How much rates vary
Facilitymedian $708 · 10th to 90th $214 to $1,995Professionalmedian $575 · 10th to 90th $324 to $1,148
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 $213.80 Median $338.84 Typical High $338.84 | Facility | None | $213.80 | $338.84 | $338.84 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $158.49 Median $251.19 Typical High $251.19 | Facility | 54 · Surgery only | $158.49 | $251.19 | $251.19 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $32.36 Median $51.29 Typical High $51.29 | Facility | 55 · Aftercare only | $32.36 | $51.29 | $51.29 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $151.36 Median $234.42 Typical High $234.42 | Facility | 78 · Unplanned return to OR | $151.36 | $234.42 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $288.40 Typical High $338.84 | Professional | None | $213.80 | $288.40 | $338.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $158.49 Median $213.80 Typical High $251.19 | Professional | 54 · Surgery only | $158.49 | $213.80 | $251.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $42.66 Typical High $51.29 | Professional | 55 · Aftercare only | $32.36 | $42.66 | $51.29 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $151.36 Median $199.53 Typical High $234.42 | Professional | 78 · Unplanned return to OR | $151.36 | $199.53 | $234.42 |
BCBS Minnesota Setting Facility Modifier None Typical Low $660.69 Median $1,202.26 Typical High $2,398.83 | Facility | None | $660.69 | $1,202.26 | $2,398.83 |
BCBS Minnesota Setting Professional Modifier None Typical Low $346.74 Median $588.84 Typical High $1,000.00 | Professional | None | $346.74 | $588.84 | $1,000.00 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $467.74 Typical High $794.33 | Professional | 54 · Surgery only | $275.42 | $467.74 | $794.33 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $120.23 Typical High $194.98 | Professional | 55 · Aftercare only | $69.18 | $120.23 | $194.98 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $501.19 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $288.40 | $501.19 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $870.96 Typical High $1,698.24 | Facility | None | $562.34 | $870.96 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $707.95 Typical High $1,258.93 | Professional | None | $363.08 | $707.95 | $1,258.93 |
Health Partners Setting Facility Modifier None Typical Low $501.19 Median $812.83 Typical High $1,412.54 | Facility | None | $501.19 | $812.83 | $1,412.54 |
Health Partners Setting Professional Modifier None Typical Low $363.08 Median $602.56 Typical High $1,348.96 | Professional | None | $363.08 | $602.56 | $1,348.96 |
Medica Setting Facility Modifier None Typical Low $380.19 Median $707.95 Typical High $2,089.30 | Facility | None | $380.19 | $707.95 | $2,089.30 |
Medica Setting Professional Modifier None Typical Low $489.78 Median $933.25 Typical High $2,511.89 | Professional | None | $489.78 | $933.25 | $2,511.89 |
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 $295.12 Median $575.44 Typical High $1,202.26 | Professional | None | $295.12 | $575.44 | $1,202.26 |
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 $107.15 Median $169.82 Typical High $169.82 | Facility | 52 · Reduced service | $107.15 | $169.82 | $169.82 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $42.66 Median $67.61 Typical High $67.61 | Facility | 53 · Discontinued | $42.66 | $67.61 | $67.61 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $21.38 Median $33.88 Typical High $33.88 | Facility | 56 · Pre-op care only | $21.38 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $144.54 Typical High $169.82 | Professional | 52 · Reduced service | $107.15 | $144.54 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $57.54 Typical High $67.61 | Professional | 53 · Discontinued | $42.66 | $57.54 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $28.84 Typical High $33.88 | Professional | 56 · Pre-op care only | $21.38 | $28.84 | $33.88 |
Where Minnesota sits
The same service costs 4.1 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
$589
AK $933KY $229
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.