How much rates vary
Facilitymedian $347 · 10th to 90th $129 to $676Professionalmedian $234 · 10th to 90th $129 to $447
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 $128.82 Median $389.05 Typical High $660.69 | Facility | None | $128.82 | $389.05 | $660.69 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $81.28 Median $95.50 Typical High $95.50 | Facility | 54 · Surgery only | $81.28 | $95.50 | $95.50 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $16.22 Median $19.05 Typical High $19.05 | Facility | 55 · Aftercare only | $16.22 | $19.05 | $19.05 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $75.86 Median $89.13 Typical High $89.13 | Facility | 78 · Unplanned return to OR | $75.86 | $89.13 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $128.82 Typical High $190.55 | Professional | None | $102.33 | $128.82 | $190.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $81.28 Median $83.18 Typical High $95.50 | Professional | 54 · Surgery only | $81.28 | $83.18 | $95.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $16.60 Typical High $19.05 | Professional | 55 · Aftercare only | $16.22 | $16.60 | $19.05 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $75.86 Median $77.62 Typical High $89.13 | Professional | 78 · Unplanned return to OR | $75.86 | $77.62 | $89.13 |
BCBS Minnesota Setting Facility Modifier None Typical Low $263.03 Median $436.52 Typical High $758.58 | Facility | None | $263.03 | $436.52 | $758.58 |
BCBS Minnesota Setting Professional Modifier None Typical Low $173.78 Median $245.47 Typical High $398.11 | Professional | None | $173.78 | $245.47 | $398.11 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $138.04 Median $199.53 Typical High $316.23 | Professional | 54 · Surgery only | $138.04 | $199.53 | $316.23 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $48.98 Typical High $77.62 | Professional | 55 · Aftercare only | $35.48 | $48.98 | $77.62 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $144.54 Median $208.93 Typical High $331.13 | Professional | 78 · Unplanned return to OR | $144.54 | $208.93 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $331.13 Typical High $630.96 | Facility | None | $213.80 | $331.13 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $288.40 Typical High $549.54 | Professional | None | $181.97 | $288.40 | $549.54 |
Health Partners Setting Facility Modifier None Typical Low $190.55 Median $316.23 Typical High $537.03 | Facility | None | $190.55 | $316.23 | $537.03 |
Health Partners Setting Professional Modifier None Typical Low $181.97 Median $288.40 Typical High $501.19 | Professional | None | $181.97 | $288.40 | $501.19 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $295.12 Typical High $1,174.90 | Facility | None | $125.89 | $295.12 | $1,174.90 |
Medica Setting Professional Modifier None Typical Low $151.36 Median $281.84 Typical High $954.99 | Professional | None | $151.36 | $281.84 | $954.99 |
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 $120.23 Median $194.98 Typical High $407.38 | Professional | None | $120.23 | $194.98 | $407.38 |
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 $53.70 Median $64.57 Typical High $64.57 | Facility | 52 · Reduced service | $53.70 | $64.57 | $64.57 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $21.38 Median $25.70 Typical High $25.70 | Facility | 53 · Discontinued | $21.38 | $25.70 | $25.70 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $10.72 Median $12.88 Typical High $12.88 | Facility | 56 · Pre-op care only | $10.72 | $12.88 | $12.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $54.95 Typical High $64.57 | Professional | 52 · Reduced service | $53.70 | $54.95 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.88 Typical High $25.70 | Professional | 53 · Discontinued | $21.38 | $21.88 | $25.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $10.96 Typical High $12.88 | Professional | 56 · Pre-op care only | $10.72 | $10.96 | $12.88 |
Where Minnesota sits
The same service costs 4.4 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
$263
AK $437KY $100
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.