How much rates vary
Facilitymedian $145 · 10th to 90th $55 to $1,479Professionalmedian $123 · 10th to 90th $69 to $234
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 $52.48 Median $69.18 Typical High $1,479.11 | Facility | None | $52.48 | $69.18 | $1,479.11 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $41.69 Median $51.29 Typical High $51.29 | Facility | 54 · Surgery only | $41.69 | $51.29 | $51.29 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $8.32 Median $10.23 Typical High $10.23 | Facility | 55 · Aftercare only | $8.32 | $10.23 | $10.23 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $38.90 Median $47.86 Typical High $47.86 | Facility | 78 · Unplanned return to OR | $38.90 | $47.86 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $69.18 Typical High $102.33 | Professional | None | $54.95 | $69.18 | $102.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $41.69 Median $43.65 Typical High $51.29 | Professional | 54 · Surgery only | $41.69 | $43.65 | $51.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $8.91 Typical High $10.23 | Professional | 55 · Aftercare only | $8.32 | $8.91 | $10.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $38.90 Median $40.74 Typical High $47.86 | Professional | 78 · Unplanned return to OR | $38.90 | $40.74 | $47.86 |
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 $85.11 Median $128.82 Typical High $213.80 | Professional | None | $85.11 | $128.82 | $213.80 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $69.18 Median $104.71 Typical High $169.82 | Professional | 54 · Surgery only | $69.18 | $104.71 | $169.82 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $25.70 Typical High $40.74 | Professional | 55 · Aftercare only | $17.38 | $25.70 | $40.74 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $72.44 Median $109.65 Typical High $177.83 | Professional | 78 · Unplanned return to OR | $72.44 | $109.65 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $177.83 Typical High $338.84 | Facility | None | $114.82 | $177.83 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $154.88 Typical High $281.84 | Professional | None | $95.50 | $154.88 | $281.84 |
Health Partners Setting Facility Modifier None Typical Low $102.33 Median $169.82 Typical High $288.40 | Facility | None | $102.33 | $169.82 | $288.40 |
Health Partners Setting Professional Modifier None Typical Low $93.33 Median $147.91 Typical High $269.15 | Professional | None | $93.33 | $147.91 | $269.15 |
Medica Setting Facility Modifier None Typical Low $91.20 Median $181.97 Typical High $1,000.00 | Facility | None | $91.20 | $181.97 | $1,000.00 |
Medica Setting Professional Modifier None Typical Low $79.43 Median $123.03 Typical High $288.40 | Professional | None | $79.43 | $123.03 | $288.40 |
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 $66.07 Median $104.71 Typical High $213.80 | Professional | None | $66.07 | $104.71 | $213.80 |
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 $27.54 Median $34.67 Typical High $34.67 | Facility | 52 · Reduced service | $27.54 | $34.67 | $34.67 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $11.22 Median $13.80 Typical High $13.80 | Facility | 53 · Discontinued | $11.22 | $13.80 | $13.80 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $5.50 Median $6.92 Typical High $6.92 | Facility | 56 · Pre-op care only | $5.50 | $6.92 | $6.92 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $27.54 Median $29.51 Typical High $34.67 | Professional | 52 · Reduced service | $27.54 | $29.51 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $11.75 Typical High $13.80 | Professional | 53 · Discontinued | $11.22 | $11.75 | $13.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.50 Median $5.89 Typical High $6.92 | Professional | 56 · Pre-op care only | $5.50 | $5.89 | $6.92 |
Where Minnesota sits
The same service costs 4.2 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
$123
AK $224KY $53.70
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.