How much rates vary
Facilitymedian $589 · 10th to 90th $155 to $2,239Professionalmedian $417 · 10th to 90th $224 to $794
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 $154.88 Median $239.88 Typical High $239.88 | Facility | None | $154.88 | $239.88 | $239.88 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $117.49 Median $181.97 Typical High $181.97 | Facility | 54 · Surgery only | $117.49 | $181.97 | $181.97 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $23.44 Median $36.31 Typical High $36.31 | Facility | 55 · Aftercare only | $23.44 | $36.31 | $36.31 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $109.65 Median $169.82 Typical High $169.82 | Facility | 78 · Unplanned return to OR | $109.65 | $169.82 | $169.82 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $223.87 Typical High $239.88 | Professional | None | $154.88 | $223.87 | $239.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $117.49 Median $165.96 Typical High $181.97 | Professional | 54 · Surgery only | $117.49 | $165.96 | $181.97 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $33.11 Typical High $36.31 | Professional | 55 · Aftercare only | $23.44 | $33.11 | $36.31 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $109.65 Median $154.88 Typical High $169.82 | Professional | 78 · Unplanned return to OR | $109.65 | $154.88 | $169.82 |
BCBS Minnesota Setting Facility Modifier None Typical Low $870.96 Median $1,659.59 Typical High $3,388.44 | Facility | None | $870.96 | $1,659.59 | $3,388.44 |
BCBS Minnesota Setting Professional Modifier None Typical Low $245.47 Median $436.52 Typical High $707.95 | Professional | None | $245.47 | $436.52 | $707.95 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $194.98 Median $346.74 Typical High $562.34 | Professional | 54 · Surgery only | $194.98 | $346.74 | $562.34 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $89.13 Typical High $141.25 | Professional | 55 · Aftercare only | $48.98 | $89.13 | $141.25 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $208.93 Median $363.08 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $208.93 | $363.08 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $616.60 Typical High $1,174.90 | Facility | None | $398.11 | $616.60 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $501.19 Typical High $851.14 | Professional | None | $263.03 | $501.19 | $851.14 |
Health Partners Setting Facility Modifier None Typical Low $354.81 Median $575.44 Typical High $1,000.00 | Facility | None | $354.81 | $575.44 | $1,000.00 |
Health Partners Setting Professional Modifier None Typical Low $257.04 Median $457.09 Typical High $812.83 | Professional | None | $257.04 | $457.09 | $812.83 |
Medica Setting Facility Modifier None Typical Low $288.40 Median $645.65 Typical High $2,630.27 | Facility | None | $288.40 | $645.65 | $2,630.27 |
Medica Setting Professional Modifier None Typical Low $269.15 Median $562.34 Typical High $1,778.28 | Professional | None | $269.15 | $562.34 | $1,778.28 |
United Setting Facility Modifier None Typical Low $549.54 Median $1,000.00 Typical High $3,162.28 | Facility | None | $549.54 | $1,000.00 | $3,162.28 |
United Setting Professional Modifier None Typical Low $186.21 Median $371.54 Typical High $758.58 | Professional | None | $186.21 | $371.54 | $758.58 |
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 $77.62 Median $120.23 Typical High $120.23 | Facility | 52 · Reduced service | $77.62 | $120.23 | $120.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $30.90 Median $47.86 Typical High $47.86 | Facility | 53 · Discontinued | $30.90 | $47.86 | $47.86 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $15.49 Median $23.99 Typical High $23.99 | Facility | 56 · Pre-op care only | $15.49 | $23.99 | $23.99 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $112.20 Typical High $120.23 | Professional | 52 · Reduced service | $77.62 | $112.20 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $44.67 Typical High $47.86 | Professional | 53 · Discontinued | $30.90 | $44.67 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $22.39 Typical High $23.99 | Professional | 56 · Pre-op care only | $15.49 | $22.39 | $23.99 |
Where Minnesota sits
The same service costs 4.2 times more in Alaska than in Virginia. 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· 5th of 51
$437
AK $776VA $186
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.