Median $1,737.80 Typical High $4,786.30 | Facility | None | $562.34 | $1,737.80 | $4,786.30 |
Medica Setting Professional Modifier None Typical Low $478.63 Median $1,023.29 Typical High $2,754.23 | Professional | None | $478.63 | $1,023.29 | $2,754.23 |
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 $426.58 Median $794.33 Typical High $1,479.11 | Professional | None | $426.58 | $794.33 | $1,479.11 |
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 $162.18 Median $186.21 Typical High $186.21 | Facility | 52 · Reduced service | $162.18 | $186.21 | $186.21 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $64.57 Median $74.13 Typical High $74.13 | Facility | 53 · Discontinued | $64.57 | $74.13 | $74.13 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $32.36 Median $37.15 Typical High $37.15 | Facility | 56 · Pre-op care only | $32.36 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $162.18 Median $186.21 Typical High $218.78 | Professional | 52 · Reduced service | $162.18 | $186.21 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $74.13 Typical High $87.10 | Professional | 53 · Discontinued | $64.57 | $74.13 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $37.15 Typical High $43.65 | Professional | 56 · Pre-op care only | $32.36 | $37.15 | $43.65 |
Where Minnesota sits
The same service costs 4.3 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· 4th of 51
$912
AK $1,380UT $324
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.