How much rates vary
Facilitymedian $832 · 10th to 90th $209 to $3,802Professionalmedian $537 · 10th to 90th $295 to $1,047
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 $208.93 Median $309.03 Typical High $6,456.54 | Facility | None | $208.93 | $309.03 | $6,456.54 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $154.88 Median $234.42 Typical High $234.42 | Facility | 54 · Surgery only | $154.88 | $234.42 | $234.42 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $30.90 Median $46.77 Typical High $46.77 | Facility | 55 · Aftercare only | $30.90 | $46.77 | $46.77 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $144.54 Median $218.78 Typical High $218.78 | Facility | 78 · Unplanned return to OR | $144.54 | $218.78 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $295.12 Typical High $346.74 | Professional | None | $208.93 | $295.12 | $346.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $154.88 Median $199.53 Typical High $234.42 | Professional | 54 · Surgery only | $154.88 | $199.53 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $39.81 Typical High $46.77 | Professional | 55 · Aftercare only | $30.90 | $39.81 | $46.77 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $144.54 Median $186.21 Typical High $218.78 | Professional | 78 · Unplanned return to OR | $144.54 | $186.21 | $218.78 |
BCBS Minnesota Setting Facility Modifier None Typical Low $933.25 Median $1,698.24 Typical High $3,019.95 | Facility | None | $933.25 | $1,698.24 | $3,019.95 |
BCBS Minnesota Setting Professional Modifier None Typical Low $323.59 Median $562.34 Typical High $933.25 | Professional | None | $323.59 | $562.34 | $933.25 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $263.03 Median $446.68 Typical High $758.58 | Professional | 54 · Surgery only | $263.03 | $446.68 | $758.58 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $112.20 Typical High $181.97 | Professional | 55 · Aftercare only | $66.07 | $112.20 | $181.97 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $275.42 Median $467.74 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $275.42 | $467.74 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $794.33 Typical High $1,548.82 | Facility | None | $512.86 | $794.33 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $660.69 Typical High $1,148.15 | Professional | None | $354.81 | $660.69 | $1,148.15 |
Health Partners Setting Facility Modifier None Typical Low $457.09 Median $741.31 Typical High $1,288.25 | Facility | None | $457.09 | $741.31 | $1,288.25 |
Health Partners Setting Professional Modifier None Typical Low $346.74 Median $575.44 Typical High $1,202.26 | Professional | None | $346.74 | $575.44 | $1,202.26 |
Medica Setting Facility Modifier None Typical Low $371.54 Median $707.95 Typical High $2,344.23 | Facility | None | $371.54 | $707.95 | $2,344.23 |
Medica Setting Professional Modifier None Typical Low $371.54 Median $676.08 Typical High $2,290.87 | Professional | None | $371.54 | $676.08 | $2,290.87 |
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 $263.03 Median $467.74 Typical High $977.24 | Professional | None | $263.03 | $467.74 | $977.24 |
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 $104.71 Median $154.88 Typical High $154.88 | Facility | 52 · Reduced service | $104.71 | $154.88 | $154.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $41.69 Median $61.66 Typical High $61.66 | Facility | 53 · Discontinued | $41.69 | $61.66 | $61.66 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $20.89 Median $30.90 Typical High $30.90 | Facility | 56 · Pre-op care only | $20.89 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $131.83 Typical High $154.88 | Professional | 52 · Reduced service | $104.71 | $131.83 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $52.48 Typical High $61.66 | Professional | 53 · Discontinued | $41.69 | $52.48 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $26.30 Typical High $30.90 | Professional | 56 · Pre-op care only | $20.89 | $26.30 | $30.90 |
Where Minnesota sits
The same service costs 3.6 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
$562
AK $851KY $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.