How much rates vary
Facilitymedian $646 · 10th to 90th $224 to $2,884Professionalmedian $525 · 10th to 90th $282 to $1,000
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 $223.87 Median $281.84 Typical High $281.84 | Facility | None | $223.87 | $281.84 | $281.84 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $165.96 Median $208.93 Typical High $208.93 | Facility | 54 · Surgery only | $165.96 | $208.93 | $208.93 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $33.11 Median $42.66 Typical High $42.66 | Facility | 55 · Aftercare only | $33.11 | $42.66 | $42.66 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $154.88 Median $194.98 Typical High $194.98 | Facility | 78 · Unplanned return to OR | $154.88 | $194.98 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $251.19 Typical High $281.84 | Professional | None | $223.87 | $251.19 | $281.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $165.96 Median $181.97 Typical High $208.93 | Professional | 54 · Surgery only | $165.96 | $181.97 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $36.31 Typical High $42.66 | Professional | 55 · Aftercare only | $33.11 | $36.31 | $42.66 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $154.88 Median $169.82 Typical High $194.98 | Professional | 78 · Unplanned return to OR | $154.88 | $169.82 | $194.98 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,000.00 Median $2,630.27 Typical High $6,165.95 | Facility | None | $1,000.00 | $2,630.27 | $6,165.95 |
BCBS Minnesota Setting Professional Modifier None Typical Low $354.81 Median $549.54 Typical High $891.25 | Professional | None | $354.81 | $549.54 | $891.25 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $288.40 Median $446.68 Typical High $707.95 | Professional | 54 · Surgery only | $288.40 | $446.68 | $707.95 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $109.65 Typical High $169.82 | Professional | 55 · Aftercare only | $72.44 | $109.65 | $169.82 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $302.00 Median $467.74 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $302.00 | $467.74 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $724.44 Typical High $1,380.38 | Facility | None | $467.74 | $724.44 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $630.96 Typical High $1,148.15 | Professional | None | $380.19 | $630.96 | $1,148.15 |
Health Partners Setting Facility Modifier None Typical Low $416.87 Median $691.83 Typical High $1,174.90 | Facility | None | $416.87 | $691.83 | $1,174.90 |
Health Partners Setting Professional Modifier None Typical Low $371.54 Median $602.56 Typical High $1,096.48 | Professional | None | $371.54 | $602.56 | $1,096.48 |
Medica Setting Facility Modifier None Typical Low $371.54 Median $691.83 Typical High $2,951.21 | Facility | None | $371.54 | $691.83 | $2,951.21 |
Medica Setting Professional Modifier None Typical Low $354.81 Median $660.69 Typical High $2,089.30 | Professional | None | $354.81 | $660.69 | $2,089.30 |
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 $269.15 Median $446.68 Typical High $891.25 | Professional | None | $269.15 | $446.68 | $891.25 |
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 $112.20 Median $141.25 Typical High $141.25 | Facility | 52 · Reduced service | $112.20 | $141.25 | $141.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $44.67 Median $56.23 Typical High $56.23 | Facility | 53 · Discontinued | $44.67 | $56.23 | $56.23 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $22.39 Median $28.18 Typical High $28.18 | Facility | 56 · Pre-op care only | $22.39 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $112.20 Median $123.03 Typical High $141.25 | Professional | 52 · Reduced service | $112.20 | $123.03 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $48.98 Typical High $56.23 | Professional | 53 · Discontinued | $44.67 | $48.98 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $24.55 Typical High $28.18 | Professional | 56 · Pre-op care only | $22.39 | $24.55 | $28.18 |
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
$537
AK $912KY $234
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.