How much rates vary
Facilitymedian $589 · 10th to 90th $178 to $3,090Professionalmedian $417 · 10th to 90th $229 to $794
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 $229.09 Typical High $229.09 | Facility | None | $177.83 | $229.09 | $229.09 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $134.90 Median $169.82 Typical High $169.82 | Facility | 54 · Surgery only | $134.90 | $169.82 | $169.82 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $26.92 Median $33.88 Typical High $33.88 | Facility | 55 · Aftercare only | $26.92 | $33.88 | $33.88 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $125.89 Median $158.49 Typical High $158.49 | Facility | 78 · Unplanned return to OR | $125.89 | $158.49 | $158.49 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $218.78 Typical High $269.15 | Professional | None | $177.83 | $218.78 | $269.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $144.54 Typical High $169.82 | Professional | 54 · Surgery only | $134.90 | $144.54 | $169.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $29.51 Typical High $33.88 | Professional | 55 · Aftercare only | $26.92 | $29.51 | $33.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $125.89 Median $134.90 Typical High $158.49 | Professional | 78 · Unplanned return to OR | $125.89 | $134.90 | $158.49 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,737.80 Median $2,951.21 Typical High $6,165.95 | Facility | None | $1,737.80 | $2,951.21 | $6,165.95 |
BCBS Minnesota Setting Professional Modifier None Typical Low $281.84 Median $436.52 Typical High $707.95 | Professional | None | $281.84 | $436.52 | $707.95 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $229.09 Median $354.81 Typical High $575.44 | Professional | 54 · Surgery only | $229.09 | $354.81 | $575.44 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $87.10 Typical High $138.04 | Professional | 55 · Aftercare only | $57.54 | $87.10 | $138.04 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $239.88 Median $371.54 Typical High $602.56 | Professional | 78 · Unplanned return to OR | $239.88 | $371.54 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $588.84 Typical High $1,122.02 | Facility | None | $380.19 | $588.84 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $501.19 Typical High $912.01 | Professional | None | $302.00 | $501.19 | $912.01 |
Health Partners Setting Facility Modifier None Typical Low $338.84 Median $562.34 Typical High $954.99 | Facility | None | $338.84 | $562.34 | $954.99 |
Health Partners Setting Professional Modifier None Typical Low $302.00 Median $478.63 Typical High $891.25 | Professional | None | $302.00 | $478.63 | $891.25 |
Medica Setting Facility Modifier None Typical Low $316.23 Median $691.83 Typical High $2,884.03 | Facility | None | $316.23 | $691.83 | $2,884.03 |
Medica Setting Professional Modifier None Typical Low $263.03 Median $489.78 Typical High $1,698.24 | Professional | None | $263.03 | $489.78 | $1,698.24 |
United Setting Facility Modifier None Typical Low $549.54 Median $1,000.00 Typical High $3,548.13 | Facility | None | $549.54 | $1,000.00 | $3,548.13 |
United Setting Professional Modifier None Typical Low $218.78 Median $354.81 Typical High $724.44 | Professional | None | $218.78 | $354.81 | $724.44 |
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 $114.82 Typical High $114.82 | Facility | 52 · Reduced service | $89.13 | $114.82 | $114.82 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $35.48 Median $45.71 Typical High $45.71 | Facility | 53 · Discontinued | $35.48 | $45.71 | $45.71 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $17.78 Median $22.91 Typical High $22.91 | Facility | 56 · Pre-op care only | $17.78 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $89.13 Median $97.72 Typical High $114.82 | Professional | 52 · Reduced service | $89.13 | $97.72 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $38.90 Typical High $45.71 | Professional | 53 · Discontinued | $35.48 | $38.90 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $19.50 Typical High $22.91 | Professional | 56 · Pre-op care only | $17.78 | $19.50 | $22.91 |
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
$437
AK $724KY $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.