How much rates vary
Facilitymedian $407 · 10th to 90th $135 to $977Professionalmedian $389 · 10th to 90th $204 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 $134.90 Median $229.09 Typical High $229.09 | Facility | None | $134.90 | $229.09 | $229.09 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $100.00 Median $169.82 Typical High $169.82 | Facility | 54 · Surgery only | $100.00 | $169.82 | $169.82 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $19.95 Median $34.67 Typical High $34.67 | Facility | 55 · Aftercare only | $19.95 | $34.67 | $34.67 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $93.33 Median $158.49 Typical High $158.49 | Facility | 78 · Unplanned return to OR | $93.33 | $158.49 | $158.49 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $194.98 Typical High $229.09 | Professional | None | $134.90 | $194.98 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $100.00 Median $147.91 Typical High $169.82 | Professional | 54 · Surgery only | $100.00 | $147.91 | $169.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.95 Median $29.51 Typical High $34.67 | Professional | 55 · Aftercare only | $19.95 | $29.51 | $34.67 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $93.33 Median $138.04 Typical High $158.49 | Professional | 78 · Unplanned return to OR | $93.33 | $138.04 | $158.49 |
BCBS Minnesota Setting Facility Modifier None Typical Low $263.03 Median $660.69 Typical High $1,479.11 | Facility | None | $263.03 | $660.69 | $1,479.11 |
BCBS Minnesota Setting Professional Modifier None Typical Low $213.80 Median $398.11 Typical High $676.08 | Professional | None | $213.80 | $398.11 | $676.08 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $169.82 Median $316.23 Typical High $537.03 | Professional | 54 · Surgery only | $169.82 | $316.23 | $537.03 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $79.43 Typical High $131.83 | Professional | 55 · Aftercare only | $42.66 | $79.43 | $131.83 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $181.97 Median $331.13 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $181.97 | $331.13 | $562.34 |
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 $229.09 Median $457.09 Typical High $851.14 | Professional | None | $229.09 | $457.09 | $851.14 |
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 $223.87 Median $407.38 Typical High $891.25 | Professional | None | $223.87 | $407.38 | $891.25 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $331.13 Typical High $1,148.15 | Facility | None | $125.89 | $331.13 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $295.12 Median $575.44 Typical High $1,698.24 | Professional | None | $295.12 | $575.44 | $1,698.24 |
United Setting Facility Modifier None Typical Low $125.89 Median $426.58 Typical High $1,778.28 | Facility | None | $125.89 | $426.58 | $1,778.28 |
United Setting Professional Modifier None Typical Low $169.82 Median $346.74 Typical High $741.31 | Professional | None | $169.82 | $346.74 | $741.31 |
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 $67.61 Median $114.82 Typical High $114.82 | Facility | 52 · Reduced service | $67.61 | $114.82 | $114.82 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $26.92 Median $45.71 Typical High $45.71 | Facility | 53 · Discontinued | $26.92 | $45.71 | $45.71 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $13.49 Median $22.91 Typical High $22.91 | Facility | 56 · Pre-op care only | $13.49 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $97.72 Typical High $114.82 | Professional | 52 · Reduced service | $67.61 | $97.72 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $38.90 Typical High $45.71 | Professional | 53 · Discontinued | $26.92 | $38.90 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.49 Median $19.50 Typical High $22.91 | Professional | 56 · Pre-op care only | $13.49 | $19.50 | $22.91 |
Where Minnesota sits
The same service costs 3.8 times more in Alaska than in Maryland. 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
$389
AK $603MD $158
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.