How much rates vary
Facilitymedian $617 · 10th to 90th $135 to $3,467Professionalmedian $275 · 10th to 90th $158 to $537
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 $109.65 Median $158.49 Typical High $3,467.37 | Facility | None | $109.65 | $158.49 | $3,467.37 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $81.28 Median $120.23 Typical High $120.23 | Facility | 54 · Surgery only | $81.28 | $120.23 | $120.23 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $16.22 Median $23.99 Typical High $23.99 | Facility | 55 · Aftercare only | $16.22 | $23.99 | $23.99 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $75.86 Median $112.20 Typical High $112.20 | Facility | 78 · Unplanned return to OR | $75.86 | $112.20 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $158.49 Typical High $186.21 | Professional | None | $109.65 | $158.49 | $186.21 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $81.28 Median $102.33 Typical High $120.23 | Professional | 54 · Surgery only | $81.28 | $102.33 | $120.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $20.42 Typical High $23.99 | Professional | 55 · Aftercare only | $16.22 | $20.42 | $23.99 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $75.86 Median $95.50 Typical High $112.20 | Professional | 78 · Unplanned return to OR | $75.86 | $95.50 | $112.20 |
BCBS Minnesota Setting Facility Modifier None Typical Low $933.25 Median $2,344.23 Typical High $3,715.35 | Facility | None | $933.25 | $2,344.23 | $3,715.35 |
BCBS Minnesota Setting Professional Modifier None Typical Low $177.83 Median $288.40 Typical High $478.63 | Professional | None | $177.83 | $288.40 | $478.63 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $141.25 Median $229.09 Typical High $380.19 | Professional | 54 · Surgery only | $141.25 | $229.09 | $380.19 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $57.54 Typical High $93.33 | Professional | 55 · Aftercare only | $35.48 | $57.54 | $93.33 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $151.36 Median $239.88 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $151.36 | $239.88 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $416.87 Typical High $794.33 | Facility | None | $269.15 | $416.87 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $338.84 Typical High $630.96 | Professional | None | $186.21 | $338.84 | $630.96 |
Health Partners Setting Facility Modifier None Typical Low $239.88 Median $380.19 Typical High $660.69 | Facility | None | $239.88 | $380.19 | $660.69 |
Health Partners Setting Professional Modifier None Typical Low $181.97 Median $309.03 Typical High $616.60 | Professional | None | $181.97 | $309.03 | $616.60 |
Medica Setting Facility Modifier None Typical Low $194.98 Median $707.95 Typical High $2,818.38 | Facility | None | $194.98 | $707.95 | $2,818.38 |
Medica Setting Professional Modifier None Typical Low $181.97 Median $309.03 Typical High $1,202.26 | Professional | None | $181.97 | $309.03 | $1,202.26 |
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 $134.90 Median $234.42 Typical High $501.19 | Professional | None | $134.90 | $234.42 | $501.19 |
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 $54.95 Median $79.43 Typical High $79.43 | Facility | 52 · Reduced service | $54.95 | $79.43 | $79.43 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $21.88 Median $31.62 Typical High $31.62 | Facility | 53 · Discontinued | $21.88 | $31.62 | $31.62 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $10.96 Median $15.85 Typical High $15.85 | Facility | 56 · Pre-op care only | $10.96 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $67.61 Typical High $79.43 | Professional | 52 · Reduced service | $54.95 | $67.61 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $27.54 Typical High $31.62 | Professional | 53 · Discontinued | $21.88 | $27.54 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $13.80 Typical High $15.85 | Professional | 56 · Pre-op care only | $10.96 | $13.80 | $15.85 |
Where Minnesota sits
The same service costs 3.5 times more in Alaska than in Florida. 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
$288
AK $447FL $126
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.