How much rates vary
Facilitymedian $562 · 10th to 90th $148 to $2,188Professionalmedian $389 · 10th to 90th $214 to $776
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 $229.09 Typical High $229.09 | Facility | None | $147.91 | $229.09 | $229.09 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $109.65 Median $173.78 Typical High $173.78 | Facility | 54 · Surgery only | $109.65 | $173.78 | $173.78 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $21.88 Median $34.67 Typical High $34.67 | Facility | 55 · Aftercare only | $21.88 | $34.67 | $34.67 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $102.33 Median $162.18 Typical High $162.18 | Facility | 78 · Unplanned return to OR | $102.33 | $162.18 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $194.98 Typical High $229.09 | Professional | None | $147.91 | $194.98 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $109.65 Median $147.91 Typical High $173.78 | Professional | 54 · Surgery only | $109.65 | $147.91 | $173.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $29.51 Typical High $34.67 | Professional | 55 · Aftercare only | $21.88 | $29.51 | $34.67 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $102.33 Median $138.04 Typical High $162.18 | Professional | 78 · Unplanned return to OR | $102.33 | $138.04 | $162.18 |
BCBS Minnesota Setting Facility Modifier None Typical Low $933.25 Median $1,819.70 Typical High $3,090.30 | Facility | None | $933.25 | $1,819.70 | $3,090.30 |
BCBS Minnesota Setting Professional Modifier None Typical Low $234.42 Median $416.87 Typical High $691.83 | Professional | None | $234.42 | $416.87 | $691.83 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $331.13 Typical High $549.54 | Professional | 54 · Surgery only | $186.21 | $331.13 | $549.54 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $83.18 Typical High $134.90 | Professional | 55 · Aftercare only | $46.77 | $83.18 | $134.90 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $194.98 Median $346.74 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $194.98 | $346.74 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $588.84 Typical High $1,148.15 | Facility | None | $380.19 | $588.84 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $489.78 Typical High $891.25 | Professional | None | $251.19 | $489.78 | $891.25 |
Health Partners Setting Facility Modifier None Typical Low $338.84 Median $549.54 Typical High $954.99 | Facility | None | $338.84 | $549.54 | $954.99 |
Health Partners Setting Professional Modifier None Typical Low $245.47 Median $416.87 Typical High $891.25 | Professional | None | $245.47 | $416.87 | $891.25 |
Medica Setting Facility Modifier None Typical Low $251.19 Median $645.65 Typical High $2,570.40 | Facility | None | $251.19 | $645.65 | $2,570.40 |
Medica Setting Professional Modifier None Typical Low $275.42 Median $537.03 Typical High $1,698.24 | Professional | None | $275.42 | $537.03 | $1,698.24 |
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 $181.97 Median $338.84 Typical High $707.95 | Professional | None | $181.97 | $338.84 | $707.95 |
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 $114.82 Typical High $114.82 | Facility | 52 · Reduced service | $74.13 | $114.82 | $114.82 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $29.51 Median $45.71 Typical High $45.71 | Facility | 53 · Discontinued | $29.51 | $45.71 | $45.71 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $14.79 Median $22.91 Typical High $22.91 | Facility | 56 · Pre-op care only | $14.79 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $97.72 Typical High $114.82 | Professional | 52 · Reduced service | $74.13 | $97.72 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $38.90 Typical High $45.71 | Professional | 53 · Discontinued | $29.51 | $38.90 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $19.50 Typical High $22.91 | Professional | 56 · Pre-op care only | $14.79 | $19.50 | $22.91 |
Where Minnesota sits
The same service costs 3.4 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
$407
AK $603KY $178
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.