How much rates vary
Facilitymedian $759 · 10th to 90th $162 to $6,310Professionalmedian $398 · 10th to 90th $224 to $759
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 $162.18 Median $223.87 Typical High $6,309.57 | Facility | None | $162.18 | $223.87 | $6,309.57 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $123.03 Median $165.96 Typical High $165.96 | Facility | 54 · Surgery only | $123.03 | $165.96 | $165.96 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $24.55 Median $33.11 Typical High $33.11 | Facility | 55 · Aftercare only | $24.55 | $33.11 | $33.11 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $114.82 Median $154.88 Typical High $154.88 | Facility | 78 · Unplanned return to OR | $114.82 | $154.88 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $208.93 Typical High $263.03 | Professional | None | $162.18 | $208.93 | $263.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $123.03 Median $144.54 Typical High $165.96 | Professional | 54 · Surgery only | $123.03 | $144.54 | $165.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $28.84 Typical High $33.11 | Professional | 55 · Aftercare only | $24.55 | $28.84 | $33.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $114.82 Median $134.90 Typical High $154.88 | Professional | 78 · Unplanned return to OR | $114.82 | $134.90 | $154.88 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,230.27 Median $2,691.53 Typical High $6,165.95 | Facility | None | $1,230.27 | $2,691.53 | $6,165.95 |
BCBS Minnesota Setting Professional Modifier None Typical Low $269.15 Median $416.87 Typical High $691.83 | Professional | None | $269.15 | $416.87 | $691.83 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $338.84 Typical High $549.54 | Professional | 54 · Surgery only | $218.78 | $338.84 | $549.54 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $83.18 Typical High $134.90 | Professional | 55 · Aftercare only | $54.95 | $83.18 | $134.90 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $229.09 Median $354.81 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $229.09 | $354.81 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $575.44 Typical High $1,096.48 | Facility | None | $371.54 | $575.44 | $1,096.48 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $478.63 Typical High $831.76 | Professional | None | $275.42 | $478.63 | $831.76 |
Health Partners Setting Facility Modifier None Typical Low $331.13 Median $549.54 Typical High $933.25 | Facility | None | $331.13 | $549.54 | $933.25 |
Health Partners Setting Professional Modifier None Typical Low $275.42 Median $436.52 Typical High $891.25 | Professional | None | $275.42 | $436.52 | $891.25 |
Medica Setting Facility Modifier None Typical Low $269.15 Median $1,230.27 Typical High $3,467.37 | Facility | None | $269.15 | $1,230.27 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $251.19 Median $446.68 Typical High $1,659.59 | Professional | None | $251.19 | $446.68 | $1,659.59 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,659.59 Typical High $4,265.80 | Facility | None | $776.25 | $1,659.59 | $4,265.80 |
United Setting Professional Modifier None Typical Low $199.53 Median $331.13 Typical High $691.83 | Professional | None | $199.53 | $331.13 | $691.83 |
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 $81.28 Median $112.20 Typical High $112.20 | Facility | 52 · Reduced service | $81.28 | $112.20 | $112.20 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $32.36 Median $44.67 Typical High $44.67 | Facility | 53 · Discontinued | $32.36 | $44.67 | $44.67 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $16.22 Median $22.39 Typical High $22.39 | Facility | 56 · Pre-op care only | $16.22 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $95.50 Typical High $112.20 | Professional | 52 · Reduced service | $81.28 | $95.50 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $38.02 Typical High $44.67 | Professional | 53 · Discontinued | $32.36 | $38.02 | $44.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.22 Median $19.05 Typical High $22.39 | Professional | 56 · Pre-op care only | $16.22 | $19.05 | $22.39 |
Where Minnesota sits
The same service costs 4.6 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
$417
AK $794KY $174
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.