How much rates vary
Facilitymedian $437 · 10th to 90th $151 to $4,677Professionalmedian $269 · 10th to 90th $151 to $513
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 $112.20 Median $457.09 Typical High $4,677.35 | Facility | None | $112.20 | $457.09 | $4,677.35 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $79.43 Median $114.82 Typical High $114.82 | Facility | 54 · Surgery only | $79.43 | $114.82 | $114.82 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $15.85 Median $22.91 Typical High $22.91 | Facility | 55 · Aftercare only | $15.85 | $22.91 | $22.91 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $74.13 Median $107.15 Typical High $107.15 | Facility | 78 · Unplanned return to OR | $74.13 | $107.15 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $141.25 Typical High $190.55 | Professional | None | $104.71 | $141.25 | $190.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $79.43 Median $97.72 Typical High $114.82 | Professional | 54 · Surgery only | $79.43 | $97.72 | $114.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $19.50 Typical High $22.91 | Professional | 55 · Aftercare only | $15.85 | $19.50 | $22.91 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $74.13 Median $91.20 Typical High $107.15 | Professional | 78 · Unplanned return to OR | $74.13 | $91.20 | $107.15 |
BCBS Minnesota Setting Facility Modifier None Typical Low $537.03 Median $1,148.15 Typical High $1,819.70 | Facility | None | $537.03 | $1,148.15 | $1,819.70 |
BCBS Minnesota Setting Professional Modifier None Typical Low $181.97 Median $281.84 Typical High $457.09 | Professional | None | $181.97 | $281.84 | $457.09 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $144.54 Median $229.09 Typical High $363.08 | Professional | 54 · Surgery only | $144.54 | $229.09 | $363.08 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $56.23 Typical High $89.13 | Professional | 55 · Aftercare only | $37.15 | $56.23 | $89.13 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $151.36 Median $239.88 Typical High $380.19 | Professional | 78 · Unplanned return to OR | $151.36 | $239.88 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $398.11 Typical High $758.58 | Facility | None | $257.04 | $398.11 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $323.59 Typical High $562.34 | Professional | None | $181.97 | $323.59 | $562.34 |
Health Partners Setting Facility Modifier None Typical Low $229.09 Median $363.08 Typical High $630.96 | Facility | None | $229.09 | $363.08 | $630.96 |
Health Partners Setting Professional Modifier None Typical Low $177.83 Median $295.12 Typical High $602.56 | Professional | None | $177.83 | $295.12 | $602.56 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $323.59 Typical High $1,318.26 | Facility | None | $125.89 | $323.59 | $1,318.26 |
Medica Setting Professional Modifier None Typical Low $186.21 Median $363.08 Typical High $1,122.02 | Professional | None | $186.21 | $363.08 | $1,122.02 |
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 $128.82 Median $229.09 Typical High $467.74 | Professional | None | $128.82 | $229.09 | $467.74 |
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 $52.48 Median $75.86 Typical High $75.86 | Facility | 52 · Reduced service | $52.48 | $75.86 | $75.86 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $20.89 Median $30.20 Typical High $30.20 | Facility | 53 · Discontinued | $20.89 | $30.20 | $30.20 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $10.47 Median $15.14 Typical High $15.14 | Facility | 56 · Pre-op care only | $10.47 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $64.57 Typical High $75.86 | Professional | 52 · Reduced service | $52.48 | $64.57 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $25.70 Typical High $30.20 | Professional | 53 · Discontinued | $20.89 | $25.70 | $30.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $12.88 Typical High $15.14 | Professional | 56 · Pre-op care only | $10.47 | $12.88 | $15.14 |
Where Minnesota sits
The same service costs 4.1 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
$302
AK $447KY $110
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.