How much rates vary
Facilitymedian $501 · 10th to 90th $148 to $2,291Professionalmedian $347 · 10th to 90th $195 to $661
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 $147.91 Median $194.98 Typical High $194.98 | Facility | None | $147.91 | $194.98 | $194.98 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $109.65 Median $144.54 Typical High $144.54 | Facility | 54 · Surgery only | $109.65 | $144.54 | $144.54 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $21.88 Median $28.84 Typical High $28.84 | Facility | 55 · Aftercare only | $21.88 | $28.84 | $28.84 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $102.33 Median $134.90 Typical High $134.90 | Facility | 78 · Unplanned return to OR | $102.33 | $134.90 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $190.55 Typical High $239.88 | Professional | None | $147.91 | $190.55 | $239.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $109.65 Median $123.03 Typical High $144.54 | Professional | 54 · Surgery only | $109.65 | $123.03 | $144.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $24.55 Typical High $28.84 | Professional | 55 · Aftercare only | $21.88 | $24.55 | $28.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $102.33 Median $114.82 Typical High $134.90 | Professional | 78 · Unplanned return to OR | $102.33 | $114.82 | $134.90 |
BCBS Minnesota Setting Facility Modifier None Typical Low $933.25 Median $2,187.76 Typical High $3,388.44 | Facility | None | $933.25 | $2,187.76 | $3,388.44 |
BCBS Minnesota Setting Professional Modifier None Typical Low $234.42 Median $371.54 Typical High $602.56 | Professional | None | $234.42 | $371.54 | $602.56 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $190.55 Median $295.12 Typical High $478.63 | Professional | 54 · Surgery only | $190.55 | $295.12 | $478.63 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $74.13 Typical High $114.82 | Professional | 55 · Aftercare only | $47.86 | $74.13 | $114.82 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $199.53 Median $309.03 Typical High $501.19 | Professional | 78 · Unplanned return to OR | $199.53 | $309.03 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $501.19 Typical High $954.99 | Facility | None | $323.59 | $501.19 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $416.87 Typical High $758.58 | Professional | None | $251.19 | $416.87 | $758.58 |
Health Partners Setting Facility Modifier None Typical Low $288.40 Median $478.63 Typical High $812.83 | Facility | None | $288.40 | $478.63 | $812.83 |
Health Partners Setting Professional Modifier None Typical Low $245.47 Median $398.11 Typical High $776.25 | Professional | None | $245.47 | $398.11 | $776.25 |
Medica Setting Facility Modifier None Typical Low $263.03 Median $691.83 Typical High $2,884.03 | Facility | None | $263.03 | $691.83 | $2,884.03 |
Medica Setting Professional Modifier None Typical Low $199.53 Median $363.08 Typical High $1,445.44 | Professional | None | $199.53 | $363.08 | $1,445.44 |
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 $177.83 Median $288.40 Typical High $602.56 | Professional | None | $177.83 | $288.40 | $602.56 |
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 $74.13 Median $97.72 Typical High $97.72 | Facility | 52 · Reduced service | $74.13 | $97.72 | $97.72 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $29.51 Median $38.90 Typical High $38.90 | Facility | 53 · Discontinued | $29.51 | $38.90 | $38.90 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $14.79 Median $19.50 Typical High $19.50 | Facility | 56 · Pre-op care only | $14.79 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $83.18 Typical High $97.72 | Professional | 52 · Reduced service | $74.13 | $83.18 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $33.11 Typical High $38.90 | Professional | 53 · Discontinued | $29.51 | $33.11 | $38.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $16.60 Typical High $19.50 | Professional | 56 · Pre-op care only | $14.79 | $16.60 | $19.50 |
Where Minnesota sits
The same service costs 3.9 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
$355
AK $603KY $155
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.