How much rates vary
Facilitymedian $389 · 10th to 90th $110 to $1,445Professionalmedian $309 · 10th to 90th $170 to $617
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 $109.65 Median $190.55 Typical High $1,380.38 | Facility | None | $109.65 | $190.55 | $1,380.38 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $83.18 Median $141.25 Typical High $141.25 | Facility | 54 · Surgery only | $83.18 | $141.25 | $141.25 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $16.60 Median $28.18 Typical High $28.18 | Facility | 55 · Aftercare only | $16.60 | $28.18 | $28.18 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $77.62 Median $131.83 Typical High $131.83 | Facility | 78 · Unplanned return to OR | $77.62 | $131.83 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $169.82 Typical High $208.93 | Professional | None | $109.65 | $169.82 | $208.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $83.18 Median $125.89 Typical High $141.25 | Professional | 54 · Surgery only | $83.18 | $125.89 | $141.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $25.12 Typical High $28.18 | Professional | 55 · Aftercare only | $16.60 | $25.12 | $28.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $77.62 Median $117.49 Typical High $131.83 | Professional | 78 · Unplanned return to OR | $77.62 | $117.49 | $131.83 |
BCBS Minnesota Setting Facility Modifier None Typical Low $269.15 Median $1,000.00 Typical High $2,344.23 | Facility | None | $269.15 | $1,000.00 | $2,344.23 |
BCBS Minnesota Setting Professional Modifier None Typical Low $186.21 Median $316.23 Typical High $537.03 | Professional | None | $186.21 | $316.23 | $537.03 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $151.36 Median $251.19 Typical High $436.52 | Professional | 54 · Surgery only | $151.36 | $251.19 | $436.52 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $64.57 Typical High $107.15 | Professional | 55 · Aftercare only | $37.15 | $64.57 | $107.15 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $158.49 Median $269.15 Typical High $457.09 | Professional | 78 · Unplanned return to OR | $158.49 | $269.15 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $478.63 Typical High $912.01 | Facility | None | $309.03 | $478.63 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $363.08 Typical High $676.08 | Professional | None | $186.21 | $363.08 | $676.08 |
Health Partners Setting Facility Modifier None Typical Low $275.42 Median $446.68 Typical High $776.25 | Facility | None | $275.42 | $446.68 | $776.25 |
Health Partners Setting Professional Modifier None Typical Low $181.97 Median $331.13 Typical High $724.44 | Professional | None | $181.97 | $331.13 | $724.44 |
Medica Setting Facility Modifier None Typical Low $131.83 Median $346.74 Typical High $1,737.80 | Facility | None | $131.83 | $346.74 | $1,737.80 |
Medica Setting Professional Modifier None Typical Low $239.88 Median $457.09 Typical High $1,380.38 | Professional | None | $239.88 | $457.09 | $1,380.38 |
United Setting Facility Modifier None Typical Low $125.89 Median $426.58 Typical High $1,995.26 | Facility | None | $125.89 | $426.58 | $1,995.26 |
United Setting Professional Modifier None Typical Low $147.91 Median $275.42 Typical High $602.56 | Professional | None | $147.91 | $275.42 | $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 $54.95 Median $93.33 Typical High $93.33 | Facility | 52 · Reduced service | $54.95 | $93.33 | $93.33 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $21.88 Median $38.02 Typical High $38.02 | Facility | 53 · Discontinued | $21.88 | $38.02 | $38.02 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $10.96 Median $19.05 Typical High $19.05 | Facility | 56 · Pre-op care only | $10.96 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $83.18 Typical High $93.33 | Professional | 52 · Reduced service | $54.95 | $83.18 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $33.88 Typical High $38.02 | Professional | 53 · Discontinued | $21.88 | $33.88 | $38.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $16.98 Typical High $19.05 | Professional | 56 · Pre-op care only | $10.96 | $16.98 | $19.05 |
Where Minnesota sits
The same service costs 3.5 times more in Alaska than in Florida. 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· 4th of 51
$316
AK $490FL $138
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.