How much rates vary
Facilitymedian $759 · 10th to 90th $178 to $5,012Professionalmedian $437 · 10th to 90th $234 to $832
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 $177.83 Median $234.42 Typical High $5,011.87 | Facility | None | $177.83 | $234.42 | $5,011.87 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $134.90 Median $177.83 Typical High $177.83 | Facility | 54 · Surgery only | $134.90 | $177.83 | $177.83 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $26.92 Median $35.48 Typical High $35.48 | Facility | 55 · Aftercare only | $26.92 | $35.48 | $35.48 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $125.89 Median $165.96 Typical High $165.96 | Facility | 78 · Unplanned return to OR | $125.89 | $165.96 | $165.96 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $218.78 Typical High $263.03 | Professional | None | $177.83 | $218.78 | $263.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $151.36 Typical High $177.83 | Professional | 54 · Surgery only | $134.90 | $151.36 | $177.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $30.20 Typical High $35.48 | Professional | 55 · Aftercare only | $26.92 | $30.20 | $35.48 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $125.89 Median $141.25 Typical High $165.96 | Professional | 78 · Unplanned return to OR | $125.89 | $141.25 | $165.96 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,995.26 Median $3,162.28 Typical High $6,165.95 | Facility | None | $1,995.26 | $3,162.28 | $6,165.95 |
BCBS Minnesota Setting Professional Modifier None Typical Low $295.12 Median $457.09 Typical High $741.31 | Professional | None | $295.12 | $457.09 | $741.31 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $371.54 Typical High $588.84 | Professional | 54 · Surgery only | $234.42 | $371.54 | $588.84 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $91.20 Typical High $144.54 | Professional | 55 · Aftercare only | $60.26 | $91.20 | $144.54 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $251.19 Median $389.05 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $251.19 | $389.05 | $630.96 |
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 $302.00 Median $512.86 Typical High $912.01 | Professional | None | $302.00 | $512.86 | $912.01 |
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 $302.00 Median $489.78 Typical High $933.25 | Professional | None | $302.00 | $489.78 | $933.25 |
Medica Setting Facility Modifier None Typical Low $309.03 Median $1,230.27 Typical High $3,801.89 | Facility | None | $309.03 | $1,230.27 | $3,801.89 |
Medica Setting Professional Modifier None Typical Low $275.42 Median $501.19 Typical High $1,778.28 | Professional | None | $275.42 | $501.19 | $1,778.28 |
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 $218.78 Median $354.81 Typical High $741.31 | Professional | None | $218.78 | $354.81 | $741.31 |
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 $89.13 Median $117.49 Typical High $117.49 | Facility | 52 · Reduced service | $89.13 | $117.49 | $117.49 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $35.48 Median $47.86 Typical High $47.86 | Facility | 53 · Discontinued | $35.48 | $47.86 | $47.86 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $17.78 Median $23.44 Typical High $23.44 | Facility | 56 · Pre-op care only | $17.78 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $89.13 Median $102.33 Typical High $117.49 | Professional | 52 · Reduced service | $89.13 | $102.33 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $40.74 Typical High $47.86 | Professional | 53 · Discontinued | $35.48 | $40.74 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $20.42 Typical High $23.44 | Professional | 56 · Pre-op care only | $17.78 | $20.42 | $23.44 |
Where Minnesota sits
The same service costs 4.7 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
$457
AK $871KY $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.